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1heEvergreen ^ r ONSTRUCTION - '^ <br />CITY OF <br />everett PERMIT PERMIT NO. 09436 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADORE55 CITY ZIP PMONE <br />A F JOSEPHSON 6230 Flemina Everett 98203 353-4419 <br />AflCHIiEGT OP OESIGNER MAIL ApORE55 dTV ZIP PNONE <br />GENERAL CONTRACTOB MAIL ADDRE55 GTY ZIP PHONE LICENSE I <br />�wner <br />MECHANICAL CANTRACTOR MFIL ApDRESS GTY 21P PHONE LIGENSE I <br />PLUMBINGCONTRACiOR MAILAODRE55 CITY ZIP PHONE LICENSEI <br />CL455 OF WOflK <br />❑NEW ❑ADDI710N ❑ALTERATION XXxREPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />SLVV�VV - <br />DE RIBE W PK <br />�orc repair <br />LOT4$ BIOC�_OF <br />PLUMBIN� <br />WATER <br />TYPE OF <br />WASHER <br />DRAINS — <br />�FRVICE — <br />SIDE �ARD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />FOURCOPIES) PLICATION AND KNOW THE SAM[ 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 DOtS 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 jXiE'JR�ERFORMANCE OF CONSTRUCTION. <br />SIGNATl1RE OF CONTRACTO��OF AUI+�OFIZED AGENT OATE <br />S7REETSE7dACK � REAR <br />LOT <br />STORIES <br />1. ENVIRONMENTALCHECKLIS7 <br />2. BUILDING PlANS <br />3. FIRE H'fDRANT <br />4. FIR[ PROTECTION SYSTEM <br />5. GFADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTFiICT <br />MECHANICAL � <br />FEE N0. TYI <br />AIR COND. UNII <br />REFRIGERATIO� <br />BOILERS — H.P <br />GAS FIRED A.C. <br />FORCED AIR SY <br />WALL HEATERS <br />UNIT HCATERS <br />EVAPORATIVE C <br />CLOTHE$ DRYE <br />VENTILATION F� <br />RANGEHOOD <br />AIR HANDLING <br />VACANT SITE <br />❑YES ❑NO <br />DATE <br />;K PLAN CHECK <br />UNITS <br />BUILDING <br />t31' <br />PENALTY <br />E OF EQ <br />— H.P. F <br />UNI7S — <br />STEMS — B.T'U! <br />— B.T.U. <br />— B.T.U. <br />FEE <br />M <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />�0 <br />WHEN PROPERLV VALIDA7ED (IN iHIS SPACE) THIS IS YOUR PERh11T <br />i.o <br />�:10 `���.C'� �� <br />� <br />� <br />