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iheEvergreen � C�STRUCTION <br />GTY OF <br />ev��ett PERMIT PERMIT NO. 07338 <br />CITY HALL 259�8745 <br />EVEFETT, WA sezoi ❑ COMBINATION ❑ BUILDING I�tMECHANICAL PLUMBING <br />OWNER MAILPODRESS CIiY ZIP P��ONE <br />W. S. Garrioch 3315 Federal <br />AqC11RECTOiiDESIGNER MAILAOOFE55 CIiY ZIP PHONE <br />GENEPnL CONTRACTOR MAIL ADDRESS CItY 21P PHONE IICENSE 1 <br />MECHRNICAICONTRAC104 MAILRDDRESS CIiY ZIP PNONE LICENSE/ <br />Natural Gas Equipment 1611 East Grand 259-2441 <br />�LUMBING CANTRACTOR MRIL A�PPE6: CITY 21P PMONE LICENSE � <br />GLASS V� WUHF <br />❑NEW ❑ADDITION ❑AL7ERA�ION ❑REPAIH ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />VALURTION OF WORK <br />f <br />OESCRiBE WORK <br />LEWL <br />BELOW <br />l0T BLOCI(__OF _ <br />JOBAUORE55 <br />3315 Federal 7',venue <br />PLUMBINO <br />N0. TYPE OF FI::7URE OR ITEM <br />nwr vrwnva — <br />SI4K ISERVICE — <br />PEflM1T <br />TOTALI <br />SIDE VARD SETBACK S7FEET SE <br />USE ZONE LOT AREA <br />TYPE OF CANST. OCCUPANI <br />SIZE Of BLDG. N0. OF ST <br />FIRE ZONE BASEMEN' <br />t. ENVIRONMENTALCHECKLIST <br />2. BUILDING PL4N5 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STA1eMENT <br />B. HEAL7H DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />- I HEREBY CERTIFY TNr1T I HAVE READ AND EXAMINED THIS AP• <br />'OURCOPiE9� PLICATION AND KNOW THE :4ME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH�S <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 REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNnT�RE OF CONTfiACiOR ,q AUTNOPIZE� AGENT DATE <br />X T(�IA A 1„ L_. ��i `�U\.��%�R— �� � l�`�-- <br />Np. — TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA � <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — HP. EA. <br />GASFIREDAC UNITS—TONNAGEEA. <br />FORCED AIP SYSTEMS — B.LU. M <br />WALL HEATLRS — B.T.U. M <br />UNIT HEATERS — B.T.U- M <br />EVAPoRATNE COOLERS <br />CLO7NES DRYERS <br />VENTILATION FAN <br />qAN �E HOOD <br />AIR HlWDLING UNIT — C <br />STOVE <br />MFTAL FlREPLACE & CHIMNEY <br />REAR YARD SETBAGK Yi.nrv cnt�n <br />VACANT SITE <br />❑YEE ❑NO <br />NO. OF DWELLING UNITS <br />BUILDING <br />MA%.00C.LOAD <br />PLUMBING <br />FIRE SPRINY.LEFS NECHANICAL <br />REOUIREU <br />❑YES ❑NO <br />BY DATE OTHER <br />PENALTV <br />TOTAL <br />APPR.FORISSUANCEBY <br />PLAN <br />FEE <br />8 <br />U.B.C. <br />SEC. 3031a) <br />RECEIPT NO. <br />L� 1 � <br />� 11 <br />PROPERLY VALIDATED (M THIS SPACE) THIS �S � ORO JMO O��(ji <br />9634 <br />m <br />M <br />�YOUR RECEIP a <br />TMr�tJK YOU <br />