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rn��e��y�,eYeo� � �ONSTRUCTIOr , <br />everett PERMIT PERMIT NO. 1230� <br />CITY HALL 259�8745 <br />EVF.RETT.VlA98201 � COMBfNATION � BUILDING ❑ MECHANICAL PLUMBING <br />IAAIL AO�RESS GItY 21P PHONE <br />OWNER <br />F. B. NELSON 4934 — 27th A e W cirr Fs— ** �ii ano�'��'��'��� <br />ARCIIIiECT Ofl DESIGNEfl MAI! AODRt55 <br />GENEFALCONiRAGTOR <br />MAIL A�flRE55 CITY ZIP PNONE LILENSE � <br />Owner ��tY Z�p PHONE LIGENSE� <br />MEGHANICAL CONTRACTOR MAIL PDORE55 <br />PIUMBING CONTPPGTOP MaIL AO�RESS <br />GrtY ZIP FHONE LICENSE+ <br />� A�DITION ❑ ALTERATION P��IEPAIfl ❑ DEMOLITION L7 FENCE ❑ SIGN ❑ WOO� STOVFJFIREPLACE INSEiiT <br />S $00.00 <br />Reroof section of house <br />Residence <br />EGNL OESCRIPTION OF PROPERiY <br />LOT __ �LOGK _.OF _ <br />4535 - 27th Avenue �9 <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORY (WASM BASIN) <br />SHOWER <br />KITC.HEN SINK 8 OISP. <br />LAl1NDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETQ) <br />SUB TOTAL <br />PEPMIT <br />TOTAL FEE <br />TYPE <br />1 ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />a. FIHE PPOTECTION SVSTEM <br />7. ENVIRONMENTAL IMI <br />8. HEALTH �ISTRIG <br />APPUCATION ACC. �� <br />1 HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS <br />APPLICATIOh AND KNOW THE SAME TO BE TRUE AND <br />CURRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORh: WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERK�IT DOES NOT PRESUMETO GIVE AUTHORITY TO `JIOLATE <br />�OCAL LAW HREGULAITINGSCOONSTRUOCTTIONSOR T�E <br />PERFORMANCE OF CONSTRUCTION. unre <br />SIGNAiUR�.p F C RACTOg.o� yUTqp RItE� AGENT <br />., /_ / � �/f /,!. � — 8/5/83 <br />TYVE OF EQUIPMENi <br />AIR COND. UNITS — H.P. FA. <br />REFFIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />G,1S FIRED A.C. UNITS — 10NNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES ORYERS <br />VENTILFTION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />S70VE — WOOD <br />METAL FIflEPLACE 8 CHIMNE'! <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />S <br />EARVARD SETBACK PLAN CHECKt <br />'ACANT SITE FI <br />:YES .�.NO — <br />10. OF DWELLING UNITS <br />BJILDING <br />AA%.00G .OFD — <br />PLUhiBING <br />�IRE SPRINKLERS MECHANICPL <br />7EOUI7ED <br />YES ' NO <br />BY OATE OTHER <br />PENALTY <br />SUBTOTAL 5 <br />PEHMIT s <br />TOTAL FEE S <br />PLAN CI <br />FEE <br />VALUATION <br />5 � <br />U.B.C. j <br />SEC. 303 (a) � <br />RECEIPT NO. <br />FEE <br />10 0 <br />— TOTAL � <br />PEPMIT �ALI�ATION <br />W HEN PflOPE9lY VALIOATED (IN THIS�Si l�CFJ T415 � Xa���RMIT _� C�I . <br />yy u �� d <br />m <br />N <br />',':">UR RcCEIPTr+ <br />gy APPR. FOR ISSUANCE BV '� i..� '�. �� ��� Y G U <br />ADDRESS rILE <br />' p �� 0Z <br />p il�o 0 J <br />