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�heEvergmen " C�NST���UCTION <br />ciiv oF <br />everett P��M�T PERMIT NO.OH444 <br />CITV HAL1259�8745 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />EVERE7, WA 98201 <br />OW NCR MnIL l.�OHF55 <br />CI1Y ZIP PHONE <br />Earl Balton P.O. Box 506 Everett 98201 <br />ARCHILWi OF �ESIGN[R �dNIL ADDRE55 <br />cirr nr vHor+E <br />GENENALCONTRRCTOR <br />MPiI AOORE55 GTY ZIP PIIONE LICFNSE I <br />Same Z�p PHONE UGENS[� <br />MCCIIANICAL C011TRACTON <br />MAtL PDDRE55 ��ry <br />PLUMBING CANiRACT00 <br />MAiI ADDPE55 Cltt 21P PMONE UCENSE � <br />CLP55OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION �7EPAIR ❑DEMOLIiION ❑FENCE ❑SIGN GARAGE <br />S 5��.�� <br />�RIBE WGRK <br />Repair roof <br />�rosEo use oF eu�ioiN� <br />single family residence <br />.ei ncvaioiinN OF P^OPEPiY �SHOW OEIOW OR ATiACH <br />�pt__OLOCk�Of <br />JOB ADDRE55 <br />9004 Rucker Avenue <br />PLUMBINO <br />r <br />� <br />SIDE YARD SETBACK STREET SF <br />USE ZONE LOT �REA <br />L [NVIPONMENTAL CHECK LIST <br />2. BUIIDING PU�NS <br />3. FIRE NYCRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING _ <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPUCATION ACC. B1' PLANS CHECKED OY <br />PL CAT ON ANO KNOW THE SAME TO BE �TR E AND COR ECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPUED WITi I WHETHEH SPECIEIED <br />HEREIN OR NUT. THE GF;ANTI�G OF A PEP.MIT DOES NOT <br />PRF.SUME TO GIVE AUTHC'RITY TO VIOLATE GR CANCEL THE PRO• <br />VISIONS OF ANY OTHEA STATE OR LOCAL LAW REGUTATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTiON. <br />c�r.i�niiln//)iCONlG/�C*ORORnUiHONIZEDAGENi OAiE <br />MECHANICAL <br />N0. TYPE OF EOUIPh <br />AIR COND. UNITS — HP. 8A <br />REFRIGERATIUN UKITS — H.P I <br />60RER5 — N P. EA. <br />l3l,5 FIREU AC UNIT$ — TONN <br />FOACED AIR SYSTEMS — B i.U. <br />WALL H[ATEf75 — d T U. <br />UNIT HEATERS — 0 TL. <br />EVAPORATNG COOLEPS <br />CLOTHES DRYERS <br />VENiMTION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — _ <br />FF.AR YARD SETBACK PLAN CHLCKI <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWEILING UNITS <br />BUILDING <br />Mhl.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />FiEOUIRED <br />C1VE5 ❑NO <br />BY DATE OTHEf'. <br />PENALTY <br />qpPq.PORISSUANCE BY <br />PLAN CHECK FEE <br />FEE RECEIPi NO. <br />VALUA710N FEE <br />E500.00 10 00 <br />U.B.C. <br />SEC.309 <br />� � 1 <br />rcnm�� .......... �.. <br />WHEN PROPEHLY VALIDATCD (RJ THIS SPACE) THIS IS YOUR PERMIT <br />9�os $010.00--� <br />�' <br />� <br />�, : : �-_cr_iPr � <br />': "'' YOU <br />. <br />