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`,'eE1.�sY�oF " ^ONSTRU�TION - , - <br />everett PERMIT PERMIT N0. Og82H <br />GTY HALI 259�8745 <br />EVERFTT, WA 98201 ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br />01YNEfl IAFILAOOFE55 CIiY 21P PHONE <br />Wilma Nelson 3213 20th Street Everett 98201 259-2459 <br />FRCHITECTORDESIGNER MNILADDRE55 CITY ZIP PMONE <br />GENEPALLONTRACiOR IdAILAD�RE55 CI�Y IIP PHONE LICENSEI <br />MECNPNICALCONTRAGTOR MAILqODRESS Cii/ ZIP PMONE �ICEdSE1 <br />Install wood heater <br />PLUMpINGGONTRACiOR IAAILADDflE55 �ITY ZiP PHO4E LICENSEI <br />❑NEW <br />VALUFTION OF WORK <br />f <br />�ESCRIBE WORK <br />PROPOSE� WE OF BUILDING <br />LEGAL DES('RIPiION OF PROPERT <br />�OT BIOG�OF <br />❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />doe nuoaess <br />3213 20th Street <br />PLUMBING <br />NO. 7YPE OF F <br />WATEF CLOSET (TOILE7� <br />BA?HTUB <br />LAVATORV (WASH BASIN� <br />SHOWEfi <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRY ifiAY <br />CLOTH[S WASHER <br />WATER HEATER <br />URINA� <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUId BREAHERS <br />ROOF DRAINS — flAWIE� <br />SINK ISERVICE — BAR. El <br />SIDF YARD SETBACK <br />USE ZONE <br />ZONE <br />STREE75ETBACK <br />hTTFCH FOUR <br />REAR <br />FEE <br />VACANT SITE <br />❑YES ❑NO <br />GROUP NO, OF DWEL <br />NO. OF STORIES <br />1. ENVIPONMENTAL CHECK L157 <br />2. BUILDING PLANS � <br />3, FIRE HYDRANT <br />4. FIRE PHOTECTION SYSTEM <br />5, GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSiATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BV PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH�S <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIi DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL TIiE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAtUflECFfqNiRh/CTO�R AU'HOR2ED nGENT OATc <br />X�U,�,f�.._;. ( /, �2•�,,,,,,.� 9/24/81 <br />MECHANICAL � <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />�EFRIGERATION UNITS — H.P. EA <br />�OIlERS — H.P. EA. <br />GAS FIfiED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYST.MS — 8 T.U. M <br />WALL HEATERS — B.T.U. M <br />UWT HEATERS — B.T.U. M <br />EVAPORATIVE CUOLERS <br />CLOTHEU URYERS <br />VENTILATION FPN <br />RANGEHOOD <br />�.io �{qNDLING 11NIT — C. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />PEHMIT <br />FEE <br />S <br />PLAN CHECK FEE <br />I RECEIPi N0. <br />U.B.C. <br />SEC.3�3�a) <br />PEHMIT VALIDATION <br />WHEN PRUPERLY VALIDATEO pN THIySPACE� THIS IS YOUR PEqM1T <br />' � � __ � <br />N <br />� <br />� <br />APPR. FOR ISSUANCE BV . ; � <br />