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�Ne Evergrce�i <br />CI7Y OF <br />ev��rett <br />sc�r�i.� � ��ur., � ��►1'� <br />PERMIT <br />PERMIT NO. Og924 <br />CIT'! HALL 259�8745 � COMBINATION ❑ BUILDING �tMECHANICAL ❑ PLUMBING <br />FVEREn. w'A 98201 <br />Ol'INLR MniL r10Dl1E55 <br />GITY ZIP PMONE <br />William E. Landert 2812 16th Street Everett 98201 252-9529 <br />pRG111T W i OF D[SIGNER IAAIL ADDR[55 <br />CITV ZIP PHONE <br />GENERALCONiRAGTOR MAILADDPE55 <br />CITY ZIP PHONE LICENSE I <br />Same <br />MECHANICAL COMRACTOR <br />MAIL ADDflE55 CITY ZIP PHONE LICENSE Y <br />MAIL AOORE55 <br />QtY ZIP PNONE IIGENSE � <br />PWMBING CONipACiOR <br />{ <br />❑NEW ❑ADDITION ❑ALTERAiION ❑REPAIR ❑DEIdOLITION ❑FENCE ❑SIGN GARAGE <br />WORK <br />5 <br />DESCRIBE WaRK <br />install fireplace insert <br />PflOPOSEC USE OF BUILDING <br />LEGAL DESLRIPTION OP PHOPEBTY �SHOW BELOW OA AT iACH FOUR GOPIES) <br />LOT BLOGK_OF <br />���e��o�es�Gth Street <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />BATHI'UB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SIYK 8 DISP. <br />DISHWASHER <br />LAUNDRYiRAY <br />CLOTHES WASHER <br />WATER HEATER <br />ROOF <br />SIOE �NRD SEiBACK <br />USE ZONE <br />TYPE OF CANST. <br />SIZE OF BLDG. <br />FIRE ZONL <br />� <br />e <br />STREETSETBACK <br />LOT AREA <br />OCCUPANCY GRi <br />NO. OF STORIES <br />1. ENVIRONIdENTAL CHECK LIST <br />2. BUILDING PL.ANu <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT _ <br />APPLICATION ACC. BY 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 LF.WS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />PRESUME�TO GNE AUTHORITY TO VIOLATE OR CANCEL�THE ROT <br />CON�STRU�CTION OR T'HE PERFORMANC�E OF ONSTRUCT ONNG <br />SiGNATURE OF CONTRACTOP OR AUT 12ED hGENi <br />on�E <br />X �� :�w � .� � X 10/20/81 <br />MECHANICAL _ . <br />TYPE OF EaUirmtn � <br />COND. UNITS — H.P. FA. <br />RIGERATION UNITS — H.P. EA <br />_ERS — H.P. EA. <br />; F IRED A G UNITS — TONNAGE [A. <br />ICED AIR SYSTEh1S — B T.U. M <br />_L HEATERS — B T.U. M <br />rucnrooc—RT11 �� <br />REAR YARD SETBACK PLP.N GHtcK t <br />VACAhT SITE <br />❑YES ❑NO <br />N0. OF DWELIING UNITS <br />BUILDING <br />MN(. pCC. LOAD <br />PLUMBING <br />FIRE SPFINKLEFlS MECHANICAL <br />REOUIRED <br />❑YES f�NO <br />gy DATE OTHER <br />PENALTV <br />TOTAL <br />APPR. FOR ISSUANCE BY <br />FEE <br />S <br />U.B.C. <br />SEC. 3031a) <br />FEE <br />FEE <br />FlECEIPT NO. <br />FEE <br />T VHLIUPII�/n <br />PROPERLY VALIDATED (�N THIS SPACE) TWIS IS YOUR PERNIT <br />ADDRESS FILE <br />, , � • I -1 ,. , <br />I I . <br />17 � $0 <br />