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dieEvergreen � �� C�iV�TRUCTION � <br />CITY OF <br />evPrett pERMIT pERMIT MO. 0�372 <br />CITY HALL 259�8745 <br />EVER[Tf, WA 90201 ❑ CUMBIMATION x�tBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEH MAILA�ORE55 CITV ZIP PHONE <br />Noi-ma Rae Monaghan 12414 Highway 99 Suite SI 96204 353-5817 <br />ARCIUTECTORDESIGNEfl MAILADOflESS CRY ZIP PHONE <br />GENEIIALCONTRACTOP MAILAD�PE55 CITV 21P PHONE LICENSEI <br />Same <br />MECHANICAlGONiRACTOR MAILA��RE55 CIiY ZIP PHONE LICENSEY <br />CIASS OF WORK <br />❑NEW <br />VALUATION OF WOFK <br />E 2��.�� <br />DESGPIBE WORK <br />Four partitions <br />PROPOSEO USE OF BUILDING <br />commercial <br />�EGAL OESCRIPiION OF PFOPERi <br />PYLiaT 11-�.Z BLOCIC_OF <br />MAILADDRESS CITY ZIP PHONE LICENSEI <br />❑ADDITION ❑ALTERATION ❑REPAIR CIDEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />for <br />JOB A��RES� <br />9021 Evergreen f9ay <br />PLUMBING <br />WATEP CLOSET (TOILE <br />BATHTUB <br />LAVAfORY�WASH BAS <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WAiER HEAiER <br />0 <br />A <br />SIDE YARD SETBACK <br />USE ZONE <br />h PE OF CONST. <br />FIFE ZONE <br />salon <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />ianncHFouacoaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />Garden Ttacts, Div. #1 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 CANCELTHE 'RO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO R THE PERFORMApl,CE OF CONSTRUCTION. <br />SIG� EO%F lTRA OR�� JUiHOPREOAGE� DATE <br />X //cii. -L , n0 '�//�w. ��✓1/.� ,. 3/24/80 <br />E OR ITEM <br />STflEETSETBACK <br />OCCUPANCY <br />NO. OF STOR <br />1. ENVIRONMENTALCHECICUST <br />2. BUILD!NG PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTA7EMENT <br />B. HEALTH DISTRICT <br />APPLiI.iTION ACC. BY PLANS CHECKED BY <br />FEE <br />SITE <br />❑NO <br />I�I_�7[4V,N <br />BY <br />APPR. FCR ISSUANCE BY <br />L.C. <br />N� <br />AIRCOND UNITS— <br />REFRIGERATION UNI <br />2011 FRS — H.P. EA. <br />— B.7,U. <br />� <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FIREPIACF 8 CF <br />FEES <br />M EA. <br />M <br />r� <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN <br />FEE <br />VALUATION <br />5 200.00 <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />FEE <br />� �� <br />� �� <br />VALIDATION <br />iOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />99G8 $��5.��--� �' <br />� <br />M <br />�'r,};,iR RECEIi� <br />-rr:,�,r�Y Y�� u <br />