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thefvergreen �- CO"'STRUCTION � <br />CITY OF <br />everett PE�MIT PERMIT NO.O-I299 <br />CITY HALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br />M41L PO�RfSS CILY ZIP PMONE <br />OWNLH 98203 355-4801 <br />Richard H. Bosse 5016 Sound Avenue <br />ARCNREQ OR DfS�GNER MI.IL AODRE55 CITY Z�P P������ <br />GENERRLCANTRPCTOP MAILADDRESS CITY ZIP PMONE UCENSEI <br />Shclle pHONE LICENS[ � <br />MECNANICAL CANTRPGIOR MNIL A�DRL55 CITY ' Z��' <br />P W MBING CONiPAGTOfl <br />MAILAO�PE55 CITY 21P PNONE IICEN5E1 <br />0: �v�K <br />❑NEW ,�AODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />i 10����.�� <br />Addition to existing building <br />ior 54 e�ocK_ov <br />5016 Sound Avenue <br />PLUMBIN4 <br />SINK <br />SIDE <br />USE <br />DfiAIN <br />0 <br />e <br />V-N <br />SIZE OF BLDG. NO. <br />Bedroom 18'6"x22' <br />POTQ ZONE X BA: <br />3 <br />OR <br />I HEREBY CERTIFY THAT I HA\'� READ AND EXAMIN[D THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />TYPE OFVWORK WILL BE COMPLI�ED WITH WHET� ERRSPECIF EID <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CONSTRi ICTION OR T PERF ANCE OF CONSTRUC110N. <br />SIGNAiUAE Of C < /.U1 .GENi �ATE <br />.. /%����� .�v]„ � 3/10/80 <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.R EA. <br />REFRIGERATION UIJITS — HP. EA <br />BOILERS — N P.EA. <br />G�15 FIRED AC. UNITS — TONNAGE EA. <br />FORCE� AIR SYST[MS — 8 T�1. M EA. <br />WALL H[AT[RS — 8 T.U. M <br />UNIi NEATERS — B.T U. M <br />FVAVORAiNE COOLEPS <br />GLOTHES DRVERS <br />i <br />VENTIL�TION FAN <br />RANGEHOOD <br />AIRHANDLWGUNIT— GF61. <br />SETOACK REAR YARD SETBAGK ru�n �n�i n iv�m��., <br />80/7299 <br />_q VACANT SITE FEES <br />❑YES ❑NO <br />4NCY GFOUP NO.OF OWELLING UNITS <br />R-3 1 BUILDING <br />STORIES MA%.00C.LOPD <br />PLUMBING <br />ENT FIRE SPPINKIERS MFCHANICAL <br />REOUIRED <br />❑YES ❑NO <br />BY DATE OTHER <br />1. ENVIRONMENTALCHECKL15T <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRA�ING <br />6. ORAINAGE <br />7. EIJVINOIJMCNTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED BY <br />V.C. <br />APPR.FOflISSUANCE BY <br />PENALTV <br />PLAN GHEGK Ftt <br />FEE 26.00 49�lBr No. <br />VALUATION FEE <br />E10�000. $2 00 <br />LLBA <br />SEC. 303 (a) <br />TOTAL , I I 52 I 00 <br />PERMIT VALIUATION - <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />9366 5052.00-- � <br />N <br />� <br />'�'O�UR RECEIPT o <br />'I � hi,At� K Y O U <br />ADDRESS FILE <br />N <br />