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the Evergreen �� N ST R U CTI O N <br />qTY OF <br />everett PERMIT PERMIT iVO. 1.066� <br />CITY HALL 259�8745 <br />eveF;rr,wn sszoi ❑ COM8INATION ❑ BUILDING �MECHANICAL PLUMBING <br />O�Y��EB <br />MAIL AOOPE55 CRY ZIP PHONE <br />Rob Lund 3007 Panaview Blvd. Everett 98203 353- <br />ARCMITECT OR OESiGNER MAIL A�DRE55 CITV ZIP PHOtIE <br />G[NfRALCONTRAGTOR MA�L��DFE55 CITY ZIP PHONE LICENSE� <br />Same <br />MLCHANICAL CONTR4CTOR MAIL A�OPE55 CITV 21P PHONE L�CENSE � <br />PLUMBINGCOMRACTOR MPILA��PESS CITY 21P PHONE UCENSEx <br />CLAS$ OF VJOPK <br />❑NLW <br />YALUAiION GF WOPK <br />5 <br />DE�CRIOE \YORK <br />PROPOSED CSE Of AWLDING <br />l[GAL �ESCRIPiION OF PPOPERi <br />N.25 �_ <br />LOT 6LOCK__OF <br />S 25'-55 <br />❑ADGIT;ON ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGE <br />�SNOYI BEL05'/ OR ATfACH FOl1R COPIE51 <br />Beverly Hills #3 <br />VV 6420 A. Fleming Street <br />PLU:IBING <br />NO. TYPE OF FIXTURE UR ITEM <br />SI <br />SIDE YAHD SFTBACK I STREET S[TBACK <br />USE ZONE � LOT AHEA <br />TYPE <br />SIZE OF BLDG. NO. OF STORIGS <br />FIFE ZONE BASEMENT <br />i. ENVIRONMENTf-1 CHECK LIST <br />2 Bl'ILDING PU+N$ <br />3 FIRE HYDRANT <br />4. FIF= PROTEC110N SYSTEM <br />5. GRADING <br />6. DRAINAGB <br />7. ENVIRONMENTAL IAIPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLI�.^,.�.TION ACC. BV PLANS CHECKED �Y <br />RcAR VARD SE76AGK <br />VACFNT SITE <br />i iYES ❑NG <br />NO.OF DWELLING UNITS <br />MAX.00C.LOA� <br />FIRE SPflINKLERS <br />R[GUIPED <br />f 1YES i1N0 <br />9Y DA7E <br />APPR. FOH ISSUA':GE bY <br />I HcREBY 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 />TY°E 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 CANCELTHE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCA W REGULATING <br />COfJSTRUCTIO OR HE P FORMANCE CO STRUCTION. <br />p AGENi DATE <br />si�y.u�ne 'n .�,�. .14/II2 <br />l <br />TYPE OF E�UIPMENT FEc <br />AIR COND. UNITS — H.R EF. <br />FEFHIGERATION UNITS — H.P. EA <br />BOILERS — HP. EA. <br />G�S FIRED A.C, UNITS — TONNAGE EA. <br />FORCED AIR SYSTEl.15 — 9? U. M EF <br />\l'ALL HEATERS — �.T.U. �+� <br />UNIT HEATERS — B.T.U. �� <br />EVAPORATNLCOOLGRS <br />CLOTHES DPYERa <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — _ _ C.F.M•. <br />oUe <br />�UILDING <br />McCHANIC�L <br />OTHER <br />PENALTV <br />FEE <br />7 <br />U.B.C. <br />SEC. 303 fa) <br />FEE <br />RECEIPT �:0. <br />FEE <br />% <br />� vn��un��..�. <br />PPOPERLY V.4LIDAIED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 81 � S 0 i �. 5 0=--- � <br />%Q <br />YOUR RfC�iPT � <br />ThIANK Y(OU <br />ADDRE55 PILF <br />� 5 ,lu� 82 <br />