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fh�.?vergreen � C�STRUCTION� � • <br />CITY OF <br />evere�t PERMIT pERMIT N�J. 0792� <br />CITY HALL 259�8745 <br />EVERETT, WA 9820� ❑ COMEtINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNE� MAILADDFE55 CITY ZIP � PMONE <br />Albertson's, Inc. P.O. Box 20 Boise, Idaho 83726 385-6390 <br />ARCIIITEGT OR DESIGNER NAIL AOOflESS CITY ZIP PHONE <br />GENERAICONTRACTOF F1A�LAO�RE55 CIiY ZIP PHONE LICENSE� <br />MECMANICALfANiPAC70P MAILAODRE55 CITY ZIP FlIONE LICENSE/ <br />Nelson Air Cond. Corp. 1510 N. Potrero S. E1 �Nonte, A. 91733 213 942-6066 <br />PLUMBMGCONTRnCTJR MAILAODRE55 CITY ZIP PMONE LILENS@t <br />OF WORN <br />❑NEW L]AO�ITION ❑ALTERATION ❑REPAIR ❑DEMOLITI;N ❑FEHCE ❑SIGN ❑GARAGE <br />f <br />OESCPoOE WORK <br />LEGNL <br />�o�_ <br />J0� AI <br />�ELOVJ OR ATiACH <br />731 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CLOSET QOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />�ISHWASHLR <br />LAUNDRY7RAV _ <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOO° DflAIN <br />_ ��TAC�.,UM P�VEAKEAS <br />� cu... <br />SIDE VARD SETBACK <br />USE 7.ONE <br />TYPE OF CONST. <br />SIZE OF ALDG. <br />— RAINLEACERS <br />— BAR,ETCJ <br />SUBTOTAL <br />PEFMIT <br />70TALFEE <br />STREET SETBACK <br />LOT AflEA <br />OCCUPANC� GROUP <br />1. ENVIHONMENTAL CHECK LIST <br />2. BUILDING PL4NS <br />3. FIP.E HYDRANT <br />4. i�, �E PRO7ECTION SYSTEM <br />5, GRADING <br />6. DRAINAGE <br />7. ENVIRONMEN7AL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />FEE <br />REAR YARD SETBACK <br />VACANT SITE <br />L7YE5 ❑NO <br />NO. OF DWELLING UMIT: <br />I.!AX. OCC. LOAD <br />APPR. FOF ISSUANCE BY <br />K.C. <br />I HEREBY CERTIFI' THAT I HAVE READ AND EXAMINEC THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT D'JES NOT <br />PRESUME T� GIVE AUTHORITY TO VIOLA. i E OR CANCEL THE PRO� <br />VISIONS Or ANY OTHEH STATE OR LOCAL LAW REGULATIIJC� <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiI1PE0fWIITRACiOROFAUiHOR1/2F.0AGENi �ATE <br />i��.(f-f� �' ��:�C/'�v 4'y( %�1�.�8� <br />MECHANICAL <br />TYPE OF <br />AIR COND. UNITS — H <br />ncrniocnni i�n �rvi i �— r..r.. <br />�OILERS — HP. EA. <br />GAS FIRCD AD. UNIiS — iO�JN, <br />FORCED AIR SYSTEMS — BT.U. <br />WALI HEATERS — B T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COCLERS <br />CLOTHES �RVERS <br />VENTILATION FAN <br />RANGEHOGD <br />AIR HANDLING UNIT — <br />FIREPLACE 8 <br />o�niDING <br />PLUMBI'JG <br />MECHANICAL <br />OTHER <br />PENALN <br />TOTAL <br />FEE <br />5 <br />N <br />QF.M. <br />U.B.C. <br />SEC.303(a) <br />rtt <br />RECEIPT NO- <br />52 I 00 <br />I I I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEj THIS IS YOUR PERMIT <br />4641 $oSZ.00 ,--= � <br />� <br />YOUR RECEIPT � <br />?I-iANK YOU <br />