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�hPE�.e���e�n C'1NSTRUCTION r� <br />CIfY OF <br />everett PER�IIT PERMIT NO.OH53O <br />CITV HAL1.259�8745 � COMBINATION ❑ BUILDING ❑O MECHANICAL ❑ PLUMBING <br />EVERETT WA 90201 <br />MAILADDRE55 CIiY ZIP PHONE <br />ONNF.P <br />Erma Brundes 3316 Rucker <br />ARCHIiECT OA D[SiGNEF <br />MAtL NODPC55 CITY Z�F PHONE <br />GENEAALWNiRAGTOR <br />MAIL ADDRE55 CIiV ZIP PNONE IICENSE I <br />MECMANICRLCONTHACTOR MhILNI)U��ma ��•� 98ZO1 z58�z441 <br />Natural Gas Equipment 1611 East Grand <br />PWMBING CONiRACiOR <br />MAII AODPE55 GiY ZiP PNONE UCENSE 1 <br />S <br />❑NEW ❑AD�ITIDN ❑ALtEPAT10N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />or <br />n.is.rr <br />LOi OIOGR__OF <br />3316 Rucker Avenue <br />PLUMBINO <br />wo. TYPE OF FI%TURE OR ITEM <br />TRAV <br />0 <br />� <br />VARD SEIBACK I SiREET <br />LOT AREA <br />FIRE <br />1. ENVIRONMENTALCHECKUST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />Z ENVIRONMENTALIMPACTSiATEMENT <br />8. HEFLTH DISTRICT <br />APPUCATION ACC. BY PIAHS CMECKED BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />HEREI�NFOR NOWITHEEGRANTING OF A�PERMTRDOESINOI <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OH CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNPiUPE OF CONT OP OR FU1M�tl(F(�D AGENT DATE <br />� y <br />X /-Q !`', ���; <br />YAflD <br />1NT SITE <br />5 i7N0 <br />OF DWEL <br />MA%. <br />pPVR. FOR ISSUANCE dV <br />NO. TYPE OF EOuirmen� <br />AIR CAND. UNITS — NP. [A. <br />REFRIGERATION UNIiS — N.P. EA <br />DOIL�RS — HP. EA. <br />GAS FIRED A.C. UNITS — 10NNAGE EA. <br />FORCED PIR SYSTEMS — �.T U. M EA. <br />WALLH[ATERS—OTL. M <br />UNIT NE�TERS — �?.�� M <br />EVAPORATIVE CAOIERS <br />CLOTHES DRYERS , <br />VENTILATION FAN <br />RI.NGE HOOD <br />AIH HANDLING UNIT — C P.M. <br />CHECK <br />MECHANICAL <br />TV <br />PLAN CHEGK Ftt <br />FEE RECLIPT NO. <br />VALUATION FEE <br />5 <br />� 0� <br />U.BA. <br />SCC.303�a� <br />9 00 <br />PROPERL.' VAI.IDATED (IN THIS SPAGE) THIS IS YOUfl I� EHMIT <br />ci2� R009.00—�tt <br />� <br />� <br />'." .'-^ R�_CL-IPT� <br />��:•:��,?•;!C YC'U <br />ADDRESS FILE <br />I 4 ���v 80 <br />