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rhe EvaAv oF �O NSTR U CTIO N <br />everett PERMIT <br />CITYHALL259�W45 PERMIT N0. O97Z1 <br />EV�RET7, WA 9ezoi ❑ COMBINATION �tBUILDING ❑ MECHANICAL ❑ pLUMBING <br />OWN[H MAIL q�pFE55 OiY � <br />HerIDan A. Hagglund 1125 99th Avenue S,E. Z�P vHOHe <br />nacNireaoaoesmNen Everett 98205 339-3096 <br />IA?IIADUPE55 piY ]IP PMONE <br />GEN$ dmeNTRALTOR MAIL ApDRE55 ��rq <br />21P PRONE UCENSE♦ <br />MECNANICqI CONiRNCiOR MAIL ADpPESS - <br />CIiY ZIP PHON[ LICENSE / <br />PLUMBING CONipACTOR MAiL ADOP[55 QTV <br />Z�P FMONE UCENSE 1 <br />❑NE1Y <br />.V/TION OF WCRK <br />s 433.00 <br />❑ADDITION ❑ALTERATION L�PIYEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />reroof—composition <br />single family <br />LEG4t �ESCRIPTION OF PROFERTY <br />iorl � —11 u�oc��� <br />1721 Walnut <br />PLUMBINO <br />NO• TYPE OF FIXTURE <br />WATER CLOSET (TOI�Ef) <br />BATHTUB <br />IAVATOViV M/ASH BASIN) <br />SHOWER <br />KITCHEN SINN 6 DISP. <br />DISHWASH[R <br />LAUNDRVTRAV <br />CIOiHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROJF DRAINS — RAIN�EADEaS <br />SINK (SERVICE — 9AR, ETCJ <br />I . SUBTOTAL <br />SIDE YARD SETE <br />USE ZONE <br />TYPE OF CCNST. <br />SIZE OF BLOG. <br />FIRE ZONE <br />STfiEET <br />LOT <br />ence I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS AP� <br />�onnnncH Fouacoaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />rdale ALL PROVISIONS OF iAWS AND QRDINANCES 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 VIOIATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />_ CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiU�E OF CONiRRGiOR OR AUiNOR12[D AGENi OAiE <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FlREHV�RANT <br />a. fIRE PPJTECTIpN SYSTEM <br />5. GRADIhG <br />6. DRAINAGE <br />7 ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC AY FLANS CNECKEO BY <br />REAR <br />❑YES <br />NO.OF <br />BY <br />MECHANICAL � <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEflAT104 UNITS — H.P. EA <br />BOILERS — HP. cA. <br />GAS FIRED A.G UNITS — TONN4GE EA. <br />PORCED AIR SVSIEMS — B.T.U. M EA. <br />WAIL HEATEqS — B.T.0 M <br />UNIT HEATERS — BS.U. M <br />EVAPORATIVE COOLENS <br />CLOTNES DRYERS <br />VENiILt,TION FAN <br />RANGEHOOD <br />AtR HANDLING UNIT — C.F M. <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />SUB TOTAL s <br />FEE <br />FEES VALUATI01 <br />BUILDING 5433.00 <br />MECHANICAL <br />OTHER <br />PENA�Tv <br />UBC. <br />SEC. 303 (a) <br />RECEIPi N0. <br />FEE <br />' WHEN PROPEP.LV VALIDATED p'v iH'.5 SPACE) THIS IS YOUR PERMIT <br />_ ' ; i. � . � `I ' <br />�c -- <br />N <br />_ � <br />- � <br />APPli Fp�i ISSUANCE U�. ': I O <br />