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r <br />dieEvergreeu - , ���G��"�U�����' - <br />CITY OF � 0 � � ��A � <br />everett �Gr''-,Y'�� PERMIT NO. i1O1S <br />CITY HALL 259�07A5 <br />[VERETT, Y!A 98201 ❑ COM8INATION L�tBUILDING ❑ MFCHANICAL ❑ PLUMBING <br />UWNEH fdAILAODREfS CITY LiP YHONE <br />James R. Fitzhugh <br />ARCNRECT OR OESIGN2F IAAIL AOOfiE55 CITY ZIP FHONE <br />GENERAL GONTRACTOP MAIL AD�RE55 CIiY 21f PHOt1E LICENSE I <br />.��_._'_�""__'"__"_'__" __'�.'__ _ <br />tdECHANICALI'ANiFACiOR hINLADDAFsc �ITV . Pi011E LICENSE� <br />Jorgensen Mechanical Marysville .�::10 �8fl9H�8S <br />PLUME'INGCONTRACTOR AIPILA00IiESS UTY II' FHOHE 7CENSE� <br />G59-8414 <br />CLA55 GF N'ORK <br />❑NEW ❑AJOCION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCi� ❑SIGN ❑GARAGE <br />VRLUATION JF Yf9RK _ <br />S <br />LOT__9LOC�OF _ <br />JOBAODRESS <br />7424 Svergreen <br />PLUMBING <br />N0. TYPE OFI <br />WATER CLOSETlTOILET� <br />CLOTHES WASHER <br />WA7ER'1EATER <br />URINAL <br />DRINKING FOUNTf <br />FLOOR ORAIN <br />VACUUM OREAKER <br />ROOF DRAINS — F <br />SINK ISERVICE — I <br />SIDE YARD SETBACw <br />SiZE <br />I HEREBY CERTIFY THAT I HAVF. READ AND EXAMINED THIS AP- <br />or+nrrncN Four+coPiesr PLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVEANING THIS <br />TYPE OF WORK WILL BE COMPLIED WI?H WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THc PFO� <br />VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU�J �F CONTRACTOP OR HORIZED dGENT DATE <br />X " n_, w„_. i 9/17/82 <br />5TflEEf SETBACK <br />LOT AREA <br />OCCUPANCY GROUP <br />NO OF STORIES <br />L ENVIFONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIflE HV�RFNT <br />4, FIRE PROTEGTION SYSTEM <br />5. G(7ADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. 6Y PLANS CHECKED BY <br />flEAR YARD SETBACK <br />VACANT SI7E <br />❑YES ❑NO <br />NO.OF DWELLING UNITS <br />Hq%. O.^.C. LOAD <br />APPR.FORISSUANCE BY <br />MECHANICAL � <br />NO. TYPE OF E�UIP <br />], AIH COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. <br />BOILERS — H.P. EA. <br />GAS FIPED AC. UNITS — TONI <br />FORCED AIR SYSTEMS — B T.l <br />WALL HEATEFS — B.T.U. <br />I INIT HFATF{i5 — BT.U. <br />FAN <br />BUIL�ING <br />PLUMBL`!G <br />MECHANIC4.L <br />OTHER <br />PENALTY <br />TOTAL <br />TOTALPEL" <br />FEE <br />5 <br />U.B.C. <br />SEG.303(a� <br />2 <br />CHECK FEE <br />RECEIP7 NO. <br />� <br />��� <br />22 I 00 <br />PROPERLY VALIOATED (IN THIS S� �CE�TOHIS IS YpUGH P_EFMITO O—r � <br />� b �D � Z , e <br />. . . . t""� � wv5 <br />... � <br />�rQu� �Ec�IPT � <br />' THF'tiNK YO.0 <br />ADDRE55 FILE <br />