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�lir t��•ererren C O N ST R U CT I� <br />Ci�vp� � <br />everett � � pERMIT PERMIT NO. �522� <br />GITY HALL 259�B7a5 <br />EVERETT,WA98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MA�LA�DHESS CITY 21P PHONE <br />�eryl H. Nelson 712 Rucker Avenue Everett 98201 258-6219 <br />RRGHITECT OR OESIGNER MAIL RODRESS CITY ZIP PNONE <br />GENERFLGONTRFCTOR MAI�AO�RESS CITY ZIP PMONE LICENSEI <br />Judd and Black Electric 3001 tiewitt Everett JUDDBEL161L2 <br />MECHANICRL CONTRACTOR MRIL ADORE55 CITY 21P PMONE LICENSE I <br />PLUMBING CONTP4CTOR AIAIL AppPE55 CITY ZiP PNONE LILENSE � <br />7 <br />�NEW ❑ ADDITION ❑ ALTEflAT10N C REPAIR O DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VAWATION OF WONK <br />s 8r8�0.�� <br />DESCRIBE WORN <br />Construct Garage and Snop <br />Garage and shop <br />LO�Q�Zl BLOGN1�S OF <br />712 Rucker Avenue <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILEn <br />�ATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK ISERVICE - BAR. ETC.� <br />SUBTO7AL i <br />PERMIT S <br />TOTAL FEE f <br />�SETBACK STREETSETBACK flEARVARD S <br />6' 20' <br />. LOT AflEA VACANT SITE <br />_ _ � -.YES ...NO <br />V-N <br />ZONE <br />M N/A <br />IES MA%. OCG LOAD <br />1 N/A <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />9. fIRE MYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRHDING <br />6. DRAINAGE <br />7.ENVIRONM1fENTALIMPACTSTATEMENT <br />B. HEALTH �ISTRICT <br />BV <br />APPLICATION ACC. BY PLANS CHECNED BY I APPR. <br />FIWPf <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL FROV�SIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPc i. = WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HERf:IN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />AGENT <br />NO. !' TYPE OF EOUIFMENT <br />AIR CO�ID. UNITS — H.P. EA <br />REFR��ERATION UNITS — H P. EA. <br />BOI:.ERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOflCED AIR SVSTEMS — B. �.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORFTIVE COOLERS <br />CLOTHES DRYERS <br />RANGEHOOD <br />AIR HANDLING UNIi — <br />STOVE — WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLAGE INSERT <br />HEAT PUMP <br />85/15226 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />GF.M. <br />SUB TOTAL S <br />PERMI'f f <br />TOTAL FEE S <br />FEE98.43 ��E3EIpTNO. <br />16 <br />VALUATION FEE <br />s <br />J07 <br />S� <br />TOTAL I I 74 I SO <br />PENMIT VALIOATION <br />WHEN PPOPERLV VALIOATED �IN ThIIS SPACE) THIS IS YOUR PERMIT (D <br />N <br />' � <br />_ - � <br />l� <br />ADDRE55 f'LE <br />