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/11eE,.�RYa° C(' VSTRUCTION '� � � <br />everett PERMIT PERMIT NO.O686H <br />CITY HALL 259�0745 <br />Eveaerr. wn sezoi ❑ COMBINATION � BUI:.DING ❑ MECHANICAL PLUMBING <br />OWNLR MAILAODPf55 LIiV 2iP P110NE <br />Solie Builders 7514 Juniper Drive 353-2331 <br />ARCNIi[CT OR DESIGNEP AIAII ADDRE55 Gi"! ZIF PHONE <br />GLNERALCANiRAGTOR MFILRD�R655 CITY ZIP PHONE LICENSEI <br />NECMPNILALCONiriACiOR MPRAODPESS CIiY 21P PNONE I�CENSEI <br />PWA101NG NiAA�T�q M4qR00PE55 CIiY ZIP i'HONE LL'[NSE� <br />Ro�inson Plumbing G07 S. Hroadway Everett 98204 355-6171 <br />:LASSOf WORK <br />❑NEW <br />IPWAiION OF WORK <br />b <br />JESCPIBE WORK <br />�ROPOSED USE OF BUILDING <br />LEG4l OESCRI?TION OF PROFEAT' <br />�oi eiocK_oF <br />❑AODITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE GSIGN ❑GARAGE <br />����437 Vista Place <br />PLUMBINQ <br />NO. TYPE OF <br />WATER CLOSEI (rOIIET <br />BATHTUP <br />1 LAVATOFY�WASH BA51 <br />1 SHOWER <br />KITCHEN SINK 8 DISP. <br />DISNWASNER <br />LAUNDPVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />UFINAI. <br />DRINKING F06'NTAIN <br />FLOOR DRAIN <br />VACUUM BREANEPS <br />ROOF DPAINS — RAIN <br />uuv rtcov�rF _ wGR <br />SIDE VvRD SETBACK <br />NPE OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />oanrrnc��Founwaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE (:OMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TI1E GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORII"Y TO VIOIATE OR CANCEL THE PRO� <br />VISIO�dS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PFRFORMANCE OF CONSTRUCTION. <br />SIGNA(i�U�R'O�CONiRRLTOROHAUIMO�IZf�tiGENt DFTE <br />V -1Y_-J�/)i�i.�...... 1��22�%9 <br />OR IT <br />STREET SETBACK <br />NO.OF <br />1. ENVIRONMENTAL CHECK UST <br />2 BUI�DING PLANS <br />3. FIR[ NYORANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAiEMENT <br />8. HEALTH OISTRICT <br />APPLICATION ACC. BY PLANS CHEGNED BY <br />YAflD <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF DWEI <br />APPR.FORISSUANCE BY <br />MECMANICAL <br />AIR COP:D UNITS — N P. EA. <br />REFRIGERATION UNITS — ��.P. EA <br />HDII FPS — HP. EA <br />tin5 i ine� r. � �n� <br />FORCED AIR SYSTEMS — B T U. <br />WALL HEATEPS — B 7L. <br />11NlT HEAIERS — � 1.U. <br />RANGENOOD <br />AIR HANDIING UNIT — <br />METAL <br />BUIIDING <br />PLU�I�ING <br />MECHANIC <br />OTHER <br />PENA! `.'! <br />CF M <br />NUM�EF PLAN GHEGKFtE <br />FEE RECEIPT NO. <br />FEES VALURTION FEE <br />$ '_ <br />9 00 <br />U.B C. <br />SEC. 303 (a) <br />9 00 <br />WHEN PROPERLV VALIDATEO (IN TNIS SPACE) TMIS IS YOUR PE O I�T �. a O _ y A <br />s9st S w ` <br />%o <br />You� R���T <br />THAt�K Y'� <br />ADDRESSFILE <br />23�� 79 <br />