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L <br />, <br />the Evergreen �O N ST RU CTI O P' <br />CITY OF <br />everett PERMIT pERMIT NO. 11Z%6 <br />CITY HALL 259�8745 <br />EVERETf. WA 98207 ❑ COMBINATION ❑ BUILDING �CMECHANICAL ❑ PLUMBING <br />OWNER MNLADDRE55 CITY ZIP PHONE <br />Marc S. Owenry 5404 Fairview Avenue Everett 98203 353-5662 <br />ANCHITECT OR D[SIGNER MAIL ADDRE55 CITY ZIP PHONE <br />GENEflAL CANiRACTOR MAIL AODRESS CITY ZIP PHONE UCENSE � <br />Same <br />MECHANICALCANTqqCTOR MAILADDPESS CITY 21P PHONE UCENSEI <br />GONTRACTOR <br />❑NEW <br />VALUATION OF WOPN <br />E <br />MPIL <br />ZIP PHONE UGENSE � <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />Install firepla <br />OR ARACN FOUR GOPIES� <br />�oT e�ocK_oF <br />5404 Fairview Avenue <br />PLUMBING <br />N0. TYPE OF FIXTUHE OR <br />WA7ER CLOSET (TOILET) <br />BATHTU� <br />LAVATORY (WASH �3ASIN) <br />SHOWER _ <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATE7 HEATER <br />URINAL <br />DRINKING FOUNTNIN <br />�7 <br />A <br />PERMIT <br />TOTALI <br />SIDE VARD SETBACK STREET SE <br />U3E ZONE LOT AREA <br />TYPE OFCONST. OCCUPAN( <br />NO. OF STORIES <br />FIPE <br />t. ENVIRONMENTALCHEU:LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAM� <br />4. FIRE PROTEC710N SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKEU BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED "� HIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF Li,\NS AND ORDINANCES GOVERNING THIa <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 REGl1LATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTPACTOR OR AUTHORIZEU PGENI D4TE <br />X � �i� �...�„rL_. 11/23/62 <br />MECHANICAL <br />AIR <br />UNIT <br />STOVE <br />REAR VARD SETBACK PLAN CHECK <br />VACANT SITE <br />f IYES ❑NO <br />TYPE OF EUUIPMENT <br />1. UNITS — H.P. EA. <br />iATION UNITS — H.P. EA <br />—HP EA. <br />D A.C. UNITS —TONNAGE EA. <br />41R SVSTEMS — 8 T.U. M EA. <br />4TER5 — B.T.U. M <br />,TERS — B.T.U. M <br />TNE COOLEPS <br />DRYERS <br />lON FAK <br />OOD <br />)IING UNIT — QF.M. <br />REPLACE R CHIMNEY <br />1L FEE <br />PLAN <br />FEE <br />VALUATION <br />UNITS <br />BUILDING $ <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U B C. <br />SEC.303�a) <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE�I <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />RECEIPT NO. <br />17150 <br />' 17 50 <br />��fOURI��� i• �� � <br />4._a+ .� <br />� *�� � . . � � � <br />Y� U R REC� � <br />Tk-IANK Y.�. , <br />� <br />���. � ��i �A ' � <br />� L � �i <br />9 ( " .i , <br />� � � �� � <br />�'• t-- ' <br />"`�t <br />t <br />� <br />J <br />