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rheErergrecn � C` �,�STRUCTION <br />CITY OF <br />everett PERMIT PERMIT N0. O?%5Z <br />CITY HALL 259�8745 <br />EVERETT, WA oezai ❑ COMBINATION L�BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILAppRE55 LILY 21P PHONE <br />John Douthitt 5512 Sound Ave. 98203 353-0150 <br />ARC��RECT OR DESIGNEP M41L ADDRE55 LrtY IIP PMONE <br />GENERALCANTRnGTOF MAILFDDRESS QTV IiP PMONE lKENSE/ <br />Same <br />AiCC��ANiCALCANTRACtOR MAILADDRE55 CiTY pIP PNONE L;ENSE1 <br />PLUMBINGCONTRACTOR MAILAD�RE55 CiTY ZIP PNONE UCENSE� <br />C�){EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FEN�E ❑SIGN ❑GARAGE <br />E 3,000.00 <br />D[5[RiBE WORN <br />Add workshop area <br />PROPOSE� USE OF BUILDING <br />residential <br />IEGFL �ESCRIPiION OF PROPERiv �SMOW BELOW OR AiTACII <br />�or 11 aioc�oF Bridle Park <br />5512 Sound Avenue <br />PLUMBING <br />N0. TYPE OF fl%TURE OR ITEM <br />5lIOWER <br />KITCHEN SINK 6 DISP. <br />DISH\YASHER <br />LAUNDRVTFAV <br />CLOTH[S WASHER <br />WATER HEATER <br />URINAL <br />DIiINKING FOUNTAIN <br />i00H ' NAIIJ <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINL[ADEPS <br />SINK �SERVICE — BAP. ETC.� <br />SUBTOTAL <br />SIDE VAqD SETBACN I STREEi <br />US[ ZONE <br />TYPL OF CONS <br />V—N <br />SIZfl OF OLDG. <br />12'X20' <br />FIRE ZONE <br />3 <br />LOT <br />iET�AGK RLAR VARD SET�ACK <br />A VACANT SITE <br />L1YES ❑NO <br />NCY GROUP NO, OF DWELLING UP <br />r�-i i <br />1 <br />BASEMENT <br />1. ENVIROKMEN7Al CHEf,K LIST <br />2. �UILDING PLANS <br />3. FIRE HYDRANT <br />a FlRE PROTECTION SVSTEM <br />5 GRADING <br />6 DRAINAGE <br />� ENVIRONMENTALIMPACTSTATEMENi <br />!3 H[ALTH UISiRICC <br />AVPLIC�7101J ACC �Y PIANS CHECKED BV <br />V.C. <br />FIRE SPFINKLERS <br />REOUIRER,. <br />�ves invo <br />er� oare <br />APPR FORISSUANCL UY <br />I HEREBY C[fiTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVFRNING 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 VIOLAT[ OR CANCEL THE PRO� <br />VISIqNS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CON�7'RU I THE\ PER OIR ANCE QF CONSTRUCTION. <br />SIGNAiURL 0 O{iA OR AU' HJPt ti0f GE OAiE <br />X,,.� � ' � . 6/29/80 <br />MECHANICAL <br />REPRIGERAfION UNITS — H P. EA <br />�OILER$ — H P. EA. <br />GAS FlRED A C. UNITS — TONNAG <br />FORCFO NR 5'i STF h1S — F T ll <br />UNIT HEATERS — 0 T.LL M <br />EVMORATNE COOLERS <br />AIR H4NDLMG UNIT — C F.M <br />SUB TOTAL <br />i[CK NUM�ER PLAIJ CIIECK FEE <br />7752 ��EE1Z.O0 I R��4�OT� <br />b 3,0OO.OQ 24 �0: <br />uoc <br />SEC. 303 �a) <br />TOTAL I I 24 I00 <br />PEHMIT VALIDA'ION <br />WH[N PROPCRLV VALI�ATED �IN THIS SP�CEI THIS IS VOUR PER�dIT <br />3864 $024.00 - � <br />� <br />�':�i1R F�eCEiPT � <br />;.�,I�:� l�V <br />