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�heEvergreen � C�ySTRUCTION �'- <br />CITY OF p ERM IT � <br />everett PERNiiT Yil�. ���08 <br />CITY HALL 259�8745 � COMBINATION ❑ BUILDIN(i ❑ MECHANICAL ❑ PLUMBIN� <br />EVERETT. WA 98201 <br />�in. ZiP VMONE <br />OW NEP MAIL ADDPE55 <br />" " nnnnl 999�ii'ii�i —_ <br />ARCMITECT OR DESIG R MAIL FOORta� --' - <br />GENENAL CONTRACTOIi MAIL AOOAE55 <br />QTV 21P RIONE LICENSE / <br />Fred Detert <br />MECHANICAI GONTPACTOR IAAIL ADDRE55 <br />CITY 21P PHONE LICENSE I <br />PIVMBING CONTW.GTOR MAIL AD�RE55 <br />CITY ZIP PMONE IILENSE � <br />CUSS OF WORK <br />L�NEyy ❑ADDITION <br />VALUATION OF WORK <br />� f15�0�00 <br />DESCN�BE`Mq1K <br />Repair Roof <br />rnoaoseo use or- euuoiNc <br />�E� ��i� � �an tsNow ee�ov <br />P7'N 1_7ioaLfilSF �11Cke <br />i <br />.qB �DDPES6 <br />i 2601 Grand <br />I KUMnNo <br />� Np, TI�PE OF Fl)(TIIIIE <br />WATER CIOSET OILE <br />e�rrrtue <br />F �: UVATORY N/SM B�SIN <br />6MOWER <br />, � ( KITCHEN SINK 6 OISP. <br />OISHWASMER <br />� UUNDRV TRAV <br />iCLOTHES WASNER <br />WATER HEATER <br />N�' c uV ICFGVICF — <br />SI�E YARD <br />USE 20NE <br />TYPE OF C( <br />SIZE OF BL <br />FIRE ZONE <br />STREET <br />❑P.L7EMTION �REPAIR GDEMOLITION ❑FENCE ❑SIGN L7GNRAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />OHATTACH FOURCOVIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS <br />TYF'E OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEIiEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />CA� STR � TION OR THE PERFORMANC�OF CA STRUCT ONNG <br />PGNRTURE O CONTRACTOR OR Aj�TMORIZED nGENT — DATE <br />� �� 6-9-80 <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PIANS <br />3. FIRE NYDRANi <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRIGT __ <br />APPLICATION ACC. BY PLANS CHECKED BV <br />VARD <br />❑VES ❑NO <br />APPR. FOR ISSUANCE BY <br />TYPE OF EOUIPMENT FEE <br />JR CAND. UNITS — N.P. EA. <br />IEFRIGERATION UNIiS — HP. FA <br />IOILERS — M.P.EA. <br />iAS FIRED N.C. UNITS — TONNAGE EA. <br />'ORC:D AiA SYSTEMS — B 7.U. M EA. <br />NALL HEATERS — B T.U. M <br />1NIT HEATERS — B TL. M <br />:VAPORAiIVE COOL�7S <br />:LOTHES DRVERS — <br />✓E^.TILATION FAN <br />RANGEMOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />PLUMBING <br />MECNANICAL <br />OTHER <br />PENALn' <br />T0TI1L <br />FEE RECEIPT NO. <br />VALUATION FEE <br />E 1500.00 15 UO <br />U.B.C. <br />SEC. 3031a) <br />15 <br />T YILLIUw�n+n �g� y S� �� O O �� 1 <br />PROPERLY VALIDATED (IN THIS 5��T� �S IS Y I �., <br />� <br />YUUR RECEIP� <br />THANK YOU � <br />