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. <br />theEvergreen � CO�STRUCTION <br />GTY OF ' <br />evecett -PERAIIIT PERMIT NO. 06461 <br />CITY HAIL 2°3�8745 <br />EVERETi. Wi. 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINO <br />OWNER �ARhDURF55 CiLY ZiP PHONE <br />Stan Hendrickson 2720 Harrison Everett 98201 252-3435 <br />n9Cr�nCCTORDE5IGNCR MAILADDRE55 CIiV ZIP PMONE <br />GENERA'.CONTRAGiOP MAILADOREiS Cliv 21P �MONE lIL[NSEi <br />Same <br />IAEC��FWGAICANTRAGIOR MFILAppRESS CIIY 21P PHONE IICENSE� <br />['WMBINGCONTPACTOd AIAILAD�RE55 CITv ZIP PnONE UCENSE� <br />GLlSS Of YlORK <br />❑NEw ❑ADDIiION ❑ALTERATION �REPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />E5�0.�� <br />SCniBE WORN <br />ReAair existin <br />vAoroseo Use oF <br />LEGAL �LSGRIPiION O� MO�EBtY ISNOW BLIVw OX nI IncH Ywfl wnwl <br />or 25-2����4�F Ruckers 2nd Add. A. <br />S'� 25- N'� 26 <br />duu nuun�so <br />2723 Harrison <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSE7 ITOII ETI <br />�ATHTUB '-- <br />LAVAIOqV pVASH DASIN) <br />sHowEr� <br />KIiCHCN SINH A DISP. <br />DISHWASHEfi <br />LAUNDRYIRAV <br />CLOTHES V/ASHER <br />WATER HEATER <br />nwr vnnirvo — <br />SINK �SCRVICE — <br />SIDE YAPD SFT�ACH <br />USE ZONE <br />T�PE 0� CONST. <br />SIZF OF �LDG. <br />RRE ZONE <br />STRIET SI T13F.CK <br />1 OT PPE4 <br />OCCLIPANCY GROUP <br />L ENVIRONMENTAL CHECK LI57 <br />2 BUILDINGPLANS <br />9. FIRE HVDRANT <br />4. FlPE PROTECT!ON SYSTEM <br />5 GRADING <br />6. DRAINAGE <br />7. ENVIRONMBNTAL IMPACT STATEMENT <br />REAR YARD SR�ACI( <br />[1VLS LiNO <br />!dA% OCC. <br />8. HEALiH DISiRICT <br />APPLICATION ACC. BV PLANS CHECKED BV APPR. FOF ISSUANCE dY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIKG THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A F'ERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY i0 VIOLATE OR CAPJCEL TIiE PRO• <br />VISIONS OF ANv OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OF THE PERFOFMANCE OF CONSTRUCTION. <br />Cil:IlAillll{LbfOfAiiACiORORFIIIY�CRIjF�AGENT UAiE <br />X� <br />MECHANICAL <br />NO. <br />TYPE OF E�UIPMENT <br />UNITS — H R EA <br />SION 11NIT5 — HP. EA <br />�O!LERS — NP. EA <br />GAS RRED A C. UNITS — <br />FORCED A�R SYSTEMS — <br />IVALL HEATERS — B.i U <br />UKIi HEATEHS — B T U. <br />LVAPORA?IVE COOLERS <br />CL07HES DRYEPS <br />VEMILATION FAN <br />PANGEHOOD <br />AIR HANDLING UNIT — <br />'LAN CHECK NUM�ER <br />FEES <br />�UILUNG <br />PLUMBING <br />MECHANICAL <br />M <br />M <br />fE[ <br />PLAN CHECK FEG <br />FEE RECEIPT NO. <br />VALUATION FEE <br />5 <br />PENALTV U.B C. <br />SEC. 303 (a) <br />TOiAL <br />PERMIT VALIDATION <br />WHLN PROPERLY VALIDATED pN THIS SPACE)1HI5IS VOUR PERMIT <br />ozo� �Q05.Q0 �+ � <br />� <br />� <br />,YOUR RECEtE7 � <br />, TI.-IANK Y?pU � <br />, _ . . <br />.,,_ <br />:ss Fi � ; , : j )9 <br />