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,�`�"�"��° � C�'NSTRUCTION - -- <br />�VQi�.� PERMIT pERMITN0.084G8 <br />CITV HA�L 159�8745 <br />evenEn. wn sezo, ❑ COMBINATION ❑ BUILDINO Q MECHANICAL ❑ FLUMBINO <br />uNNtR IAqIApUNt55 CI1V Z�Y FNONf <br />Leeter W. Roxy 918 94th Street S.E. Everett 98204 355-2351 <br />aRGIrtECI OR DESiCN[R MMl �OpRE55 Cliv IIP PNONE <br />6! H! R�l CONtP�CiOR MMl �UpPE55 CIiY ziP PNONE IICENSE � <br />Same <br />MH:IIRNI�q� WNLf1ACLOR MAIL �DORk55 CRV TIP PNONE �qENSE / <br />P�.pM01NG LONIR�CiOR M�II �D011E55 CiiY IiP PHONE IICENS[ � <br />❑NEW C�nDDITION ❑AUERATION CIREPAIq ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE <br />i <br />inetall fireplace ineert <br />POOPOSED USE OF BUIl01N0 <br />einqle family reeidence <br />i fAPI UESCRIV1ipH Oi iHpPERiY IS��OW BEIOW ON �tT�CH fOUR WRE51 <br />lOt flIOCIL_OF <br />91B 94th Street 6.E. <br />PLUM�INO <br />NO. TYPE OF FII(TURE OR ITI <br />WATER <br />FIPE <br />A <br />STREET <br />LOT <br />OF <br />� <br />I, ENVIRONMENTAL CHECK IIST <br />2. BUILDINa PtANS <br />� 3. fIRE HYUMNi <br />l FIRE PROTECTION 6VSTEM <br />5. OMDINO <br />8 DMINAOE <br />7.ENVIRONMENTALIMPACT6IATEMFNT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY %AN6 CHECKED BY <br />v.c. <br />REAH YAHD <br />VACANT SITE <br />IIYES IINO <br />DWELLIN� <br />APPq FORISSURNCE BY <br />I HEREBY CERTIFY 1HAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMF. TO BE TRUE AND COpRECT. <br />ALL PROV!SIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WIIL BE COMPLIED WITH WHETIIER SPtCIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANGEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CONSTqUCTION Of� THE PERFORMANCE OF CONSTRUCTION. <br />SiGN�TUNE Of NIPACiOR OR �UIHORiZf. GENI D�iE <br />x r� /_ /yY' �p��'M 10/13/80 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FFF <br />—HP EA <br />IN115 — NP <br />BOILERS — H V <br />— TONN4GEEA <br />—BTU <br />WALL HEAfERS -- B i � <br />U171T HEATEPS —� A 7.l <br />EVAPORAiWE C001 ER; <br />CLOTIIES ORVEFS <br />VENTIIATIpN FAN <br />RANCE 11ppD <br />AIP NANfII INf. IINIt — <br />METAL <br />F <br />PLNN GHECK hUMBEp <br />FEE <br />FEEB { <br />BUILDINO { <br />PENALTV <br />TOTAL <br />U.BL <br />6EC.303�e1 <br />RECEIPT NO <br />FEE <br />7 <br />Y VALILAiED (M THIS 6PACE� THIS IS VOUR PERMIT <br />9ooi E007.50 --,004 <br />� <br />�' <br />�.� - �.1 R Rr_cf-1P °�° <br />"'l�.i�1K YOU <br />ADDRE;S FILE I 3 OCT HO <br />