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/ <br />tlieEvcrgreen . C��NSTRUCTION � � � � <br />GTY OF � <br />everett � PERMIT pERMIT N0. O6SHH <br />CITY HALL 259�8745 <br />EVERETf, WA 98207 ❑ COMBINATION �7BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADORE55 CITY ZIP PHONE <br />Gil Leishman 421 Madison 98203 355-5728 <br />ARCHRECTOROESIGNER MAILADORESS CITY 21P PHONE <br />GENERALCONTRACTOR MAILADORE55 CITY ZIP PHONE LICENSEI <br />Same <br />MECHANICALCONTRAGiOR MAILADORE55 GIiY ZIP PNONE IICENSEY <br />PLUMBINGCONTRACIDF MAILADDRE55 CITY ZIP PHONE LICENSE! <br />CLA55 OF \YORK <br />❑NEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OP WORK <br />5 <br />DESCPIBE WORK <br />Grading 2950 cu. ydes. <br />LEGAL OESCFIPiION OF PFOYtH�Y (SHOW tltLUW UH PI IAGN hUUN WY <br />3 5 Intercity Add kl <br />LOT aLOGN__OF <br />South 30' of lot 3, 4, 5, 6, <br />Evergreen Way <br />PLUMBING <br />NO. TYI <br />WATER CLOSE7 <br />BATHTUB <br />LAVATORY(WAS <br />SHOWER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASH <br />WATER HEATEF <br />OF FIXTUHF. OR ITEM <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BPEAKEflS <br />ROOF DRAINS — RAINLFADERS <br />SINIC (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />SIDE YAR� SETBACK STR`cETSETBACK <br />USE ZONE <br />TYPC OF CANS <br />SIZE OF BLDG. <br />FIRE ZONE <br />LOT AREA <br />�N] <br />BASEMENT <br />1. E:lVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. F�RE PROTECTION SYSTEM <br />5. GRADING <br />6. DRA�NAGE <br />7. ENVIRONMENTAL IMPACT S7ATEh1ENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PI:,NS CHECKED BY <br />FEE <br />I HEREBY 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 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 AUTHOFITY TU VIOIATE OR CANCEL THE PRO� <br />VISIONS Or ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTN TION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR OFCONTRACTORORAUil10RIZEDAGENT 9�1or�9 <br />y_�_ . • � �--_/. . �' <br />MECNANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR C� VD. UNITS — H.P. EA. <br />R[FRIGERATION 11NITS — H.P. EA <br />oui�ena — n.r. er. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — BS.LL M <br />NJALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />VENTILATION FAN <br />AIR HANDLING UNIT — <br />FIREPLACE 8 CHIldNEY <br />REAR YARD SETBACK PLAN CHECK NUMBER <br />79/6586 <br />VACANT SITE <br />GYES ❑NO FEES <br />MAX. <br />APPR.FORISSUANCE6Y <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHE(i <br />PENAL7Y <br />TOTAL <br />C.F <br />SUBTO7AL <br />PEPMIT <br />TOTAL FEE <br />PIAN ( <br />FEE ZO.00 <br />VALUATION <br />5 <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />FEE <br />PERMI7 VALIOATION <br />WHEN PRUPERLY VALIDATcO (W THIS SPACE) THIS IS YOUR PERMIT . <br />2os�9 �484.00 �01 � � <br />� <br />�.i�i <br />�YO;L'R RECEtP7o <br />' TH�NK Y�019' <br />