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!hc E��rrgrecn <br />QTY OF <br />everett <br />CITY HALL 259�8745 <br />� ^ONS�RUCTION <br />RERMI�' PERMIT N0. �-18c�O <br />EVERETT, V!A 98201 [j COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AOORESS CITY ZIP PMONE � <br />�17�.[�7�` 6923 EVERGREEN S4AY EVERETT 98203 <br />ABGMIi_ E D7CT L1RSiG71EH ��� MAIL A��RE55 CITY ZIP PMONE <br />GENEHIIL GONTRAGTOP MAIL AOORESS CITV ZIP PMONE LICENSE � <br />NORFiTWEST NEO'i AND PLASTZC INC 615 8th St Kirkland 98033 822-12_QQ <br />MECMANICAL CONTRAGTOH MAIL AOORE55 GTY ZIP PMONE LICENSE • <br />PLUlABING CONiNAGTOR MAIL A��RESS CRY ZIP PHC IE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTEFATION ❑ AEPAIR O DEMOLITION O FENCE Q SIGN ❑ WOOD STOVE1FIqEPLACE INSERT <br />VALUATION OF P/OfiK <br />S <br />�ESCRI9E 1YORN <br />LOT_BIOCK_OF <br />6923 EVERGREEN WAY <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET �TOILEn <br />BATHTUB <br />LAVATORY 1\NASH BASINI <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISITYlASHER <br />LAUNORYTPAY <br />CLOTMES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR ORAIN <br />VACUU�d BREAHERS <br />FOOF DRAINS — RAiNLEADERS <br />SINK IS�RVICE — BAR, ETC.) <br />SUB TOTAL <br />PEfiM1T <br />TOiAL FEE <br />IEET SLTBACK <br />APPROVALS <br />1. ENVIi70N1AENTAL CHECH IIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRO7ECTION SVSTEM <br />5. GRADING <br />6. �RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRIC7 <br />naai_ICATION ACC. BY PLANS CHE <br />i� <br />FEE <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNqTtlRE OF CONTFACTO,A AUiHOFIZED AGENT OATE <br />Xii4/...%�=��/ „__. �..�L� 9/13/83. <br />N0. TYPE OF EOIIIPMENT <br />Alfl COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.�. EA. <br />�OILERS — M.P.E4. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEM1IS — B.T.U. M EA. <br />WALL HEATERS — B.T.U, M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHO00 <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEV <br />PIREPLACEINSERT <br />S <br />S <br />REAR VARD SETBACK PLAN CHECK NUM1 <br />VACANT SITE FEES <br />YE$ NO <br />hn [1F �WELLMG UNITS <br />MA%. <br />FIRE <br />f:67 <br />FOR <br />i� <br />BUILDING <br />PLUtABING <br />MECHANICAL <br />OTMER <br />PENALTY <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />S <br />FEE <br />� <br />S <br />5 <br />CHECH FEE <br />RECEIPT NO. <br />VALUATION � FEE <br />TOTAL I I 18I O O <br />PEHMIT VALIDAiION <br />WHEN PROPERLY VA�IDATED (IN T�$'AGE� THI�I�YpIJ�i P�qMIT (") <br />6 L �6 u s <br />w <br />� <br />. � <br />BY YOUR RECEIPT `� <br />TH�\��IK YOU <br />I i t.FR $ j <br />" -'1 <br />