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n <br />IheEvcrgrcen � C^NSYRUCTION � � <br />CITYOF pERMIT <br />everett PERMIT NO. 08766 <br />CITV FiALL 259�8745 � COMBINATION ❑ BUIIDING � MECHANICAL ❑ PLUMBING <br />EVERETf. WA 98201 _... .. <br />OWNEP �nn�i nuv��+� <br />9a2oi a <br />William Holterman 3622 Rucker Everett _. -. P„or+e <br />PRCHRECi OA DESIGNER <br />MhR NDDPE55 CITY <br />C11Y Z�p PMONE LICEN$[ � <br />GLNEPALCANiRACtOR <br />MAR ADDR[55 <br />�ip pHpry� IICENSE I <br />,NICAL CANiP/GiOR MALL AODPESS <br />Natusal Gas Equipment 1611 East Grand <br />MAIL RDDRE55 <br />o.,<,-Prr 98201 258-2441 <br />CLPSS OF WORK <br />❑NEW ❑ADDITION ❑A�TERATION ❑AEPAIR ❑DEMOUTION ❑FEN�E ❑SIG�GE <br />VALURTiON OF WORK <br />S <br />DESCRIBE WONK <br />IEGAL UESCRIPiION OF PqOPtM� <br />ior e�oc�—or <br />.roe nooaess <br />3622 Rucker <br />PLUMBINd <br />SIDE <br />USE <br />OF <br />TRAV <br />� <br />SfTBACK � STREET <br />;rze or- e�oc. ��. �� �•- — <br />—�— pASEMENT <br />FlRE 20NE <br />APPNOVALS <br />1. ENVIRUNMENTALCHECKLIST � <br />2. SIiILDING PLANS <br />3. FIRE HYDRANT <br />a. FlRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINPGE <br />7. ENVIRONMENTAL IMPACi STATEMENT <br />6. NEALTH DISTRIGT <br />APPUCATION ACC. BY PlANS CMECKED BY <br />7EAR VARD SI <br />JACANT SITE <br />L]YES ❑NO <br />N0. OF DWEL <br />MA%. OCC. L( <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAIJ�E TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE O� WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED <br />HEREIN OR NOT. THE GRANTIN3 OF A PER�71T DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULP,TING <br />CONSTRUCTION OR THE PERFORMANCE OF GONSTRUCPON. <br />sicr+nruncov�nfe+�; u �owztoa� 1/15/81 <br />X � 7�0 /D <br />TYPE OF EQUIPn <br />AIR COND. UNITS— H P. EA <br />�'.CrNIGER�T�ON UNITS — HP E <br />OOILERS — H P EA. <br />GASFlREDAC UNIT$—iONN� <br />FORCED P.IR SYSTEMS — 0 T U. <br />WALL H[ATERS — BSL. <br />UNIT HEATERS — 6LU. <br />EVAPORATNECOOLEPS <br />ClO1HC5 DFYERS <br />VENTMTION FAN <br />RANG[HOOD <br />BUILDING <br />PLUMBING <br />FEE <br />$ <br />U.9A. <br />5[C.303(a) <br />RECEIPT NO. <br />� � � <br />PtNMII Yauuw��vn � r � �� ��.1. O __� <br />WNEN PROPERLY VALIDATED (IN THIS SPACEI TNIS IS R Mn <br />� <br />�, . �, i'. ��-1.���� <br />,., YC ll � <br />qPPR. FOR ISSUANCE �Y • � � � ' ^ <br />