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theErergreen � CO�tSTRUCTION r_ <br />CITY OF <br />everett PERMIT pERMIT NO. 07057 <br />CITV HALL 259�8745 <br />EVER�TT, WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWtiER IA4RADDRE55 GTY ZiV PMpNE <br />Rainier Fund 12900 S.E. 38th Bellewe 643 1010 <br />ARCHREGiORDES!GNEP MAILADDPE55 CITY 21P PHONE <br />GENERFLCANiRAGTOR MAl1.ADC9E55 GtY ZIP PHONE UCENSEI <br />NEp1ANICALCONTRACTOR MAILAD�RESS piY ZIP PMONE LICENSE/ <br />MacDonald-Miller Co. 11063 PACIFIC HIGHWAY S. Seattle 888- 76�9400 <br />PIUMBINGCONTP.AGTOP MAILApDFE55 �IiY ZIP PMONE LIC[NS[�.1 <br />MA CD DM *248J9 <br />❑NEW <br />vnwatior+or woRK <br />5 <br />UESCRIBE WORN <br />LOT BLOGI�OF <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE <br />B ODDRE55 <br />1001 Highway 99 Northlt <br />PLUMBIN6 <br />NO. TYPE OF FIXTUHE OR ITEM <br />6ATHTU� <br />NITCHEN SINK 8 DISP. <br />UFINAL <br />FLOCR DRAIN <br />VACUUM ARE/ <br />HVVY UI�AIfVS— <br />SINK fSERVICE — <br />SUB <br />SIDE YARD SETBACK I STREET SETBACK <br />LOT AREA <br />L ENVIRCNMENTALCHtCKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRO7[CTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAM[ TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS 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 />SIGNAlI1RE OF GONTR�CTOR OR 4UtMORIZCp PGENt OAT[ <br />X Check #26301 11/18/79 <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS — HP. EA. <br />REFRIGE(7ATION UNITS — HP. EA <br />POILERS — HP. [A. <br />FORCED AIR SYSTEMS — fl T,U <br />WALL HEATERS — �S.U. <br />UNIT HEAT[RS — B T U. <br />'cVAV'ORATNE COOLERS <br />RANGE HOOD <br />STOVE <br />REAR YARD SETBACK PLAN CHECK NUM�ER <br />VACA4T SITE <br />❑Y[S ❑NO FEES <br />PiO. OF DWELLING UtJITS <br />OUIL�ING <br />MAx.00C.LOAD <br />PLUMBIN� <br />FlRE SPRINKLERS <br />REOUIRED MECHANICAL <br />�lVES ❑NO <br />BY OATE aTNER <br />PENALTY <br />APPLICATION ACC. UY I PLANS CNECKED tlV APPR. FOR ISSUANCE PY <br />K.C. K.C, <br />sue ro <br />PERMIT <br />M EA. <br />M <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />4 <br />UB.C. <br />S[C. 303 (a) <br />C� 11 <br />� �� <br />PROPGRLY VALIDATED �M THIS SPACE) THIS IS YOUR PE(ildli <br />6059 f (1$],fl0 �— � <br />� <br />� � <br />Y� U R REC[IPT o <br />� , � `. i ' � �'�"� 5 1 <br />