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1heE��ergreen - ' C7NSTRUCTION <br />CITY OF _ <br />everett PERMIT PERMIT NO.OH65H <br />CITV HALI 259�8745 <br />EVERETT. WN 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br />OWNER N.FIL RDDR[SS QTY ZIP PMONE <br />kichard H. Bosse 5016 Sound Avenue <br />PPCMiT[CT pP �ESIGNER MnIL A��PESS CITY 2iP PNONE <br />GENERAL CONTRACiOR MMt ADDRE55 QTY ZIP PHDNE LIC[NSE � <br />MECNANiCAICONTRAGTOH MnILADDRE55 GiTY ZIP PMONE LiLENSE� <br />PWMBINGCANiRACTOR MAILA�OR[55 CITY 2iP PHONE LiCENSF� <br />Same <br />❑NEW OADOITION ❑AITERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />3 <br />DESCRI�E WORK <br />PROPOSED USE OF BUIIDING <br />IEGAL DESCRIPTION OF PROPEBiY (SNOW <br />5016 Sound Avenue <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />l WATER CLOSET QOII.ET) <br />N"CHEN SINK 4 DISP_ <br />UISHW�SHER <br />LAUNORYTRAv <br />CLOTHES WASN[R <br />WAT&R HEATER <br />URIhFL <br />DPINKING FOUNTAIN <br />FIOOH DiiAIN <br />VACUUM dREAKERS <br />FOOF �RAINS — RAIN <br />ciNN iFFRVICE — OAR. <br />SIDE YAR� SE79.4CK <br />USE ZONE <br />TYPE OF <br />SUBTOTAL <br />PERMIT <br />TO7AL FEE <br />STREET SETUACK <br />LGi AREA <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />1. ENVIRONMENTAICHECK�IST <br />2 BUILDING PIANS <br />e. FIFE NYDRANT <br />4. FIRE PROTECTION SYSiEM <br />5. GHADING <br />G DRAINAGE <br />7. ENVIRONMENTALIMPACiSTATEMENT <br />B HEALTN DISiFICT <br />APPLICATION ACC �Y PLANS CNECNED �Y <br />FEE <br />REAP VARD SETBAGK <br />VACN�T SITt <br />'. '.Y[5 l �.NO <br />NO. Of DWEL <br />LOAD <br />APPI7 FOR ISSUAIJCE UV <br />I HEFEDY CERiIFY THAT 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 />PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERF CE OF ONSTRUCTION. <br />SIGN<tUHEOf . i . ORAUTN� ZED �'[NT OAIE <br />X 12/5/80 <br />MECHANICAL <br />TYPE OF EDUIPMEn � <br />AIRCOND UWTS—HP.EA. <br />REFRIGLPATIOIJ UN�TS — H.P. EA <br />�OILERS — H.P. EA. <br />GAS FIRFO AC. UNITS — 10NN4GE [A. <br />I-0RCED AIP SYSTEM1IS — �.T.U. �d <br />WAIL HFATf:RS — 13.T.U. M <br />UNITHEATLRS—DT.U. M <br />EVAPORATIVE COOLERS <br />CIDTNES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR NANOLING UNIT — � <br />STOV[ <br />IdETAL FlREPUICE 8 CHIMN[Y <br />SUB TO7AL <br />PERMIT <br />TOTAL FEE <br />'.HECH NUM6ER �L, <br />FE[ <br />FEES VALUATI <br />BUILDING <br />PLUMBING <br />MECHANICAI <br />5 <br />UBC <br />SEC.3031a) <br />FEE <br />CHCCK Ft6 <br />I RE(:EIPT NO. <br />xx <br />� � � <br />PERMIT VALIUATION <br />VJHEtJ �ROP[RLY VALIO�TED tlN TIIIS SFACE) TNIS IS VOUf� PLFldll <br />i_. t � ,�7.�,, -� <br />� <br />� <br />. . . � � � � <br />,J <br />