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���eLP�.���e11 - -,1NSTRUCTIO�'- <br />CITY OF <br />everett PERMIT PERMIT NO. 09162 <br />CITY HALL 259-B7a5 <br />EVEr�en.wn eezoi Q COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O\YNLR MARADDf1E55 CITY 2iV PHUN! <br />Peter W. Borklund 5114 South 3rd Avenue 258-1665 <br />AitCHrtECiOROESIGNEB MAiLNDDRE55 CIIY PP PMONE <br />GEI1[RAICANiRACTOR MALLACDRC55 CITY ZiP PHONE UCENSE� <br />Same <br />A+ECNANIG�LCANiPACTOR IAAiIADDRE55 C�iY PP PNONE LICENS[/ <br />PLUM�INGCONTRRGTOP MAILPDDFE55 CIiY ZIP PNONE JLENSE� <br />❑NE\Y ❑ADOITION ❑ALTERATION ❑REPAIR �EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />OF WORK <br />S <br />DESCR�BE WORK <br />�emolish ,ingle family s� <br />aaoroseo use o� ewimr.c <br />LEWL DESCRIPiION OF PHOPERTY <br />ior 4 eu�cK 16 oF <br />5114 South 81CM AVenue <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />�VATLR CLOSET ITOILET� <br />DISHWASHER <br />LAUNDRYTRAY <br />CIOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />PLOOR CRAIN <br />VACUUM 9fi[AKEflS <br />ROOF DRA�NS — RAII <br />SINKISER\ICE — BAF <br />SIDE YARD SETBACK <br />USE ZONE <br />TYPE OF CONSi. <br />SIZE OF BLDG. <br />STREET SETBACK <br />LOT AREA <br />OCGUPANCV GR( <br />NO. OP STORIES <br />BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. 9UILDING PLl�NS <br />3. FIRE HYDRANT <br />4 FlRE PflOTECTION SYSTEIA <br />5. GRADING <br />G DRAINAGE <br />7. ENVIRONMENTAIIMPACTSTATEMENT <br />0. NEALTH DISTflICT <br />APPLICATION ACC. OY FU1NS CHECKED BY <br />Gara <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIGLATE OR CANCEL THE PRO� <br />VISIONS Of ANY OTHER STAT�,.OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE �R6GRMAN CONSTRUCTION. <br />slcNf�� oF coNi roR o � 2ED AccNt UAi! <br />� <br />X ��� �� ' 4/22/81 <br />� ECHANICA <br />TYPE OF E�UIPMENT <br />AIR COND. UNITS — H P. EA <br />REfRIGERATION UNITS — H.P.EA <br />BOILERS — H.P. EA. <br />G45 FIRED AG UNITS — TONNAGE E <br />FORCED AIR SYSTGMS — B T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEAiERS — 0 T,U. <br />EVAPORATIVE COOLERS <br />CLOTH[SORYERS <br />Y[NTIlAT10N FAN <br />RAIJGL HOOD <br />AIR HANDLING UNI? — <br />STOVE <br />IAETAL FlREPLACE & CHIMNEY <br />REAR YARD SETBACK PLAN CHECK NUMBER <br />VACANT SITE <br />!JYES UNO FEES <br />NO. OF DWELLING UNITS <br />9UILDING <br />MAX OCG LOAD <br />PLUMBING <br />PIRE SPRINHLERS <br />REOUIRED MECHANICAL <br />IIYES l]NO <br />BY DATE �THER <br />M <br />GF.M. <br />PEHMIT S <br />TOTALFEE S <br />PLAN CHECK FEE <br />FEE PECEIPT NO. <br />VALUATION FEE <br />5 0� 0� <br />U 0L. <br />SEC. 303 (a) <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />.''1 ` :�0.�(1-N <br />; <br />� <br />�"� <br />j j � � <br />APPR. FOR ISiU4NCE BY . � <br />ADDRESS FILE <br />