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r„eE1�Tycpp CQ'�ISTRUCTION -� <br />everett PERMIT pERMIT NO.OH316 <br />CITY HALL 259�8745 <br />eveaerr. wn sazo� ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNk11 MAILApGRF55 CITY ZIP PHONE <br />Dennia Fankhouser 4202 South 3rd Everett 98203 258-1660 <br />RRCH4[CL OR DESIGNER MAII /DDRC55 CITY ZIP PNONE <br />G[NEFRLGONiRACTOR MAILRDDRC55 GIiY ZIP PHONE UC[NSEI <br />Same <br />MECNANICRLCONTR4GTOFl MAILADD9C55 CITY ZIP PHONE LICENSE� <br />PLUMBING fANiRRCiOR <br />CLA55OF WOHK <br />❑IJEW <br />s 1500.00 <br />an ziP <br />❑ADDITION ❑ALTERATION ❑REPAIR L7DEMOlITION ❑��NCE ❑SIGN ❑GARAGE <br />LEGRL DESCRIPTION OF PRO�FRN �GNOW 9ElOW OH nnncn rouN wl <br />.__ 1-2 _.__.. 8_. Lowell Div. A <br />4202 South 3rd Ave. <br />PLUMBINO <br />N0. TYPE OF FIXTURE O <br />WATER CLOSET QOIIETI <br />KIiCNEN SINN 8 DISP. <br />DISNWASNER <br />LAUNDRVTRAV <br />CIOTNES WASHF.R <br />WATER 11EAiER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DPAIN <br />VACUUM DREAKERS <br />ROOP DPAINS — RAINLEADERS <br />SINK (SEFVICE — BAR. ETC ) <br />SUB TO7AL <br />PERMIT <br />TOTRL FEE <br />SIDE YARD $ETBAGK STREET S[TBACI <br />USE ZONE LOT AREA <br />TYPE OF CANST. OCCUFANCY GR <br />S12E OF BLDG. NO. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYOFANT <br />4. FIRE PROTECTION SYSTEM <br />5 GRnDING <br />6. URAINnGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. HEFLTH DISTRICT <br />APPLICATION ACC. BY PLANS CH[CKED BY <br />REAR VARD SETBACK <br />C]VES ❑NO <br />NO. OF DWELLING <br />APPR FOP ISSUANCE dY <br />EW <br />♦ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRI;E AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN Or� NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC[L THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTfiUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SGN �UREOf 6%�li �i qUi�y�AIZF AGFfIT �AIE <br />X �J(�.�� d1w.pQ/l_ 9/18/80 <br />NO. � TYPE OF EC <br />AIR WND. UNITS — H P. I <br />REFRIGERATION UNITS — <br />LiOItERS — H P. EA. <br />— TONNAGE [A <br />--ATLI M <br />UNIiLH6�TERS — U 7.U. <br />EVAFORATI�E COOLERS <br />RANGF HOOD <br />AIR HANDLING UNIT — <br />CHECK <br />Tv <br />C F. M <br />SU6TOTAL <br />FEE <br />b 1500. <br />U.B.0 <br />SEC.303�a) <br />FEE <br />F[CEIPT NO, <br />15 �00 <br />1S 100 <br />PROPEfiLY VALIDPTED (IN THIS SP;C� ;NIeS IS VO�1R„P��T O O ��� <br />, ,o �J <br />� <br />i+i <br />�-�:- ; r. ��cFi� <br />� <br />-,�,,.��, YOU <br />� i ��;�'dl� <br />