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` ''"��`�T�'oF � ^ONSTRUCTION <br />everett PERMIT pERMIT NO. OH9O3 <br />CITY HALL 259�8745 <br />evERerr, wn eezo� ❑ COMBINATION X� BUILDING ❑ MECHANICAL ❑ pLUMBING <br />OWNEN MA:LAU�PESS CIiT ZIP PHONE <br />Art Brandvold 1012 P..rk Drive Eberett WA 98203 353-3952 <br />ARCHILECL OR DESIGNER MAIL ADDRESS CRV 21P PMONE <br />GENERAICQNiRACiOR IAAILADDRE55 CITY ZIP PHONE �iCENSEI <br />Art Brandvold <br />MECIIANICALCANiRACiOR MAILpDDRE55 piY ZIP PNONE LICENSEI <br />P�UMBING CONTPACiOR MAII NDDPESS ��LY 21P PMONE UCENSE / <br />CLA53 OF \'/ORK <br />❑NEN' ❑ADDITION ❑ALTERATION X�JRLPAIR ❑DEAIO�ITION ❑fENCE ❑SIGN ❑6ARAGE <br />VAWATION OF W08K <br />s 860.00 <br />cescaioe woarc - <br />Reroof <br />GROPOSED USE OF BUIIDING <br />Sinqle Family Residence <br />LEGAI OEY,PiPTiON OF PPOof'1TV �enOW OF�O\V OR <br />io� eia�or <br />�oaao4`�l�Z wa�nut street, �erett <br />PLUMBIN.r. <br />N^ TYPE OF FU(TURE OR ITEM <br />` WATER CLOS@T (701LET1 <br />I HEREBY CERTIFY THAT I HAVE READ AND FXAMINED THIS AP- <br />FOURLOPiES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />AlL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE uF W(7RK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GHANTING OF A PERMIT DOES NOT <br />PRESUMETOGIVEAUTHORITY )VIOLATEORCANCELTHEPRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAji�f'EOFLONiRACiORORAUiNORIZC�AGENT pAiE <br />Y // �,1 � _ ��x _ _ .l..v.J� � Z/24/81 <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLCTN[5 WASMER <br />WATER HEATER <br />URINAL <br />bRINKMG FOUNTAIN <br />FLOOR ORAM � <br />VACUUM OREAKERS <br />ROOF DRAINS — FAINLEADERS <br />SINK �SEPVICE — BAR. ETC] <br />SUB TOTAL <br />PEqMIT 5 <br />TOTAL FEE S <br />SIDE YAPD SETBACK STREET 5[TBAGK REAR <br />USGZONE LOTAREA VACA <br />SIZ[ OF BLDG. N0. OF <br />FIRE ZONE I BASEMENT <br />APPROVALS <br />1. ENVIRONMENTALCHLCKLISi <br />2 OUIL�ING PLANS <br />3. FIR[ MYDRANT <br />C. FIRE PROTECTION SYSTEh1 <br />5 GflADING <br />6 URAINAGE <br />7 ENVIRONMENTAL RdPACi STFTEAIENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC. BY PU1NS CHECKED BY <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />AIH COND. UNITS — H.P. [A. <br />REFRIGLRATION UNITS — H.P. EA <br />BORERS — H P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCLD AIP SYSiEMS — B TL. M <br />WAILHEAiERS- B.T.U. M <br />UNIT I1EAiERS � O.T.U. M <br />EVAPORATII� ' �OLERS <br />CLOTHE'� � .Y[RS <br />V[NTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C. <br />STOV[ <br />METAL FIREPLACE 8 CHIhMEY <br />❑YES GNO <br />�l IYES ���NO <br />BY I DATE <br />APPR.FORISSUANCE �Y <br />LC <br />PLAN CHECK NUMBER PLAN CHECK iEE <br />FEE RECGIAT NO. <br />FEES VALUATION FEE <br />OUILDING 5860.00 16 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAI TY U 8 C <br />SEC.393�a) <br />TOTAL <br />1G <br />PEflM1T VALICATION <br />WNEN PRO�ERLY VALIDATED pN THIS SPACE) TH15151'OUR PERMIT <br />ADDRESS PILE <br />M <br />� �I ���E.��+ � <br />� <br />� <br />. � .. \.-. � �= � <br />. f� . , li <br />�v • �� <br />::� ,.i <br />�; <br />