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tiie Evergreen /'�`� C� �►� �$�-R U CT I O N �- <br />CITY OF <br />everett PERMIT pERMiT N0. OHO3�� <br />CITY HALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MFCHANICAL ]E1 PLUMBING <br />OWNEN MAILADOflESS CITY ZiP PHONE <br />Helen Snorkland <br />ARCHITECTORCESIGNEfl MPILADDPESS CITY ZIP PHONE <br />GENERALWNTRACTOR MAILAD�FE55 GTY ZIP PHONE LICENSE� <br />MECHANICALCONTPACTON MAILAODFE55 CITY ZIP PMONE IICEN5E1' <br />PWh1UINGCONTRACTOP MAILADDRESS CIN ZIP PHONE LILENSEI <br />Robinson Plumbing 607 South Broadway <br />GLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />IEGAL DE:R'AIPTION OP PROPERTV (SHOW BELOW OF FTTAGF <br />LOT BLOC�OF <br />JOBADORESS <br />607 South Broadway <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />1 LAVATORY ryJASH BASIN) <br />SHOWER <br />1 KITCHEN SINK & DISP. <br />DISHWASHER <br />1 �AUNDRY TRAV <br />� <br />� <br />SIDE YARD SETBAG:< � STPEET SETBACK <br />TYPE OF CANST. <br />OFBLDG. I NO.OF <br />APPflOVALS <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE F{yDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTA7EMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND F.XAMIIJED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREI�V 0�� 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 />CON ;TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUPE OF CANTFACTOP OR AUTHORI2ED AGENT �ATE <br />X Check #92289 8/5/80 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILEflS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.�. ! <br />WALL HEATERS — B.T.U. I <br />n ..n IINITHFAiFRS—AT.II. ! <br />FAN <br />AIR HANDLING UNIT — <br />FIREPLACE <br />VACANT SITE <br />❑YES ❑NO <br />VALIDATION <br />APPR. FOR ISSUANCE BY <br />FEE <br />PLAN CHECK FEE <br />FEE I REICEIPT N0. <br />$ <br />U.B.C. <br />SEC. 30:+ (a) <br />11 1 00 <br />11I00 <br />QN THIS SPACE) THIS IS YOUq pERMIT <br />580N $011.00 - � <br />� <br />'�O.U`,� RECEIPT o <br />71-i,^��IK YdU <br />- � h.C� u I� <br />ADDRESS FILE <br />