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dieL•vergmen C� ,�TR��TION <br />CITY OF <br />�e�erett ������ PERMIT N0. O�27g <br />ciTVHn��zsee�as � COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />EVERE�. `�1A 98201 <br />N[R ���A <br />Randy 7. Elvrom 1410 17th <br />l.1AIL <br />S a:n e <br />PWMDII�6 CONiRACTOR <br />IdML PDDRESG <br />98201 252-8212 <br />ZIP PHONE <br />7.IP PHONE LICENSE I <br />Z�p PHONE LIGENSE b <br />zm aHorvE ucense� <br />CLA55 OF WORK <br />❑NEW .�DDITION ❑FLTERATION ❑REPAIR CDRdOLITION ❑FENCE ❑SIGN GARAGE <br />VALUAt10N UF WORK <br />S %����.�Q <br />OESCNFIE WOAK <br />addition to existing residence <br />anoPoseo uce oF ovuoinr, <br />single family resi.dence <br />LEGAL DESCRIPLION OP FROPERiY ISNO'll BELOW GR hTiACM fOUR GOPIE57 <br />�or 1=z_e�ocr345oF _ Everett Div. L <br />JGd �UORt�J <br />1410 17th Street <br />��� <br />PLUMBING <br />Na TYPE OF FIXTURE OR <br />SINK 8 <br />HEP <br />'TRAY <br />FOOh unnlrvJ — <br />SINK (SEflVICE — <br />SIUE YARD SETBACK STRE4 <br />USE ZONE � OT AR <br />TVPEOFCOIJ51. ww���.�� ��•�—• <br />V-N R-3 <br />SIZL Of BLCG. � NO.OF STORIES <br />11'xlb' 1 <br />FIflL ZONE BASEMENT <br />3 <br />pPPpOVALS _ <br />��. ENVIRONMENiALCHECKLIST <br />.^.. BUIL�ING PLANS <br />b. FIRE HYDRANT <br />A FIFE PROTECTION SVSTEI,1 <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IIdPACT STATEMENT <br />8. HEALTH DISTRIGT <br />APFUCATION ACC.BY PLANS CHECKED BY <br />V,C. <br />FEE <br />REAR VARD SETB <br />VACANT SITE <br />IJYES N.:10 <br />N0. OF DWELLIN <br />1 <br />MA%.9CC.lOAD <br />FIRE SPPINKLEfl <br />RE�UiRG41 <br />❑YES '�� RJO <br />BY DATF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIE� WITH WHETH[R SPECIFIED <br />HEREIM OR NOT. THE aRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OI� CANCEL?HE PRO- <br />CONOSTRU�CTIO OR THE PERFOR oANCECOF 0 STRUCT ONNG <br />$IGI14iUR[ Of COIJTRACiOR (O�R A(U�1��Of11ZED �GE1li I�,� <br />D��E <br />X�'' 1 C►, C. i l� `i ��1� �� ,2��� <br />MECHANICAL . <br />TYPE OF EDUIt'men i <br />1. UNITS — H.P. EA. <br />qqTION U NI i S— H.P. EA <br />— H.P. EA. <br />D A.C. UNITS — TONNAGE EA. <br />AIR SYSTEMS — B T.U. �'� <br />ATERS—BT.LL ��� <br />1TERS — B?.�. _ M <br />QIVE COOLERS <br />i DFYERS <br />noN FAN — <br />80/8278 <br />UNITS <br />BUII DING <br />PLUMBING <br />MECNANICAL <br />OTHEF <br />qppP.FOFISSUA�CE9Y <br />SUB <br />pLAN CH <br />FEE 20.00 <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />TOTAL I I 4 0 I 0 0 <br />PEHMIT VALIOATION <br />YJHEN PROPERLY VALIDATED (W THIS S�PiC^)�HIS �S Y�OR4 D MO O�� � <br />C L D <br />N <br />, _�,'R RECr-1FTo <br />�I ., . �. t'i �•(' S I I <br />I •: � � U <br />