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j <br />d�eC��ergrcen ^,pNSTRUCTION � <br />arv or <br />everett PERMIT PER�i7 No: 11069 <br />CITY HAL� ?59�B7n5 <br />eveaeTT, wn �ezo� C� COMBINATION P� BUILDING ❑ MECHANICAL PLUMBING <br />OWNE� 1.'AI�A�DflE55 CITY ZIP PHONE <br />G. H. Silliman 521 Slst Street �verett 98203 259-4278 <br />GE4Ef�Al GONTRAGTOB - fdAIL <br />'dECH�1lICAL C0�11RACi0R �'�A�� <br />Same <br />P W 61BING CGNiRAGTOR ��A�� <br />CIIY <br />CIiY <br />ZIP PHOtlF LiCtrvS� � <br />21P PNONE IICF.115E ! <br />Z�p PHOYE LICENS[ I <br />at550F wOnrc ❑GARAGE <br />LNEW ❑ADDITION ❑ALTERATION ❑REPA�R O�EMOLITION ❑FENCE ❑SIGN <br />VAWATIOM OP WOfiR <br />5 <br />Install fireplr.ce inser <br />rRoroSEo USE oF ouILOING <br />LEOrtL �ESGRiPilO!l OF PPOPflRiY (SNOW OLIOcI OR ATThCH FO 1R G <br />�p�___BLGC::__OF — <br />oH�S:��ss5lst Street <br />PLUMBING � <br />NO. TYPE OF FIX <br />WATER GLOS[T ITOII ETI <br />sr�ower. <br />8 DI$P, <br />DR!PIKING <br />rLOOR OP <br />VACUUMf <br />� <br />e <br />SIDE VAAD SET�ACK <br />11SE 7.ONE <br />TYPE OF CONST. <br />�-�¢E OF E1DG. <br />OR ITEN � FEE <br />3TPEETSGTDACK rEAH VARD SETBACK <br />LOl AREA VACANTSITE <br />[ :YES f 1tJ0 <br />nrri ivnur.v !;ROUP NO OF DWELLIYG Uld <br />N0. OF STORIES <br />1. ENVIRONMENI'.L CHECK LIST <br />2. 6UILDING PLANS <br />3. I"IRE HYDRANI' _ <br />A. °IR[ PROTECTION SYSTEM <br />5. GRnDING <br />6. DFA�NAGE <br />'1. I'NVIpONfdEWTAL IMPACT STATEMENT <br />9. rien�Tt+ oisraicr <br />APPUCATION ACC. BV PLANS CHECKED BY <br />OCC. <br />L YES ' <br />I HEREBY CERTIFY iHAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AIJD KNOW THE SAME TO BE TRUE AND CORREGT. <br />AI_L PROVISIC�dS OF IAWS AND ORD!NANCES GOVERNING TNIS <br />Tti"PE OF WG�K WILL BE COMPLIED WITH WHETHER SPECIFI�D <br />FIEREIN OR IJOT. THE GRANTING OP A PERM�I DGES NOT <br />PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIOIJS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE JF CONSTRUCTION. <br />Si ,tiATURL G! i O�QnACtG�i OR �UtM(`iviZED /�GFtli DAiE <br />x 9/z�/ez <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND UNITS — HP. F7� <br />FEPRIGLF7A110N UNITS — �1 P. EA <br />L'OILERS — H.R EF. <br />GAS RRED A.0 UIJ�TS — TONNAGL EA. <br />fORCFD AIR SYSTEI.15 — BS.U. M EA. <br />1'JALL HeATERS — �.T.U. M <br />i in!ii u'-ATFRS — A T U. ��� . _ <br />APFR. FOR ISSUANC[ BY <br />VENTILATIOPo FAN <br />RANGEHOOU _ <br />AIR HqyDLiNG UNIT — <br />STOVE <br />t.1ETAL PIREPL�CE d CHIl.WE'I <br />Fire'place Inser <br />soe <br />FEES <br />– Plqt: CHErK PEE <br />FEE � RECEIPT NO <br />BUILDING � I <br />I—'— <br />PLUMBING <br />M[CHANICAL 1 % S O <br />OTHER <br />PENFU� U 0 C. <br />SEC. 303 (�i <br />TOTAL 17 5 0 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THIS IS YOUR PE�MIT <br />so3� SQ l 1.50 -- � <br />� <br />�'�� �: �EC��� � <br />3H.��� r�ou <br />ADD^��S �=1LE <br />2 � .�P OL <br />