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rheE1CgveOF "ONSTRUCT�ON <br />everett PERMIT pERMIT NO. �loss <br />CITY H.1LL 259�87a5 <br />eveRerr, wn sazoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER RIA:LFUORL55 CIIY ZIF PNONE <br />TI�i KNOPP 932 1Vetmore Everett 252-2410 <br />FRCNRECI OP DESIGNER iAnIL AODRE55 CITY 21P F JNE <br />GEN[RaL LONiRnCiOP !'+���I 4UDRESS CITY 21P 1'� ONE UCENS[ f <br />Quilceda Construction 9508 Elivy 99 N htarysville G59-8050 QUIL CCC 285 M9 <br />MECNAWCAICONiRACTOR MAtLADDRE55 CItY ZtP PNONE LiCENSE� <br />FWAI�ING WNiRACiOR MAIL AODRCSS <br />❑NEW OADDIT10� ❑ALTERATION <br />VALUAiION OF Y�ORK <br />f3500.00 <br />oEscniBE woaK <br />Block foundation under existi. <br />PROPOSCU USE OF BNLUING <br />Residence <br />IEGAI OEiClIIPiION OP PROPEPiY �SHOW BFIOW OR AiTACM FOUR WPi[Si <br />�or 18-1��aK176oFS14ALlVELLS 4th Add <br />932 lVetmore <br />PLUMBING <br />NO. TYPE OF FI%TURE OP ITEM <br />LAVATORY <br />SHOWFR <br />LAUN�RVTRAV <br />ORI�lKING FOUNTAIN <br />ROOF ORAINS — RAINLEADf <br />SIN1( IS[FVICE — DAR. ETC I <br />TOTAL <br />SIOE VARD SET�ACK I STHEET SETUACK <br />USE ZONE <br />ZONE <br />LOi AREA <br />BASEMENT <br />1. ENVIRONMENTAL CHECK LIST <br />2. E3UILDING PLAKS <br />3. FI�F HYDRANT � <br />4. FIRE PROTECTI09 SYSTEM <br />5 GRADING <br />G DRFINA(:E <br />7. [NVIRONA7ENTAL .MPACT STATEMENT <br />8. HFALTM DISTRICI <br />APPIICATION nCC. �Y PLANS CHECKED BV <br />CIfY ZIP <br />G�REPAIR ❑UEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />residence <br />LICENSE / <br />I HEREBY CERTIFY 1:1AT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL 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 />�AESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LO�AL lAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />sier�n ec or cor�ra<crf� u Laun��oeinn,c[r�+ oAte <br />X�,o� l Q�-� ' 9/27/82 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPME <br />nia r,oNo urnrs — t+ a ea <br />HEFRIGERA710N UIJITS — HP. EA <br />POII ERS — H P. EA. <br />owa rintu N � urm i a— i ur+nH�c tN. <br />FORCL� NP SYSTf.A75 — B T.U. M <br />WAIIH[ATERS—�T.0 M <br />WJTHEATERS—BTU. M <br />EVAPORATIVL COOLERS <br />CLOTNESDRY[RS <br />VENTILATION FdN <br />RANGEHOOD <br />AIR HANDLING UNIT — C. <br />STOVE <br />h1[TAL FIREPIACE d CHIMNEY <br />I'YES ',INO <br />NO.OF DWRLING UNITS <br />BUILDIHG <br />MN(. pCC. LOAD <br />PLUMUING <br />FIRE SPPINHLERS <br />R[OUIRED MECHANICAL <br />VES i ,N0 <br />BY DpTE OTHER <br />P[NAITV <br />APPP FORISSUANCE BV <br />PLAN CHECK FEE <br />FE[ F7ECEIPT NO. <br />VALUATION FEE <br />53500.00 44 <br />UBL <br />SEC.3�3�a� <br />TOTAL I I �S 4 IS � <br />PERMIT VALIDATION <br />WHEN PROP[RlY VALIDATED pN THIS SPACE) THI515 YOUR PERMIi <br />i.� <br />go3� soaa.5o o t�� <br />�i <br />YOUR RECEIP'T� <br />THANK YOU <br />ADDR[SS FILE <br />�7s�82 <br />—_i <br />