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r �,�� � , � �qISTRUCTiON � N �: _� <br />� everett . : PERMIT PE�R �: o�ssa. <br />ciTv H�« 2s¢e�+s ❑ C�SINATION .� lUILDINO '❑ MECMANICAL ,❑ PWMlIN9 . <br />EVEHETT. WA 98201 . . . . <br />. . � . . ' " . .. . � ... <br />C.N. l�lexander 8227 Xadier Na Everett 98204 353-6692 <br />---...___ ..............�e eua�wor�ss cm zia � <br />■. <br />GENEML CONiMCTOR <br />MAIL AODRESS GT' ZIP PHONE LIGENSE 1 <br />S8II18 qqNE LICENSEI <br />MECHANICALCONTMGTOR M/JLADDRESS CRY ZIV <br />PLUMBING CONTRACTOR MAIL AODPE55 CITY ZIP P110NE LIGENSE • � <br />CU55OF V/OPl <br />ONEW �NODITION ❑ALTEFiATION GU�PAIR ❑DEMOLITiON ❑FENCE ❑SIGN GARAGE <br />V�IUATlO� OF WORN <br />f 300.00 <br />compositio�i reroof <br />IJPOSEU USE OF BUiLDiNG <br />single fataily reeidence <br />�or 13 eiocK. 3 oF <br />PIUMBINO <br />WATER <br />WAY <br />� <br />y Viewlands Div. I <br />SIDE YARD SETBACK SiREET SETBACK <br />USE 20NE ��T A�� <br />TYPE OF CqNST. OCCUPANCY GR( <br />SIZE Of BLDG. N0. OF STORIES <br />FIPE ZONE BASEMENT <br />� <br />APPROV.:'-5 <br />1. ENVIRONMENTAL CMECK LI$T <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPIICATION ACC. BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXNMINED 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 />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />X�REO�iPAC�AUiMORREDAGENT OAiE — <br />� %�I0�8� <br />! —/_ � <br />TYPE OF EOUIPMEN7 �« <br />41R CAND. UNITS — HP EA. <br />REFRIGERATION UNITS — N.P. EA <br />BO�LERS — H.P. EA. <br />GAS FlRED A C. UNITS — TONNAG[ EA <br />FORCED AIR SYSTEMS -- B T U M[A <br />WALL HEAiERS — B.T.U. M <br />UNITH[ATERS—BT1L M <br />EVAF'ORATNE COOLERS <br />CLUTHES DRYERS <br />VENTILATION FAN <br />PANGEHOOD <br />AIR HA4DUNG UNIT — C F M. <br />STOVL <br />'„uinl FIREPLACE & CHIMNEV _ <br />REARYARDSEIBACK PLAN CHEG <br />VACANT SITE <br />L]VES LINO <br />NO. OF DWELLING UNITS <br />BUILDING <br />MAX. OCC. LOAD <br />PLUMBING <br />PUNS CMECNED BY I APPfl. FOR ISSUANCE BY <br />TOTAL <br />FEE RECEIPT NO <br />VALUATION FEE <br />5 300.0o s o0 <br />U.B.C. <br />SEC. 303 (a) <br />5 00 <br />rcniw�� •n.n.�.� �.•. 7MIS IS YOUR PERMIT <br />WHEN PROPERLV VALIDATED pN THIS SPACE) <br />5au2 S005.00�� <br />Q1 <br />YOUR REGc�°1p <br />THANK YOU <br />