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�heEvergreen � �7NSTPtUCTlON � <br />CITV GF <br />everett PERM11' PERMIT N0. 10032 <br />CITv HqLL 25&8]a5 <br />evea=_rr wa �ezo� ❑ COMBINATION �BUILDINC ❑ MECHANICA!. PLUMBING <br />U4NEA <br />�nnunoor+ess - ci.r ziv a��or+e <br />Pic—aDilly 1902 S.E.Everett hfall Way Everett <br />AROu1EGT OR OESIGNER <br />I.IhIIAD�PE55 �IiV ZIP PHONE <br />GFNE(1ALCO4LRACLOR UAI'.AOOPESS CIiY ZIP FNONE IICEN5E1 <br />Campbell Neon 1120 Fairview North Seattle 98109 623-1364 <br />MAIL AODRESS CIiY 21P CHONE LIGENSE I <br />1dECHANICAL CANiRAGiOR � <br />CA MP BI 2220Q <br />ni uuiaiuf, fA1QflACTOR <br />AIAILADDRE55 CITV ZIP PNONL UGP'SEI <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GAFAGE <br />;2,000.00 <br />iCA10E WOPK <br />install illuminated <br />LEGAL DESGRIPiION OF PPOPEPTY ISNOW OELOW <br />LOT BLOCK_O� <br />1402 S.E <br />PLUMBING <br />SIDE YAPD <br />Everett Mall Way <br />& <br />0 <br />� <br />STR[LT SETI3AC1: <br />AREA <br />OF <br />APPROVALS '_ <br />1. ENVIRONMENTALCHECKLIST <br />2. 6UILDING PLANS <br />3. FIRE HVORANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEAITH DISTRICT <br />APPLICATION ACC. BY PLANS CNECKED BY <br />I HEREBY CERTIFY THAT I hiAVE READ AND EXAMINGD THIS AP� <br />PLICATION AND KNOW TF" SAME TO BF. TRUE AND COFRECT. <br />ALL PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS <br />TYPE OF WOHK WILL BE COMPLIED WI?H WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOR ITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />sicnnruneoFcournAcronoan�.�oaizEonceNi 17./23/81 <br />x �,vk1�C✓�-�— <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — HP. EA. <br />REFRIGERATION UNITS — HP. EA <br />BOILERS — H P. EA. <br />GAS FIRED AC. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B TL. I <br />YlALL 4{Eq7ER5 — 0 T.LL � <br />UNR HEATERS — B.T.U. � <br />EVAPORATNE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD � <br />AIR HAN�LING UNIT — <br />R[AR YARD SET6AGK rv+rv �ne�n i <br />VACANT SITE <br />❑YES ❑NO <br />N0. OF DWELIING UNITS <br />BUIL�ING <br />MPJ(. OCC. LOAD <br />PLUMBING <br />FlRE SPRINKLERS MECHANICAL <br />RWUIl7ED <br />I7VE5 �1N0 <br />BV OATE OTHER <br />PENALTV <br />TOTAL <br />APPR.FORISSUANCE BY <br />BAB <br />A�nress Fi�e <br />1L FEE S� I <br />PLAN CHECK FEE <br />FE� RECEIPT NO. <br />VALUATION FEE <br />L2,000.00 9 00 <br />U.B C. <br />SEC. 303 (a) <br />9 00 <br />VALIOAiED (IN THIS SPACE) THIS IS VOUP P�RMIT <br />� <br />