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�,,��,.e�s��e° �ONSTRUCTION - <br />GTY OF � <br />everett P�R��T PERMIT N0. Oy924 <br />CITY HALL 259�8745 <br />EVERETT.�YA 99201 ❑ COMBINATION ❑ BUILDING �tMECHANICAL PLUMBING <br />0\VNER <br />MNILADDRh55 GITY ZIP PHONL <br />William E. Landert 2Al2 16th Street Everett 98201 252-9529 <br />ARCHIiECT OR OESIGNEF <br />MAIL ADDPE55 CIiY ZIP �HONE <br />GENERALCONiFFCiOR <br />Mf.iLADCRE55 CITY Z6 PNONE LICENS[� <br />Same <br />NECNAN�CAICONiRACTOP <br />!.'AILA�DPE55 CITY ZIP PHONE LICENSE� <br />PLU6IBING WNiRACTOR <br />IdAILP��RESS —_-- GItY ZIP PHONC IICENSEI <br />i <br />OF YJJRK <br />❑NEVJ ❑ADDITION ❑ALTERATION ❑AEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />TION OF WOPK <br />install fireplace inser <br />� use oF ouuoiNc <br />LEGAL �ESCRIYIION Ut rn�rm� � �anv <br />LOT BLOGK__�F — <br />�ge�qo2essi6th Street <br />PLUM9ING <br />NO. TYPE OF FI <br />URINAL <br />DRINKI <br />FLOOR <br />VACUU <br />FOOF[ <br />SIDE YARD SErBACK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE Of BLOG. <br />FIRE ZONE <br />0 <br />� <br />STREET <br />LO7 <br />pp ATfACN FOUR COPIEti� <br />I HEREBY CERTIFY THAT I H.4VE READ AND EXAMIVED THIS AP- <br />PLICATICN AND KNOW THE SAME TO BE TRUE AND CORP.ECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED W(fH INHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A FERMIT DOEE NOT <br />PRESUME TO GIVE AUTHORITY ��0 VIOLATE Ok CANCEL THE PRO� <br />VISIONS OF ANY OTHER STA�fE OR LOCAL Lf�W REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE OF GONIRAGIOR� O+R FU,T(y��5 iZED �nGENT DATE <br />X�%tL(.ue-w- G . o'li...,eX• 10/20/81 <br />MECHANICAL <br />RE OR ITEM FEE NO. TYPE OF EQUIP� <br />AIR CONU. UNITS - H P. EA. <br />PEFRIGERATION UNRS - H.P. I <br />BOILERS -- H.P. EA. <br />GAS PIRED A.C. UNITS - TONN <br />FORCED Alfl SYSTEMS - B.T.U. <br />\YALL HEATERS - B.T.U. <br />i inuT HFnTFRS — fl T.11. <br />1. ENVIRONMENTAL CHcCK LIST V <br />2. PUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIHONMENTAL Ih1PACT STATEMENT <br />e. HEALTH OISTRICT <br />�PPLICATIOIJ ACC. BY PLANS CHECKED BY <br />REARYARDStI�,A(;k. PLAN <br />VACANT SITE <br />❑YES ❑NO <br />MA%.00C.LOAD <br />FIRE SPflINKLER: <br />REOUIRE� <br />f�YES ❑NO <br />BY DATE <br />APPR. FOR ISSUANCE �Y <br />EA. <br />M <br />M <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — QF <br />S10VE <br />METAL FIREPLACE & CHIMNEY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />PENAITY <br />TOTAL <br />F�E <br />5 <br />U B C. <br />SEC. 303 ia) <br />7 <br />C <br />CHECK FEt <br />I RECEIPI' NO. <br />17 I 50 <br />rcnmi� rn��....�•..•� <br />WHEN PROPERLY VALIDFTLD pN THIS SPACE) THIS IS YOUR PEflMIT <br />�^'. , . . . � _r . � _ `� <br />' I . ; �. , _' � <br />Q7 <br />� <br />