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rheEvergreen • �ONSTRUCTIO� • <br />CITY OF <br />everett i PERMIT pERMIT NO. 06999 <br />CITY HALL 259�8?45 <br />EVERETT, WA 9P201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUM61NG <br />OWNEq MAILADDRESS CITY 21P PNONE <br />R. L. Smith <br />AflCHRECTORDESIGNEF MAI�ADORESS CITY ZIP PMONE <br />GENERALCONTRACiOR MFILApORE55 CITY ZIP PHONE �ILENSE� <br />Same <br />MECMANIf,AICONTRACTOR MAILAODRESS dTY ZIP PHONE �ILENSE♦ <br />PLUMBINGCONiRACTOR MAILAODFEES CITY ZIP PHONE UGENSEI <br />L7NE:Y <br />'NOriK <br />E <br />)ESCflIBE WORK <br />Demolish sinale <br />BUILDING <br />❑ADDITION ❑ALTERATION ❑RLPAIR 7�, DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />resider.ce <br />LEGAL DESCRIPTION OF PROPEPTY (SHOW BELOW OR ATTACM <br />LOT__BLOLK_OF _ <br />SE�t, SEIt. SE�i. GW�r_ 1i_�a_A <br />PLUMBING <br />Way <br />TYPE <br />BATHTUB <br />LAVATORY�WASH <br />SHOWER <br />KI7CHEN SINK 8 D <br />�ISFiWA3HER <br />LAUNDRY?RAV <br />C� OTHES WASHER <br />WATER HEATER <br />UFINAL <br />DRINKING FOUNTP <br />FLOOR DRAIN <br />VACUL�A1 BREAKER <br />ROOF �HAINS — R <br />SINK ISFPVICE — F <br />SIDE VAqD SETPACK <br />USE ZONE <br />TYPE OF GONS7. <br />SIZE OF BLUG. <br />FIRE ZONE <br />SUB <br />STREFiSFT�ACK <br />LOT A1 �EA <br />FEE <br />REAR YARD SETBACK <br />i HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANU CORRECT. <br />ALL PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOFS NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLA'fE OR CANCEL THF PRO� <br />VISIO'JS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFURMANCE OF CONSTRUCTION. <br />sicNnruaeoFcoNrnacroaoanurHoaizeo�crNr onTe <br />X 11/29/79 <br />MECHANICAL <br />TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />RFFRI(:FRATIl1N I INIiC _ 41 O Fd <br />VIlL11J � f'I.Y. tH, <br />GAS FIRED A C. UNITS — TONNAGE EA. <br />FORCEO AIR SYSi EMS — B.T.U. M EA <br />WALL HEATERS — B.i.U. M <br />UNIT HEATERS — B i.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UIJIT — GF.M, <br />STOVE <br />i:'�YES C`,NO <br />NG. OF DWELLING UNITS <br />BUILDINu <br />MAX. OCQ LOAD <br />PLUldBING <br />FIPE SPRINKLERS — <br />RECUIRED MECHANICAL <br />HMYHOVALS gy <br />1. ENVIRONMENTALCHECK UST <br />2. BUILUING PLAhS <br />3. FIRF HYDRF.:JT <br />�.. FIRE Pf�'�TECTION SYSiEId <br />�. GRMMG <br />6. DRAINAGE <br />7. ENVIRONMCNTAL IldPACT STATEMENT <br />B. HEALTH DISTRICi <br />APPUCATION ACC. BY I PLANS CHECKED BY I APPR. FOR ISSUANCE 9Y <br />NUM�[R <br />70TAL <br />PEE RECEIPT NO. <br />VALUATIO� FEE <br />b <br />U.B.C. <br />SEC. 303 (a) <br />TOTAL �.. I I 00 I00 <br />PERMIT VALIDATION <br />WHEN PF70PERLY VALIDATED pN THIS $PpCE) THIS IS YOUR PERMIT <br />5��3 $OOO.QO--- � <br />' � <br />YOU'R RECEfPT o <br />T��nr!� rou <br />ADDRESS FILF � ���Y 7� <br />