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(he Lrcrgrcen �, N�t � I' C� I o� <br />CITY OF y <br />6.l6.1�1.� PEF�iVIIT pERMlTNO.O�945 <br />CITY HALL 259�87A5 <br />eveaerr. �vn �azo� ❑ COMBlNATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />04'rt�Efi 1.1qI�ADURE55 GTY 2iP PHONE <br />Silvia Collies 1609 18th Street Everett 98201 252-6072 <br />ARCNIT[Ci OR D[SIGNER MA4 qDDRESS CIiY ZIP PNONE <br />GENERALfANiRACiOR IAAILFODRESS CITV ZIP pHONE LICENSE� <br />Same <br />!AE..HANICALCONiAACTOF MAILADDPESS CItY IIP PHONE �ICENSEI <br />PLUMBINGGONiRNCTOP MFILAODRE55 Q1Y ZIP PHONE �ICENSE� <br />❑NEW ❑ADDITION CALTERATION ❑REPAIR ❑DEMOLITIOPI ❑FENCE ❑SIGN ❑GARAGE <br />OF WORK <br />5 <br />OESCniBE WORK <br />Install free stan3ing wood stove in basement <br />PNOPOSED USE 0� BUIIDING <br />a apartment <br />I H[fiE6r CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />�ecn�oescaiPnoNOFaAoaearr�s��owoc�owoannncHFour�cories� P�ICATICN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PRCVISIONS OF !AWS AND ORDINANCES GOVERNWG THIS <br />ior e�oc�_oF TYPE 0;= WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREI�V OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRE;UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRG� <br />V!SIONS OF ANY OTHER SiATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />.100 ADDRE55 SIGpATjU�j 0' NiRF-CpiOR /OB P,UTH /qi7EU AGENi DATE <br />1609 18th Street x/ 1 •-l' W,�l 10/27/Sl <br />PLUMBING MECHANICAL <br />NO. TYPE <br />WATER CLOSET fT( <br />KITCHEN SINK 8 DISP. <br />DISITYIASHER <br />L�UNDRY TMY <br />CLOTHES WASHER <br />WATER HEATER <br />UFINAL <br />DRINKING FOl1NTAIN <br />I S�`!K <br />SIDE YARD yETBl�CK <br />— �IAINLEADERS <br />— 6AR.ETCI <br />SUBTOTAL <br />STREET SETBACK <br />LOT AREA <br />OCCUPANCY GRC <br />SIZE OF BLDG. N0. OF STORIES <br />RRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />? BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIPE PRO7ECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B HFALTH OfSTFICT <br />- — 1_'__ _ __ .. _ <br />TYPE OF E( <br />INITS — H.P. I <br />lON UNITS — <br />ova�no — n.r. tN. <br />GAS rlFc'D A.C. UNITS — TCNP <br />FORCED AIR SYSTEMS — B.T.0 <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE CCOLERS <br />CIOTHES DRYERS <br />VENTiLATIpN FAN <br />RANGrHOOD <br />AIR HANDLING UNIT — <br />STOVE LVOOCZ <br />METAL FIREPLACE 8 CHIhWEY <br />YAflD SETBACK IPLAN <br />(;YES ❑NO <br />NO. OF DWELLING UNITS <br />BUILGING <br />MAX.p�C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS <br />REOUIRED MECHANICAL <br />BY <br />PENALTY <br />PEFMIT <br />M EA. <br />PLAN CHECK FEE <br />FEE I RECEIFT NO. <br />$ <br />U.B.C. <br />SEC. 303 (a) <br />17 I 50 <br />7 VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />, � ' : � I -. .. . � ("1 <br />. � . '__'_ '�' <br />� <br />ci <br />�s <br />