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�he Erergreen �'�� C7 N ST R U CTIO N- -� �� <br />CITY OF <br />everett PERMIT PERMIT N0. 1OOOH <br />GTY HALL 259�8745 <br />EVERETT. WA sazai ❑ COMBINATION Gc�BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MRILADDPE55 CIiY ZIP PIIpNE <br />Herbert E. Laun 2612 Harrison Everett 98201 258-68;0 <br />ARCNiLEGTORDESIGNER Ml.ILADDRE55 CdV 21P PNONE <br />GENEPNLCANiRACiOR MAILADDRE55 GITY ZIP PHONc LICENSEI <br />MEGHANICRL CONTPACTOP MAIL R�DRESS CITY Z:F PHONE LICENSE � <br />PLUMBINGCANTRACTOR NAILA�pRE55 GiY ZIP PMONE LICENSEI <br />QA55OF WORK <br />�DLIEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S %5�.�� <br />DESCRIBE WORK <br />Inatall chimney <br />LOT BLOC�_OF <br />2612 Harrison <br />PLUMBINO <br />WATER CLOSET <br />CLOTMES <br />WAiER H <br />UAINAL <br />VACUUM BREAKERS <br />ROOF ORAINS — RA <br />SINK ISEFVICE — B< <br />SIDE YARD SETBACK <br />TVPE OF G <br />SIZE OF BL <br />FIRE ZONE <br />PERMIT <br />TOTAL! <br />SiREET SE <br />LOT AREA <br />L ENVIRONMENTAI CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HV�RANT <br />4. FIRE PROTECTION SYSTEM <br />S�GRADING <br />6. DRAINAGE <br />7. ENVIflONMENTAL IMPACT STATEMENT <br />9. HEALTH DISTRICT <br />_—_' — 1__ <br />FEE <br />REAP YAflD 5 <br />VACANT SITE <br />❑YES ❑NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TfiIS AP• <br />PLICATION AND 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 WHETHER SPECIFIED <br />HEREIN OR NOT. 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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT�F�N�C7� P /�TMJNIZ[D AGENT DATE <br />�� 11/13/81 <br />X P <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />AIR CAND. UNITS — IIP EA <br />REFFIGERATION UNITS — H. <br />1301LERS — N.P. EA. <br />GAS FIRED A.C. UNITS — TO <br />F ORC[0 AIR SYSTEMS — B.1 <br />VJALL HEATERS — B'i.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATWE GOOlERS <br />CLOTH[S ORYERS <br />VENTILA710N FAN <br />NO. OF DWELLING UNITS <br />BUILDING <br />MA%.00C.LOAD <br />PLUAI�ING <br />FIRE SPPINKLERS MECHANICAL <br />REQUIRED <br />fIYES ClNO <br />BY DATE OTNER <br />PENALTV <br />TOTAL <br />�� <br />EA. <br />M <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />�ABER PLAN <br />FGE <br />FEES VALUATIOF <br />$750.00 <br />U.B.C. <br />SEC.3D3(a) <br />RECEIPT NO. <br />ree <br />14150 <br />14 I50 <br />WHEN PROPERLY VALIDAT[0 (IN TNIS SPACE) THIS IS VOUR PERMIT <br />I I _ M <br />i � <br />� <br />� <br />.� <br />