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rheEvergreen ^ONSTRUCTION � <br />C�TY OF <br />everett PERMIT PERMIT NO.OH732 <br />CITY HAL�. e59�8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDIN(i � MECHANICAL ❑ PLUMBING <br />OWNEH MAILNODRE55 CItY ZIP PMONE <br />RALPH E. HEIMPHREY 4019 FEDBRAL EVBRETT 98201 259-1512 <br />ARCHITECTOROESIGNER MAILAD�FlE55 LITV 21P PHONE <br />GENEPALCONTRAGTOR MAILADORESS CITY ZIP PHONC UCENSEI <br />MECHANIGLLONTPACTOR MAILADDPE55 CITY ZIP PHONE LICENSE� <br />SELF <br />PLUMBING fANTRACTOfl MAIL AODRES'a CITY ZIP PMONE UGENSE I <br />_"'_ _. .. _.. . <br />GkNEW ❑AODI710N ❑ALTERATION ❑REPAIR ODEMOLITION ❑FENCE SIGN GAMGE <br />VAIUAT10N OF WORK <br />S <br />DESCRIBE WOPK <br />INSTALL WCOD S�OVE <br />PROPOSEU USE JF BUIIDING <br />�EGAL OESCRIPTION OF PqOPERTY �SHOW BELOW OH Al <br />LOT eLOCK_OF <br />JOBP�DRESS <br />4019 FEDERAL <br />PLUMBINO <br />N0. TYPE OF FIXTURE OR �l <br />� <br />e <br />SIDE YARD SETBA�K STREET SETB <br />USE ZONE LOT AREA <br />TVPE OF CiNST. OCCUPANCY <br />�IZt OF BLDC. NO. OF STOR <br />FIRE ZONE BASEMENT <br />APPpOVALS _ <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTEGTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIROI7MENTAL IMPACT STA7EMENT <br />B. HEALTH OIST(iICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />VACANT SITE <br />�YES ❑NO <br />UNITS <br />APPR. FOR ISSUANCE BY <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 SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PEHMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATrIIj��` F�`�' '�FACyTn(� O HOR AGENT DATE <br />X iJlril"� ` 11Z�81 <br />L'L�� <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. E <br />BOILERS — H.P. EA. <br />�na rineu H.�. urviia— ivrvn� <br />FORCED AIR SYSTEMS — B T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HFA'�: iS — B.T.U. <br />CLOTHES DRYERS <br />RANGEHOOD <br />PLAN CHECK NUMBER <br />BUILDING <br />FEE <br />$ <br />M <br />QF.M. <br />U.B.C. <br />SEC.303(a) <br />PECEIPT NO. <br />VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />2578 $OOZ.SO-�'4 <br />� <br />� <br />,.. ., �, �C;�IPT <br />�; �, ,,_ �. <br />� , ,. � � �, .�, �, �� <br />