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theEvergreen `7NS�RUCTION � <br />GTY OF . <br />everett PERMIT PERMIT NO.O8%Z7 <br />CITY HALL 259�8745 <br />EVERETf, WA 98201 ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br />OWNER MRILACDRE55 CITY ZIP PHONE <br />PHILIP NAD SANDRA DUFFY 2903 1/2 HEWITT 258-2771 <br />ARLNITECT OR DESIGNER MnIL ADDRESS CITY Z�P ��E <br />GENEHAL CANTRACTOR M�IL A�DRE55 GITY IIP PH0�1E LIGENSE / <br />PAUL BARTL�W CONSTR 10406 40th Ave S E EVERETT 98204 '+'�7-6912 <br />MECNRNIGLCONTPACTOR MAIIADDRE55 CITY 21P MONE LICENSEI <br />PLUAIBINGCANTRACTOR MAILADDRE55 CITY 21P �MONE LICENSE/ <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR _pDEMOLITION ❑FENCE ❑SIGN ❑GAMGE <br />]L <br />3 <br />DESCFIBE WONI( <br />INTHRIOR DEMOLIZ <br />PROPOSED USE OF BUILDING <br />tEGAL �ESCPIPTION OF PPOPERTV �SHOW <br />ior 5fi 6ei.ocr�55oF S <br />JOB A��Ht55 <br />290Q 1/2 <br />PLUMBINO <br />DRAIN <br />DRAINS — <br />iFRVICf — <br />SIDE YARD SET�ACK <br />USE ZONE <br />TYPE OF CANST. <br />SIZE OF BLDG. <br />FIRE ZONE <br />ITEM <br />STflEET SETBACK <br />LOT AREA <br />OCCUPANCY GROUP <br />N0. OF STORIES <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />n. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. D 7AINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED 9Y <br />ew <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUM E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VIS�ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSiAUC N OR THE PERFORMANCE OF CANSTRU :TION. <br />sir.uatu F IRACTOilDRAUTHOR2EDAGENT �A�E <br />NO. TYPE OF EOUIPMENT <br />AIR CAND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOLLERS — HP. EA. <br />GAS FIRED A.G UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — BT.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C <br />REAR YAPD SETBACK PLAN CHEGK NUMtltH <br />VACANT SITE FEES <br />L1YES ❑NO <br />NO.OF DWELLWG UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIRE� <br />f 7YES ❑NO <br />BY DATE OLHER <br />PENALTY <br />TOTAL <br />FEE <br />$ <br />U.B,C. <br />SEC. 303 (a) <br />RECEIP7 NO. <br />WHEN PROPERLY VALIOATED ON THIS 59AC6+T�IS IS Y,DVR oEMllT1 O_ 'I <br />. U ll U � <br />N <br />�, - - i (:�'j 00 <br />i , i. . <br />. , � � Ii � <br />qppR. FOR ISSUANCE BV � �� '� V <br />kc <br />