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/lleEi'CTYeOF � C�VSTRUCTION � <br />e�verett PERMIT pERMIi' NO. O7Og9 <br />CITY HALL 259�8745 <br />FVERETT, WA 98201 ❑ COMBINQTION C7 BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNLR ldAtL��DpPE55 CITY ZiP PYDNE <br />Fern Christensen 4923 - 27th Avenue 19 <br />ARCHITECTORDESIGNER MAILADDRESS CITY ZIP PHONE <br />GENERFI GOYTRAGIOfI MAI� 09DFE55 CITY ZIP FHONE IiCENSE � <br />MWHANICFLCONiRFGTOP A9�ii "�;',FE55 CITY :IP PHONE LICENSE/ <br />Natural Gas Equipment 258-2441 <br />?LUM�INGGONiRACfOR M11���a0pFE55 CITY ZIP PHONE IICENSE� <br />❑NEW' ❑ADDITION CAITERATIOIJ �REPAIR ❑DEMOLITiON ❑FENCE ❑SIG`! ❑GARAGE <br />VAIUAT10N OF WORK <br />5 <br />WGR'< <br />ced air furnace $ Z fireplace logs <br />LEuAI DESCFIPiION OF PROPEPTY �SHOW BELOW OR ARAGH FOUR COPIE51 <br />LOt E7LOCK_OF <br />- 2?th Avenue lV. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (rOiLET) <br />LAVATORY �PJASH BAS <br />SHOWER <br />KITCHEN SINK f. DISP. <br />DISHWASHER <br />LAUNDflYTRFY <br />CLOiHES WASHER <br />\NAiER HEATER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUU1d OREAKERS <br />ROOF �F:AINS — RAIN <br />SINK ISEFVICF — 0AR <br />SIDE YARD SETBACH I STi7EE" SETE3ACY. <br />ZOtJE I LOT <br />SILE OF �LDG. <br />FIRe ZONE <br />OCCUPANCY GROUP <br />BASLMENT <br />t ENVIRONtdENTALCHEGK L15T <br />2 �UILDING PLANS <br />3 FIRE HY"DRANT <br />a. FIRE PROTECTION SYSTEM <br />S GRADING <br />6. DRAINAGE <br />7. ENVIRON�7ENfAL Ih1PACT STATEMENT <br />8 HEFLTH DISTRICT <br />FEE <br />I HEREBY CER'fIFY THAT I HAVE READ AND EXAMINED TH�S AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORF'ECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING iHIS <br />TYPE OF \NORK WILL BE COMPLIED WITH WHFTHER SPECII=IED <br />HEREIN OR NOT. THE GRANTIIJG OF A FERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE QIi CAIJCEi. THE FRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LPW REGULATWG <br />CONSTRUCTION OR THE PERFORMANCE OF �ONSTRUCTION. <br />sicNnrui+e o�� cor�rr�acwH oa nunro�+rzeo nc=_ur oFre <br />X �i%xl';.,rL.L��i��L�,�.� �z-z�-�9 <br />---.._...__. � <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS— HA. EA. <br />REFRIGFRAIION UNITS — HP. E�1 <br />BOILERS — HP. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED NR SY$TEPdS — B7.U. M11 <br />INALL HEATEFiS — � T.U. M1" <br />UIJITHEnTERS-6T_U- �d <br />EVAPORATNECOOLERS <br />VENiILAT10N FAN <br />RANGEHOOD <br />AIR HANDLING U�dli — QF.A1. <br />STGVE <br />METAL FIREPLACE S CHIldNEY <br />�irep ace logs <br />SUBTOTAL <br />?EPMIT <br />REAR VMD SFfUACF, Pf.AN CHECK NUh1PER PLAN CHCGK �f_E <br />FCE I �i[CEIPT NO <br />I �YES i-�NO <br />N0. OF DWELL!NG UNITS <br />APPLICATION ACC. BY I PU+NS CNECKED BY I NPPR FOR ISSUA�ICE BY <br />FEES <br />BUILDING <br />PLU1d81NG <br />�dECNANICAL <br />P`cNALTY <br />5 <br />U.BC <br />SEC. 303 (al <br />PERMIT VALIOATION <br />WHEk PROPEP.LY VALIDFTLU (1N'f'�PS SPACE) THIS IS YOUR P[RIdIT <br />639 <br />i <br />11 N� <br />Qi <br />5 $0 I I.00 -= � <br />� <br />� <br />Y�;!.!(' F.ECEIP7 <br />�:�' ' .''�. � ,! n Y O U <br />