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t7e Evergreen � � N ST R U CTI O N • • , <br />CI7v OF <br />everett PERh�iT pERMIT NO. 06636 <br />CITY HALL 259�9745 <br />eve�err. v✓a sazoi ❑ COMEINATION ❑ BUILDING ❑ 1AECHANICAL ❑ PLUMBING <br />OWNER h1A1LAUDRESS CIiY ZIP PHON5 <br />Charles R. Clement 5905 Lombard 98203 353-9308 <br />ARL`�RCCiORD:SiGNER MAILADURESS CIiY ZIP PI�ONE <br />GENERnL CONiRACiON MAIL AppRE55 CIi1 ZIP PHONE UCB15E s <br />Everett Builder.s 5606 Evergreen Way Everett 98203 353�7161 <br />ldECHANICFLCONiRACTOP MFILADpRE55 GiTV ZiP PNONE Li]B�SE� <br />EV ER EB 301PH <br />PWMBINGCUNiRA(:TOR MAILADDRESS CiTI 21P PIIONE LICENSE+ <br />CLl.55OF WGRK <br />❑NEY: ❑ADDITION I�XLTERATION ❑HEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAqAGE <br />VALUFTION OF YlORK <br />i 4,869.00 <br />DESC9I6E YIORH <br />Interior remodel <br />PROPOSED USE OF <br />LEGAL DESCRIPTION OF PROPERTY <br />3 12 <br />LOTy�— BLOCK—OF <br />Z—'� <br />Laurel Heights <br />ioanoor��s05 Lombard <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />N'ATER CLOSET (TOILET) <br />BATHTU� <br />LAVATORY IWASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />1VATER HEATER <br />UFINAL <br />DRIfJKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BFEAKERS <br />FOOF �RAINS -- RAINLEADERS <br />SINK �SERVICE — BAR. ETCJ <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE S <br />SIDE vARD SETBACY. I STREET SFiB/+CK REA`� YARD SETI <br />USE ZONE <br />TYPE OF CONST <br />£IZE OF BL�G. <br />FIRE ZONE <br />LOT AFEA <br />OCCUPANCV <br />NO. OF STOH <br />VACANT SITE <br />:.YES '.�.NO <br />NO.OF DWEL <br />MAX <br />APPROVALS BY <br />1. ENVIRONM1IENTAL CNECK LIST <br />2. BUILDING PIANS <br />3. FIRE HVDRAN7 <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />fi. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />0. HEALiH DISTRICT <br />AFPLICATION ACC. BV I PIANS CHECKED BY I APPR FOR ISSUAIJCE 9Y <br />I HEREBY CC-RTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION A'JD 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 WHETHEP SPECIFIED <br />HEREIN OR IJOT. 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 />CONSTRUCTIOtJ OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG4ATUBE 9CGbNiRHCTpq OP Ui� i12E� a 1li DATE <br />X i/!� � �/:>�.�G-C`iC , 9/4/79 <br />�'-�'.-, � . .y <br />MECHA�JICAL <br />NO. TYfE OF E�UIPMENT FEE <br />11R COND. U41TS — H.R EA. <br />FEFqIGERATION UIJITS — H.R EA <br />BOI�ERS — HA EA. <br />GAS FIREO A.C. UNIT.' — TONNAGE EA. <br />FORCFD AIR SYSTE�dS — B.T.U. h1 EA. <br />WALL HEATERS — B �.U. M <br />UNIT HEATERS — B T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILAiION FAN <br />RANGEHOOD <br />qIR HANOLING UNIT — GEM <br />STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />BUILDINv <br />TY <br />PLAN CHECK FEE <br />FLE RFCEIPT NO. <br />VALUATION FEE <br />s 4869.00 32 <br />U.BA <br />SEG 303 (a) <br />TOTAL I I 32 IQQ <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THI51$ VOUR E�2 a Q � <br />t..7 9 �1 � ; � <br />YOUR REC�'� <br />zHAt�� Y� <br />•{ � ' <br />'.'�� ;El' I`!,. <br />�\DDR[SS FILE •• <br />