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a <br />�he Evergrcen � O N�T RU CTI O�I � <br />Giv OF <br />everet� PERM�T pERMIT NO. 1-1152 <br />CITY HALL 259�67n5 <br />EVEREI7. NJA �ezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />ow��THERINE SMITH �•^^��aooaess ci.v ziP PiwNe i <br />2227 LOWELL ROAD EVLRETT 98201 353-24G6 <br />APLMRECT OF DLSIGNER MAIL AOORF55 CITY ZIP PHON[ <br />GCVEHALCONiRACiOR MAILAODRc55 Cltt ZIP P��ONE LICENShe <br />ce`!=.RLTT BLDP.S 5606 Evergreen 14ay Everett 'r7A 9II203 353-7161 <br />MECFANICALGONiRFCTOR MPILAODRE55 CITY ZIP PHONE LICE��SE � <br />223 O1 EV ER EB 301PI- <br />PWMBINGCONTfiACTnq MAILAD�RE55 CITY 21P PNONE LICENSEe <br />��"vr••�^,• ❑ryEW CADDITION ❑ALTERATION �REPAIR ❑DEMOLIiION �FENCE ❑SIGN ❑GARAGE <br />VALUAT106 OF YlORN . <br />5 25�6.Q0 <br />Reroof - composition <br />aaorosco uSE oF aui�oir�c <br />Residence <br />IEGAL OESCPIPTION OF PPOPCPtt �SHOLV pLLOW ON AT <br />�oT eiocK_oF I�O <br />6 000 014 0007 <br />2227 Lo�aell Rd <br />PLUMBING <br />NO. TYPE OF <br />OR ITEM <br />KITCHEN SIIJK 8 DISP. <br />OISHWASHER _ <br />LAUNDRV TRAY <br />CLOTHES WNSHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAWS — RAWLEADERS <br />SINK �SEFVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />T0T1L FEE <br />SIDE YARD SETBACK STHEET SETBACK <br />USE ZONE LOT AREA <br />TYPE OF CCNST. OCCUPANCY GR( <br />cnc nr ai nr, NO. OP STORIES <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE P(10TECTION SYSTEM <br />5. GRADING <br />6. ORAIYAGE <br />ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />I HEREBY CERTIFY TFIAT I HAVE READ ANC EXAMINED TFIIS AP- <br />PLICATION AND KNOW THE SAMF TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAVJS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINC <br />CONST CTION OR THE PERFORMANCE OF CONSTRUCTION. <br />S�GNniVB� ' C04iR4CiOR fO�jNORIZ[D AGENi D4iE <br />i� � /t—�'/`�9 ���J 1�/Z�/OZ <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FE� <br />AIP COND. UNITS — H.P. EA. <br />REFRIGERF.TION UNITS — H P. EA <br />FOII PRS -- H.F EA. . _ _ <br />GAS FIPEC A.C. UNITS — TONNMit tH. <br />FORC[D PIR SYSTE�AS — B T.U. M EA. <br />IVALL HElSERS — B. i U. M <br />UNIT HEATERS — �.T.U. M <br />EVAPORF,TIVE COOLERS <br />VENTIL<,TION <br />RANG[HOOD <br />STOVE <br />META� PIREPLACE 8 <br />REAR VAFD SETBACK PLAN GHI:GK 1 <br />VACANT SITE — <br />:iYES ❑NO <br />NO. OF DWELLING U��ITS <br />�lUILD�NG <br />M,ix.occ.�onn — <br />PLUMBING <br />RPE SPRINKLEI7S MEC4ANICAL <br />REOUIRE� <br />[IYES ❑NO <br />8Y DA7E OTFiER <br />PE'JALTV <br />TO7Al <br />APPR. FOR ISSUANCE BV <br />FE[ <br />VALUATION <br />�2586.a� <br />U.B.i.. <br />SEC. 303 (a1 <br />FEE <br />RECEIPT N0. <br />FEE <br />�� <br />FERMIT VALIDATION <br />\VHEN PROPERLY VALIDATED QN THIS SPACE) THIS IS YOUR PERMIT <br />ri <br />94q0 so3a:50--� <br />� <br />YOIfR RECEIPT � <br />iN�,NK YOU <br />ADDRESS FILE <br />���cT 8Z <br />- -� <br />", <br />