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d�e Erergreen ^p N ST R U CT 10 N <br />CITY OF � <br />everett PERMIT pERMIT N0. Og658 <br />GTY HALL 259�BId5 <br />eveaerl. wn �azo� ❑�OMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br />orvr�tr� � r.ini�nour�ess ar�� nr m�or�E <br />Polaris Marine 1G28 Norton Avenue Everett 98201 <br />nncwrect on o�s�a�ien n+ni� nooness arv z'r a„°"i <br />GENERALCONiRAGiOR MAILAODRESS GIiY ZIP PI/ONE LIGENSEI <br />IdEC��PN!CAL CuNiPALi0f1 A�A4 P��RE55 C17Y ZIP PNONF UCENSE � <br />W.A. Botting Fire Protection 13599 Aurora Avenue N. Seattle 98133 <br />PW6���NGCONTRACTOB I.IAILADDRE55 CiiY ZiP FNONE OCENSE� <br />3G4-0340 <br />CLASS OF WORK <br />❑NCW L�/]�DITION ❑ALTERATION ❑REPAIR L�DEMOUTION ❑FENCF I—ISI(:N ❑CAnHl3E <br />vAtUA110N oF wo�+rc <br />S z�9oo.00 <br />D[SCRIPE WONK <br />Fire Protection Svstem <br />rnovoseo use oF om�oiNc <br />Marine Paint <br />LEGAL DESCRiPiION OF PROPEHTY �SHOW BELOW �+�1 ATTACH fOUR GOPiES� <br />ior aiac�_oF _ <br />�cu noones� <br />i 0 2 8 ldoi'tIIT[ � • <br />�LUMBING <br />NO. TYPE OF FIXTURE OH ITEh <br />DRAIN <br />SIDE VARD $ETBAGh <br />20NE <br />— ryN11VLCMl1C <br />— BAR. ETC' <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />SiRFET SETBAC✓ <br />LOT AR[A <br />OCCUPANCY GR( <br />N0. OF STORIF.S <br />APPROVALS _ <br />1. ENVIRONMEIr:AL CHECK 115T <br />=. BUILDING Pu1N5 <br />3. FIRE HVDRANT <br />:. FIFE PPOT[CTION �YSTEM <br />5. GRR.DING <br />G. DR4INAGE <br />7. ENVIRONMENTALIMPACT STATEMENT _ <br />8. HcALTH DISTRIGT <br />APPLICATION ACG 6Y PU+NS CHECKED �Y <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 IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />s�6rTaunEOFCo�+N�n�*oraoaau(i+oni2tjFfnc�Ni� oatE <br />x/ n d.L�'� r�rcy- . �_ r� <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />nica coNo uwTs — u r En <br />fiEFRIGEF±ATION UNITS — H.P. EA _ <br />�OILERS — H.P. EA. <br />GnS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIH SYSTEh15 — B T U. M <br />WALLHEATERS—�T� M <br />UNIT HEATERS — B.T.U. h� <br />EVAF'ORATIYL COOLERS <br />CLOTHES DRYERS <br />VENTILATION fAN <br />RANGE HOOD <br />AIR HANDLING UNIT — � <br />STOVE <br />MFTnI FIREPLACE & CHIMNEY __ <br />REAR YARD SETBACK PLAN CHECI; I <br />VACANT SITE <br />uYES �]NO <br />NO. OF D�VEILItJG UNITS <br />BUILDING <br />MAX.00C LOAD <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIFED <br />r�VES i1N0 — <br />BY DATE OTHER <br />PENALiV <br />TOTAL <br />APPR. FOR ISSUANCE DY <br />FEE <br />5 <br />U.B C <br />SEC. 3U3 �a) <br />FEE <br />FEB <br />fiECEIPT NO <br />FEE <br />�� <br />IVNUVnn�n <br />PROPERLY VAU�AT[D (IN THIS SPACE) THIS IS �OUR FERMIT _ , <br />, .. —�i <br />l.l) <br />i.o <br />rn <br />i O <br />�DDRE55 FILE <br />� . i <br />