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rheEvergreen C�►NSTRUCTION � ' <br />CITY OF <br />everett PERMIT pERMIT N0. O%931 <br />GTY HALL 259�0745 <br />EVERETT. WA 9820t ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />OWNER <br />MAILAD�RE55 CITY ZIP PHONE <br />Roy Wishon <br />qRCHITEGT OR DES�GNER <br />MRII AO�RF55 CITY ZIP PMDNE <br />GENERPL G]NTPACTOR MAII PDDPE55 CITY 21P PNONE UCENSE � <br />Damaqe Repair Services Box 2045 Everett 98203 337-4222 <br />EIECMANICAL fANTPAC70R MAIL P�DPE55 CITY 21P PNONE LIGENSE � <br />PLUMBING CONiRAI:TOR <br />MAIL ADDRE55 CIiY 21P PHONE LICEIlSE 1 <br />CUSS OF WORK <br />❑�:eY.' ❑ADDITION ❑ALTERATION G�EPA�R <br />V�LUATION OF WO'�K <br />f 4r000.00 __ <br />DESCR�BE WOP.K <br />Repair Fire Damage <br />PRJPOSED USE Of BUILOING <br />Single Family Residence <br />LEGAL �ESCFIPTION Oi PROP[RTY �SMOW BELOW OR ATTACH fOUR COPIES) <br />5 610 Everett <br />LOT BLd:K�OF <br />Rockefeller <br />PLUM61N0 <br />0 <br />� <br />USE <br />FIFE <br />STREET <br />CGZ.7tl <br />1. ENVIRONMENTAICHECKLIST <br />2. BUILOING PIANS _ <br />3. FIRE HYDHANT <br />4. F�RE PROTE(.'TION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />'!. ENYIRONMENTALIMPACTSTATEMENT <br />e. HEALTM DISTHICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />REARVAR� SETBACK <br />yACANT SITE <br />❑YES ❑NO <br />❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRE::T. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESIiME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUA OF �fQ1�Ni7PACTOR OR AUTNOR12ED AGE/y�/, OnTE <br />Y �• //�/)� ,,, . .e�.d-' � 7/11/BO_ <br />MECHANICAL � / <br />N0. TYPE OF EOUIPMENT <br />AIR CAND. UNIT$ — H.P. EA. <br />REFRIGERATION UNITS — H P. EA <br />BO�I.ERS — H P. EA. <br />GAS FlHED A.C. UNIrS — TONNAGE EA. <br />FORCED AIR Sv5TEM5 — 0 T.U. M <br />WALL HEATERS — L1.T.U. M <br />UNIT HEATCNS — 8 T.U. M <br />EVAFORATNE COOLERS <br />CLJTH@S DRYERS <br />VENTILATION FAN <br />RANGEHO00 <br />APPR.FORISSUANCE BY <br />K.C. <br />AIR <br />8 <br />PLUM�ING <br />MECHANICAL <br />C.f <br />FEE <br />s 4000.00 <br />U.8 C. <br />SEC. 3031a) <br />FEE <br />RECEIPT NO. <br />FEE <br />28100 <br />28100 <br />WHEN PROPERLY VALIDATED (IN THIS SPAChEI� �iIS YOUR POEf�[AI�. O^ �,�w�4 � <br />J 1 Za U ' <br />� M <br />YOUR RECEIP� <br />TF!ANK YO� <br />II . .�. �'' :1 � 0O . <br />ADDRESS FILE <br />L. <br />