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theEverRreen � -� C��NSTRUCTION � � <br />GTY OF - _ <br />everett PERMIT PERMIT N0. OS65H <br />CITV HALL 259�87a5 ❑ MECHANICAL � PLUMBING <br />EVERE7T, WA 98201 ❑ COMBINATION ❑ BUILDIN� <br />MAR ALDRESS QiV LP CHph� <br />OWNER <br />Richard H. Bosse 5016 Sound Avenue Z�� pHONE <br />AaCHITECT OR DESiGNER <br />MAit ADDRE55 CItY <br />GENEPAI CONTRAGTOii <br />MAiL ADDRESS GITY 21P PHONE UGENSE � <br />IAECMANICAt CANTRRGTUR MRIL PDORE55 <br />GIiV 21P PHONE UCENSE � <br />PW MBING CANTRAGTOR <br />MAII A�DPE55 CIiV 21P PNONE UCENSE 1 <br />Same <br />S <br />use <br />CNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑fENCE ❑SIGN ❑GARAGE <br />lOT eIOGN_Jf <br />�oo <br />PLUMBING <br />SINN <br />SIDE YARD <br />OF <br />FIRE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />oannacNcouacoviesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />TYPE OFVWORK WIL BE COMPLI�ED W TH WHET�HER 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 LOCAL LAW REGULATING <br />�ONSTRUCTIOtJ ��,rRS?HE PERF CE OF ONSTR�UCTION. <br />SIGNatUREOrsc�i�b�� �ORFU�N iE0 ENL <br />% /1 12/5�8� <br />16 Eound Avenue <br />OF <br />— 6AR. <br />S7REET <br />OF <br />OR <br />1. ENVIRONMENTALCH[CKLIST <br />2. BUILDING PIANS <br />3. FIRE HYORANi <br />4, FIRE PRMECTION SVSTEM <br />5. GFIADING <br />G. DRA�NAGE <br />7 ENVIRONMENTALIMPACT STATEMENT <br />0. HEALTH DISiRICT <br />pPPLICATION ACC. �Y PLANS CHECKED �Y <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR CANO. UNITS — NP. EA <br />PEFPIGERATION UNITS — H P.EA <br />BOILEPS — NP. EA <br />GAS PIRED AC. UNITS — TONNAGE EA. <br />FORCED AIP SVSTEMS — B T U �T EA. <br />WALL HEATERS — �?.�� M <br />...��...�ntmc_Rill M <br />iEAR Y�RD SETOACK r�Hrv �n�..�. �� <br />VACANT SITE <br />i_7VES i�NO <br />NO.OF DWELLING UNITS <br />BUILOING <br />MAX.00C.LOAD <br />PLUMBING <br />FIPE SPRINKL[RS MECHANICAL <br />REOUIFED <br />I-lYES i1N0 <br />BY DATE OTHER <br />PENALTY <br />TOTAL <br />APPF.FORISSUANCE UV <br />ADDRESS fIL[ <br />FEL <br />5 <br />U BL. <br />SEC. 30] (a) <br />RECEIPT NO. <br />x <br />� � � <br />J Nlv <br />Y VALIDATED pN iH15 SPACE) THIS IS YOUR PERMIT <br />IzC'I ?,007.00—°�,�'i <br />� <br />� <br />� � �; c:;:�Pi � <br />�. ,.;�. .�. �� <br />- �. ����� L � <br />� <br />