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�heEveCrgYe�F �. �ONS�RUCTION �� -���� <br />everett PERMI�f PERMIT N0. 08075 <br />CITY HALL 259��7A5 <br />eveaerr. wn sa2oi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEfl MAtLADDRE55 CITY ZIP PM�NE <br />F. 6. Nelson 4934 27th Avenue Everett 98203 355-6844 <br />APCHITECT OR CESIGNEfi MAIL ApDRE55 QTY 2IP PMONE <br />GENERALCANiflACTOR MAIL AO�PE55 CIiY 2IP PNONE UCENSE I <br />Same <br />AIECMANICAL WNTMCiOR h1AIL ADDRk55 CIiY 21P PHONE LICENSe I <br />PLUMBING CONTRACTOR MAIL ADDRE55 CIiY ZIP PHONE L�CENSE I <br />WORK <br />❑NLW ❑ADDI710N ❑ALTERATION X�QiEPAIFi ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />f 4500.00 <br />ESGRIBE WORK <br />re-roof---shake <br />single family residence <br />IEGAI OESGRIPfION OF PP�OPERTV ISHOW BELOW OP ATT <br />lOT B�OC�_OF <br />Sec 34 Twp 29 Rge 04 <br />4934 27th Avenue West <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />IVATER CLOSET QOILE7) <br />BATHTUB <br />LAVATORY �WASH BASIN) <br />SHOWE9 <br />KITCHEII SINK 8 DISP. <br />DISHWASHER <br />LAUMDRY TRAV _ <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL _ <br />DRINKING FOUNTAIN <br />FLOOR DRAIIJ <br />VACUllM BREAKERS <br />ROOF GFAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETQI <br />SUBTOTAL <br />PEpM1T <br />TOTALFEE <br />SIDE YARD SETBACK STREET SETBACK <br />USE ZONE LOT APEA <br />TYPE OF CONST. UCCUPANCY GROUP <br />SIZE OF BLDG. NO.OF STORIES <br />FIRE ZONE BASEMENT <br />APPROVALS _ <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIFE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACiSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />REAR YARD SETBACK <br />❑YES ❑NO <br />NO.Of DWELLING <br />LOAD <br />APPR. FOR ISSUANCE BY <br />I HERFBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLI'.;F;iION 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 />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />61GNATUREOFfANiqACTORORAUTHORIZEDAGENT DATE <br />X�� �; �,�,,,�, 8/ 8/ 8 0 <br />tl�+� <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />ar�o rineu N.�. �nno — w�vrvnvc <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATEflS — B.i.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTfiES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FIREPLACE 8 CHI6INEY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />iECK NUMBER <br />FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />EA. <br />M <br />$ 4500.0 <br />u a.c. <br />SEC. 303 (a) <br />RECEIPT NO. <br />321 00 <br />TOTAL I I 3 2 0 0 <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6o i i $032.00 = � <br />� <br />� <br />'r�.>>i�R �ECEIPT � <br />Ti�A�K YOU <br />ADDRESS FILE ` R A� gO <br />� <br />� <br />