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ri7eEvergreen — �ON�TRUCTtON � � <br />CITY OF <br />everett PERMIY PERMIT N0. OH46O <br />CITY HALL 259�8745 <br />EVERETf, WA 98201 CI COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWIIER MAILND�RESS CITY ZIP PHONE <br />Pacific Iron and Fabric World 9602 Everareen Wav 98204 <br />ARCHITECT OR DESIGNER MAII AOORESS CITY 21P PHONE <br />GENERALC NTRACTOR MAILADDRESS CI7Y 21P PHONE UCENSEt <br />Ca:np�iell Peon 1120 Fairview Ave.N Seattle 98109 623-1364 <br />MECMANICALCANTMCTOfl MAILADDRESS GiY 21P PHONE LICENSE� <br />CA MP BI*222 �Q <br />PLUMBINGCONTRAGTOR MAILADDRE55 CITY ZIP PMONE UCENSE� <br />CLASS OF WONK <br />❑NEW ❑ADDITION ❑AL7ERA710N ❑REPAIR ❑OEMOLITION ❑FENCE }�SIGN ❑GARAGE <br />VALUATION OF WORK <br />y lOOO.00 <br />relocate sign (illumina <br />�EGAL OESCRIPIION OF PROPERi <br />LOT BLOCK_OF <br />JOL'A�DRE55 <br />9602 Evergreen Way <br />PLUI�FHINO <br />WATER CLOSET ( <br />BAiHTUB <br />LAVATORY (WASI <br />SHOWER <br />KI7CHEN SINK 8 <br />� HEREBY CERTIFY THAI I HAVE READ AND EXAMINED THIS AP� <br />ATTACN FOUHCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORGINANCES GOVEkNING THIS <br />TYPE pF 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 CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING <br />CONaTRUCTION OR �H�ERFORMANCE OF CONSTRUCTION. <br />SIGNATURE.�CONTppCT R iTMORIZEDAGENT DATE <br />OF FIXTURE OR ITEM <br />nwr �rw�rvo — ��nin�cnvcr. <br />SINK (SERVICE — BAR. ETQI <br />SUBTOTAL <br />PERMIT S <br />TOTALFEE S <br />qp SETBACK STREET SETBACK REAR <br />USE Z0�1E LOT AREA <br />TYPEOFCONST. OCCUPANCY GROUP <br />SIZE OF BLDG. NO. OF S70RIES <br />FIHE ZONE BASEM[NT <br />L ENVIRONMENTAL CHECK LIST <br />2. BUILOING PlANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />ti. ORAINAGE <br />7. ENVIRONMENTAL IMPACT STAiEMENT <br />e. HEPLTH DISTRICT <br />APPL�CATION ACC. BY PLANS CHECKED BY <br />RB <br />( TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />ntmeno -- n.r. �H. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALI HEATERS — B T.U. M <br />IINIT HEATERS — 9.T.U. M <br />AIH HANDLING UNIT — <br />MET' <br />SITE <br />❑NO <br />PERMIT <br />NUMBER I PLAN <br />FEE I RECEIPT NO. <br />9UILDING $ 1000. 00 6 00 <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REQUIRED <br />OYES ❑NO <br />BY DATE OTHF.R <br />PENALTY SEC 303(a) <br />APPR.FORISSUANCE BY <br />BAB-LNC <br />TOTAL � � 6 � 0 0 <br />WHEN PROPERLY VALIDA7E0 (IN TIIIS SPACE) THIS IS YOUR PERMIT <br />9390 $006.OQ-=� <br />� <br />� <br />1' •'.`' R�:CEIPT� <br />:! ":n�NK 1'CU <br />