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� �, ,. .��.....:_, � <br />�he Evergreen � �STRU CT��V � � . <br />GTY OF . <br />everett PERMIT pERMIT NO.OSSOZ <br />CITY HALL 259�87a5 <br />eveHen. wn oezoi ❑ COMBINATION C�XBUILDING ❑ MECHANICAL ❑ pLUMBING <br />OKNLP M41L hO�PEES CIIY ZIP PIIOtiE <br />H. J. Gertrude Gaddy 538 Colby Ave. 98201 259-6946 <br />ARCMRECT OR pE51GNEF MAIL ADDRE55 CITY ZIP PHONE <br />GENERALCANtRACTOri MAILADDRE55 GTV IIP VHONE UCENSE�.1 <br />SdIl1E <br />MECHANICALCANTRACiOR MAILA�DNESS �ITY Ilp PHONE UCENSE / <br />PLUAIBINGCANTFACTUN MAILRDDRE55 Cltt ZIP MONE UCENSE• <br />CLASS OF WORR <br />ONEW ❑ADDITION ❑AITERAT10N ❑REPAIR ❑OEMOLI710N ❑FENCE GSIGN ❑GARAGE <br />VRIUAT10N OF WORK � <br />f @!�D. De <br />Free stan3ing ca <br />PROPOSED USE OF BUILDING <br />L[GAL OESCr iPfiON OF PROPERT' <br />ior 38-39s�ocK130oF <br />�oe<ooaess <br />53d Colby Avenue <br />PLUMBIN6 <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVEFNING TIiIS <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 />SIGNATURE OF WNiRACTOR OR AULIIORIZ[D hGENi OF1E <br />v,�l/ �f / /]/ . / 8/9/79 <br />NO. TYPE OF FIXTURE OR ITEM FEE NO. <br />WATER CLOSFr rtpILET) <br />�ATMTU3 <br />LAVATORY (WASH BASIN) <br />SNOWER <br />KITCHEN SINK & DISP. <br />DISHWASHEF <br />IAUNDRV7RAY <br />CLOTHES WASHER <br />IYATEI7 HEATER <br />URINFL <br />DRnJKING POUNTAIN <br />F�OOR DHAIN <br />VACWh1 BREANEPS <br />ROOF OFARdS — RAINLEADERS <br />SiNK 1`EAVICE — BAR. ETC 1 <br />SUBTOTAL <br />SIDE VARD SETBACK � STR6ET SETBACK <br />AREF <br />L ENVIRONMENTAL CHECK LIST <br />2. BUILDMG PLANS <br />3. FIRE HYDR.INT <br />4. FlRE PROTECTION SVSiEM <br />5. GRADING <br />G. DflA1NAGE <br />Z ENVIRONMENiALIMPACiSTATEMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />REAR V0.RD SETP�CK <br />YES 'NO <br />SPHINKLERS <br />APPR. fOR ISSUANCE DY <br />E.W. <br />TYPE OF EOUIPMENT <br />AIH COND. UMTS — H P. EA. <br />REFF.IGERA710N UNITS — HP. EA <br />BOILEflS — M.P EA. <br />GAS FIRED A.0 UNITS — TONNAGE EA <br />FORCED AIP SYSTEMS — B T U M <br />WALL HEATERS — � T.U. M <br />UNITHEATERS—�TU M <br />EVAPORATIVE COOLERS <br />CLO7HE5 �RYERS <br />AIF HANDLING UNIT — <br />PL�N CHECI( NUMBER <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTv <br />SUB TOTAL <br />CFM <br />PLAN CNECN FEE <br />FEC I RECEIPT N0. <br />UB.0 <br />SEC. 3D3 (al <br />:� 1 �. <br />L� 1 � <br />PROPEHIY VALIDA`ED (IN THIS $PACE) THIS IS YOUR PERMIT <br />oaot =008.00 �.,i � <br />i 0 <br />� <br />YOU.R RECEIP� <br />;�P►N!� YOU <br />ADDRESS FILE <br />�� <br />- � r�; 79 <br />�r <br />