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�he Evergreen r� NST R U CTIO N <br />cirr uF <br />everett PERMIT PERMIT N0. 1145Z <br />C11Y HALL 259�B7a5 <br />EVLRETT, WA sezo, ❑ COMBINATION ❑ BUILDING �; MECHANICO.L ❑ PLUMBING <br />OWNER MAII AUDRE55 <br />CITY ZIP PHONE <br />EILEEN CRANNEY 15827 Cascadian IVay Bothell 98011 743-1102 <br />PRGHIIFGTORDESIGNER MAILAO�RESS CITY 21n PNONE <br />__'_.__._.. ,•�^��^""••"' arv ZIP FHONE LICENSE� <br />Owner <br />MECHANICALCANTRACTOR MA1I.ADDRESS CIiY 21P P!IONE LICENSE� <br />PlUM01NGCONiRAGTOR MAILA�OR[55 CITY ZIP VHONE UCENSEI <br />CLASS OF WOFN � <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEh10LITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />OESCRIBE WORK <br />Wood stove in basement <br />Residence <br />LEGAL DESCRIPiION OF PROPERiY �S40W <br />LOi l3lOCK_OF _ <br />JOf3A0pNE�5 <br />2321 Rainier <br />PLUMBING <br />NO. TYPE <br />WATER CLOSET �TO <br />BATHTUO <br />LAVATORY �WASH F <br />SH0IVER <br />KITCHEN SINK 8 DI <br />DISHIV��SHER <br />LAUNDRYTRAv <br />CLOiNES YlASHER <br />WATER H[ATER <br />UFINAL <br />DRINKING FOUNTA <br />F�OOR DRAIN <br />VACUUM BREAKLP! <br />ROpF DRAINS — F� <br />SINK ISERVICF — A <br />OF FIXTURE OR ITEM <br />SUBTOTAL <br />SIDE YARD SETBACN � STRE[T SETBACK <br />LOT AREA <br />TYPE OF CONST. <br />OP BLDG <br />1. ENVIRONMENTAL CH[CK LIST <br />2. BUILDINGPLANS <br />3. FIRE HYDRANT <br />4, FIRL PROTECTION SY:iTEh1 <br />5. GRADING <br />5. ORAINAGB <br />7. ENVIRONMENTaLIMPAC7STATEMENT <br />d. HEALTH DIS'RICT <br />APPLICATIOP: ACC. BV PLANS CHECKLD 9Y <br />VACANT SITE <br />'YES CNO <br />APPq.FORI55UANCEOV <br />I HEREBY CEFiTIFY TfiAT 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 GOVERNING THIS <br />TYPE OF WORK WILL BE COMPUED WITFI WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF .0 PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR C4PICFL THE PPO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAV� ''EGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSThJCTION. <br />SiGNAiUP��� ACJO ORFU1110PIZE0?GENT DAiE <br />X z ,+n..,/ 1/21/83 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />,�ia corau. uNirs — N.e ea. <br />REFqIGERATIUtJ UNIiS — IIP. EA <br />F301�ERS — H P. EA <br />GAS PIRED A.0 UNITS — TOVNAGE EA. <br />FORCED AIR SYSTEMS — 8 � U. M EA. <br />IVALL NEATERS — E3.T.U. M <br />UNIT HEATERS — D T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />V°NTILAiION FAN <br />itA�.G[ HOOD � —� � � � — <br />!JR HANDLING UNIT - C F.M. <br />STOVE � �� ' �— <br />tdEL�L FIpEPIACF `� ' ��� <br />1 iV o o� -- <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLnIJ CHECK NUIdOEa PLAN CI <br />FE[ <br />FEES VALUATION <br />BUILOING S <br />MECHANICAL <br />�THER <br />PENALTY <br />U.B C. <br />SEC. 3C3 (a) <br />FEE <br />RECEIPT NO. <br />17 �SO <br />PROPERLY VALIDATED (IN THIS SPACE) iH15IS YOUR PERMIT <br />2565 s011.50-*n4' <br />� <br />� <br />� YOU'R RECEIPi <br />� r�+AN� You <br />ADDRESS FILE <br />24,�83 <br />� <br />� <br />� <br />