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rhe Evergreen C�IST R U CTIO N <br />CITY OF <br />everett PERMIT pERMIT NO.O733H <br />pTY HALL 259�8745 <br />EVERETf. WA 982(It ❑ COMBINATION ❑ BUILDING Cx�cMECHANICAL ❑ PLUMBING <br />OWNER MAILAOOflE55 CIIY ZIV PHONE <br />W. S. Garrioch 3315 Federal <br />AfiCMITECT OR D[SIGNER MAILAODflE55 CITY ZIP PHONE <br />GENEFALCONIRACTOq MAILAODRE55 GTY 21P GNONE LICENSEI <br />MECNANICAL CANTNACTOF MAIL ADORESS CITY ZIP PHONE LICENSE 1 <br />Natural Gas Equipment 1611 East Grand 259-2441 <br />PlUM81NGCONTRACTOR MAILADDRESS CIiY ZIP PHONE LICENSE/ <br />❑NEW <br />VALUATION OF WORK <br />5 <br />UESCFIBE WORK <br />PROPOSF.D USE OF BUILDING <br />LEGAL DCSCNIPTION OF PFOPERT <br />LOT BIOC�_OF <br />PLUMBING <br />NO. <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GP.RAGE <br />Federal Avenue <br />TYPE OF FIXTURE OR ITEM <br />� <br />e <br />SIDE VARD SETBACK � STREET SETBACK <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />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 SPECIF�ED <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 />SIGNATURE OP CONTFFCTOR O,R jAUtMOPIZED AGENT DATE <br />i�����Al/.l '/�7�i�-.IhF:il�l �i'� 11lI11 <br />FEE NO. — TYPE OF EOU�PMENT <br />PiA 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 SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />USE ZONE I JT AREA I VACANT SITE <br />❑YES ❑NO <br />FIRE ZONE <br />t. ENVIRONMENTALCHECKLIS� <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4, FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. EPIVIFONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPUCATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />AIR <br />TOTAL <br />C.F.M. <br />FEE <br />S <br />7.B.C. <br />SEC. 303 (a) <br />RECEIP7 NO. <br />� 11 <br />5 <br />WHEN PROPFRLY VALIDATE� (IN THIS SPACE) THIS IS YOUR PERMIT <br />963o t005.00 =�1 <br />M <br />m <br />tYOUR RECEIP o <br />THr1NK YOl1 <br />ADDRESS F" E <br />� <br />� % I�AR $ 0 <br />