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`"e�`'�gY`aF CrNSTRUCTION " <br />everett PERMIT PERMIT NO.O�9Z8 <br />QTY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COM8INATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />owr+En n�ni�noontss cirr zir aHor+E <br />Tnhn T(`harhnnuau �51� w in r �*t gg?�1 �o e�zi <br />RRCNIiECi OP DESiGN[R MAtL ADDPE55 C�iY ZIP PNONE <br />nWitPY <br />GENERALCONiPACTOR MAIL AD�PE55 QiY 21P PMONE UCENS[ 1 <br />Ow^ r <br />M[GMr1NICAt CANiMCiOP MAIL ADORE55 Clrv ZIP PHONE LICENSE I <br />PLUMB:.�GCANTRACTON IAAiLq00RE55 COY 21P PHONE LICENSE� <br />CV•55 OF WORK <br />❑NEW ❑ADDIiION ❑AITERATION C�REPAIR ❑DEMOLITION ❑FENCE CISIGN ❑GARAGE <br />VAWRTION OF WORK <br />t �.20�. �� <br />Asphalt shingles <br />PROPoSE� USE OF BWIDING <br />Residence <br />LEWL OESCRIP110N OF PROGERTY i;MOW BEL( <br />�or�f,�ocK�oF Ha} <br />PlUM81N0 <br />WATER CIOSET <br />URINAL <br />ROOF �RAINS — <br />ciuv �coo�nrc _ <br />SIDE VARD SEiBACK <br />USE ZONE <br />TYPE OF <br />STREET :_fBACK <br />NO. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAIIMPACTSTATEMENT <br />B. MEALTH DISTRICT <br />APPLICATION ACC. B�' PIANS CMECKED BV <br />❑YES ❑NO <br />NO.OF DWELLING UNITS <br />I�MYfY.N <br />APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ ANC [XAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />AI_L 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 CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. <br />SIGNAiURE OF CONilIACT(jR OR AUTMpR12EO AGENi OAiE <br />TYPE OF EOUIPME� <br />AIR COND. UNITS — NP. EA. <br />REFRIGERATION UNITS — H.P.EA <br />BJILEPS — HP. EA. <br />GAS FlRED AC. UNITS — TONNAGE <br />FOHCED AIR SYS' EMS — B TL. <br />WALL HEAiEPS — i� T.U. <br />UNIT H�ATERS — B iL. <br />EVAPORATNECOOLEPS <br />CLOTHES ORVERS <br />VENTILATION FAN <br />FiANG[ HOOD <br />AIP HANDUNG UNIT — <br />STOVE <br />METAL FIREPIACE 8 CHIMNEV <br />SUBTOTAI <br />PERMIT <br />TOTAL FEE <br />1ECK NUM�EFi <br />FEE <br />FEES VALI <br />nui�oiNc <br />P�UMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAL <br />M <br />GF M. <br />PLAN <br />$1Z�0.00 <br />UFC. <br />SEC.3031a1 <br />RECEIPT NO <br />f ROPEn,y yq��pqTED pN THIS SPACE) THIS IS YOUR PERM11 <br />��� <br />12 p0 <br />u6uo E012.00 ---c� 1 <br />� <br />ti <br />1'��UR RECEI(� <br />�� I�'1�1� i�0:� <br />