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1heEvergreen .� � C� �NSTRUCTION � � <br />qSV OF <br />everett PERMIT PERMIT N0. 07631 <br />CITV HALL 259�8745 MECHANICAL ❑ PLUMBING <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING � <br />OWNER MAILRD�RE55 CITY 21P PHONE <br />Marc James Owenby 5404 Fairview Avenue 353-5862 <br />ARCMITEGT OF DESIGNER MAIL ADDPE55 CITY ZIP PHONE <br />GENEflALCONTRACTOR MAILADDRE55 CITY 2iP PNONE UCENSE/ <br />MECHANICAL CONTRACTOR MAIL AODPE55 CITY ZIP PHONE LICENSE � <br />Same <br />PLUMBWG WNTRAGTOR MAILADDRE55 LITY ZIP PNONE LICENSE I <br />❑NEW <br />VALUATION OF WORR <br />5 <br />OESCFIBE WORK <br />PROPOSED USE OF BUILUING <br />IEGAL DESCRIPTION OF PROPERT' <br />LOT B�OCK_OF <br />❑ADDITION ❑ALTERATION ❑REPPIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />ORATTACH FOURCOPIES) 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 AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING <br />CONSTRUCTION OR T�H/�E PERFORI�i„NCE OF CONSTRUCTION. <br />SIGNATUREOF,CONTPAC7080qpUTH�[ AGEtIT� DATE <br />OB ADDflESS <br />5404 Fairview Avenue <br />PLUMBINO <br />NO. TYPE OF FIXTURE ( <br />WATER CIOSET (TOILE71 <br />SIDE <br />OF <br />nwr vnnirvo — <br />SINK ISERVICE — <br />STREETSETBACK <br />LO7 AREA <br />OCCUPANCY GRC <br />NO. OF S70FilES <br />1. ENVI(70NMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMEN7AL IMPACT STATEMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />MECi1ANICAI `\ ' <br />FEE NO. TYPE OF E�UIPMEIrT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.'.U. M <br />WALL HEATER£ — B.T.U. M <br />UNIT HEATEPS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTII_4TION FAN <br />RANGE Hl:^7 <br />REAR YARD SETBACK <br />VACANT SITE <br />❑VES ❑NO <br />NO. OF DWELLING UP <br />MAX.00C.LOAD <br />APPR. FOR ISSUANCE BY <br />BUIIDING <br />P!!1MBING <br />MECNANICAL <br />OTHER <br />n <br />SUB TO7 <br />PERMIT <br />TOTAL F <br />NUMBER <br />FEE <br />S <br />U.B.C. <br />SEC.303(a) <br />RECEIPT NO. <br />� � 1 <br />PROPERLY VALIDA7ED (IN THIS SP/.CE) THIS IS YOUR PERMIT <br />1498 $oab.00 — � <br />%� <br />� <br />1'vUR RECEIPT � <br />7H.At�K YOU <br />