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Uie Evergreen ""�, C�.7 N ST R U CTI O N -� <br />CITY OF <br />everett PERMIT p�RMIT NO.Og2G�. <br />CITY HALL 259�8745 <br />EVEREIT. WA sazoi ❑ COMBiNATION ❑ BUILDING �xMECHANICAL PLUMBING <br />OWNER MAILADDPE55 GITV 21V PHONE <br />ARCH�iECTOR0E51GNER MAILADDflE55 QTY 21P PHON=_ <br />GENERAL GONTMCTOR MAIL ADDPE55 Cltt ZIP PMONE LICENSE 1 <br />Hovde Const <br />MECNANICAL CANTRACTOR M41L ��OPESS CITY ZIP . HONE LICEHSE 1 <br />Machenri Mechanical 18204 Bothell Highway Dothell 98017. 481-8888 <br />PLUMBINGCAM1fRAGTOR MA'LADOPESS CITY ZIF PHONE UCENSE/ <br />OI MA CK EL 2110K <br />❑NEW <br />JALUATION OF WOflK <br />E <br />OESCRIBE WORK <br />PPOPOSEO USE OF BUILDING <br />LEWL OESGflIPTION OF PflOPERT <br />LOT BLOGIL_OF <br />❑ADDITION ❑ALTERATION OREPAIR ❑DEMOLITION ❑FENCE ❑SI�N ❑GAMGE <br />BELOW <br />103 AODRE55 <br />6309 Evergreen Way <br />PLUMBING <br />NO. TYPE OF PIXTI <br />WATER CLOSET (TOILEn <br />WASHER <br />SINK <br />SIDE YARD SETBACK <br />USE ZONE <br />7YPE OF CONST. <br />SIZE OF BLDG. <br />FIRE ZONE <br />� <br />e <br />ITEM <br />STREET SETBACK <br />LO7 AREA <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />7. FIpE HYDRANT <br />4. FIRE PROiECTIJN SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTAI IMPACT STATEMENT _ <br />8. HFALTH DIST(iIC"i <br />qPpLICA710N ACC. BY PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />GOPIES� PLICATION i\ND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISI�NS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WGRK WILL BE CONIPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF ,4 PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR G\NCEL THE PRO� <br />VISIONS OF ANY OTHER STATE GR LOCAL LAV� REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATORE OF CONTPACTOR OF AUTNOii12E0 AGEIJT �FTE <br />X Ch.#2541 5/13/81 <br />MECHANICAL <br />FEE <br />REAR YARD SETB� <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWELLIN( <br />MA7(. OCC. LOAD <br />FIRE SPRINKLcR: <br />REOUIRED <br />�OY�ES ❑N�O <br />BY I DATE <br />APPR. FOR ISSUANCE BY <br />PLUMBING <br />MECHANICAL <br />OTHER <br />TYPE OF EOUIPMENT <br />). UNITS — H.P. EA. <br />7ATION UNITS — H.P. EA __ <br />— H.P. EA. <br />:D A.C. UNITS — TONNAGE EA. <br />;�IR 5'VSTEMS — 6.T.U. M <br />ATEFS — B.T.U. M <br />>TERS — B'.U. M <br />�TI7E COOLERS <br />iDRfERS <br />fION FAN <br />IOOD <br />DLINGUNIT— � <br />iREPLACE 8 CHIMNEY <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION fEE <br />5 <br />33 00 <br />U.B C. <br />SEC. 303 (a) <br />33 I 00 <br />PROPERLY VALIDA7EJ (IN THIS SPACE) THIS IS YOUR PER611T <br />c'-� <br />� <br />i°�� ��33.00— `�i <br />� <br />i�i <br />