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�he£vergreen " C,�NSTRUCTIQN - -�� <br />CITY OF <br />everett PERMIT PERMIT NO.OH394 <br />CITY HALL 259�0745 <br />EVERETT, WA 98201 ❑ COMBINATION �70UILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNFR MAILApORE55 CIiY ZIP PMONE <br />Bay Wood Products Inc. Suite 203 4204 Meridian Bellingham 98225 671-2390 <br />ARCHITECT OR D[SIGNER NAIL ADDFE55 CRY ZIP PIIONE <br />GENERALCONTRACiOR MAILAD�RESS CITY 21P PNONE UCENSEI <br />Same <br />MECHRNICAL CONTRACTOR NAi� ADDRE55 CITY ZIP PHONE LICENSE I <br />MAIL ADDRESS <br />C17V ZIP PHONE LIGENSE I <br />CUSS OF WORK <br />❑NEN ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION C�i�ENCE ❑SIGN ❑GARAGE <br />VAIUATION OF WORK <br />{ %i���.�� <br />inatall 6' securi <br />Log Yard <br />IEGAL �ESGRIMION OF PROPERTV ISh <br />GoY� Lotse�a�oF _ <br />1-2 7-29-SE <br />fence <br />JOB �DDRESS <br />200 Norton <br />PLUMlINO <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATNTUB <br />LAVATORV ASH BASIN <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRV TRAV <br />CLOTHES WASHER <br />WATER MEAiER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK�SERVICE — BAF.ETCJ <br />SUE TOTAL <br />PERMIT <br />TOTALFEE <br />SI�E YARD SE7BACK STREETSETPACK <br />U�F ZONE LOT AREA <br />TYVE OFCONST. OC:UPANCY GROUP <br />SIZE Of BLDG. NC. OF STORIES <br />FIRE ZONE BASEME�T <br />1. ENVIRONMEN7ALCHECKLIST <br />2. BUILUING PLANS <br />3. FIRE HYORArI' <br />4. FIRE PROTEC7 1N SYSTEM <br />5. GRADING <br />6_L7RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APFLICATION ACC. BV PLANS CMECKF.D BY <br />E.W. <br />REAR YARD SETOACN <br />VACANT SITE <br />L1VE5 [:]NO <br />NO. OF DWELLING UNITS <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />�❑VE�S ❑�NO <br />BY I DATE <br />qPPR. FOR ISSUANCE BY <br />K.C. <br />1 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 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 LOCA� LAW REGULATING <br />CONSTRUCTION OR THE PL �'FORMANCE GF CONSTRUCTION. <br />Syi �^�TUFF. �nCTOR OR AUT dIZED AGENT DRTE <br />{� •� �/jA ,, � �� 10/8/80 <br />NO. � TYPE OF EOUIPMENT <br />AIR COND. UNITS — H P. EA. <br />REFRIG@RATION UNITS — H.P. EA <br />nuacna — nr. er,. <br />GAS FIRED A C. UNI7S — TONNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B T.U. M <br />PIAN CHECK NUMBER <br />eui�owc <br />PLUMBING <br />MECHANICAL <br />PF.NALTV <br />PEHMIT <br />TOTALFEE <br />PIAN � <br />FEE <br />VALUATION <br />b 7,000, <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />FECEIPT NO. <br />�� <br />I I 62I50 <br />T VALIDATION <br />PROPEFLY VALIDATED (IN THIS SPACEI THIS IS VOIiR PERMIT <br />8�i�� $061.50�--� <br />i�ri <br />� <br />`�':�UR RFC[IPTo <br />' I-i�1VK YOU <br />. <br />