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the £vergreen -� -c'O N�T R U CT I O IV� � �"4 <br />CITY OF � <br />everett P�RMIT pERMIT NO. 09070 <br />CITY HALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBIN(i <br />OWNER MAILADpRESS CITY ZIP PHONE <br />ARCHITECTORDESIGNER MAILA,iDRESS CITY ZIP PHOkE <br />GENER�LCANTpACiOR MAILP�04E55 CITY ZIP PMONE UCENSEI <br />BdLt10W <br />MECHANICAI GONTRACTOR MAIL ADDPE55 CITY ZIP PMONE IIGENSE I <br />PLUMBING CANTPACTOR IAAIL ADDflE55 Cltt 21P PHONE LICENSE � <br />South County Plumbing P,O. Bax 629 Lynnwood, Wa. 98036 743-2444 <br />cuss oF wr,aK <br />❑NEW OADDITION ❑ALTERATION i]REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />s <br />OF <br />�or__aia�oF <br />JCB RD�I:E55 <br />2911; Hewitt Avenue <br />PLUM91N0 <br />NO. <br />WATER C <br />RATHTUE <br />2 LAVATOR <br />SHOWER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />OqATTACHFOUflCOPIES) PLICATION AND KNOY! THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCe OF CONSTRUCT+JN. <br />SIGNATUPE OF fANiMC10R OR AUiHOPIZFD AGENT DPTE <br />X <br />MECHANICAL <br />TYPE OF FIXTURE OH ITEM�� <br />LAUNDRY TMY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />OHINKING FOUNTAIN <br />FLOOR DPAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAI <br />SINK ISERVICE — BAI <br />SIDE YARD SETBACK <br />� �SE ZONE <br />TYPE OF CANST. <br />SIZE OF BLDG. <br />STREETSETBACK <br />NO.OF <br />BASEMENT <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYOR/+NT <br />/. FIRE PROTECTION SYSTEM <br />5. GRADING _ <br />6. DMINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTM DISTRICT <br />RtAR <br />VACANT SITE <br />OVES ❑NO <br />OA- <br />UNITS <br />EOUIPMENT <br />AIR CAND. UNITS — <br />3ATION UNITS — H.P. EA <br />— H.P. EA. <br />'D A G UNITS — TONNAGE EA. <br />AIR SYSTFMS — 9T.U. M EA. <br />WALL HEATERS — B' <br />11NlT HEATERS — B.T <br />— C.F.M. <br />FEE I RECEIPT NO. <br />FEE <br />BUILDING 5 <br />PLUMBING 1% 00 <br />MECHANICAL <br />OTHER <br />PENALTY U.8 C. <br />SEC. 303 (a) <br />TOTAL 17 O O <br />WHEN PROPERLY VALIDA7ED (IN 7HIS SPACE) THIS IS YOUR PERMIT <br />t�i3 �111.00 - g <br />� <br />r _ Qi <br />