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dic£vergreen , . C(�ySTRUCTION � ,. <br />CITY OF <br />eveM�+� PERMIT pERMIT NO.OH131 <br />CITY HALL 259�0745 <br />[VEREI �. WA 98201 ❑ COMBINpTION ❑ BUILDING ❑ MECHANICAL PLUMBING <br />AIAIL AODREyS QTY 21P PMONE <br />OWNER _ _ _ <br />fiDDRE55 CITY �I� <br />GENERAL WNTRALTOR <br />MAIL AD�PE55 CITY Z�� PMONE UCENSE � <br />AIECHANICAI CGN:RAG�C9 <br />MAIL AODRE55 LITY ZIP PHONE UCENSE I <br />SEZF ��Ty ZIP PHONE LICENSE 1 <br />PLUMOING WNiRACiOR MAIL ADORE55 • <br />CLASS OF WORK <br />I—INEW ❑ADDITION ❑ALTERA7:^N ❑RLPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />�� <br />VALUATION OF WORK <br />s INSTALL WOOD STOVE <br />OESCRIBE WORK <br />USE OF <br />LEGAI OESGRIP710N OF <br />LOT OIOCK__OF <br />3630 ROCKEE'EL <br />PIUMBINO <br />N0. TYPE OF <br />WATER <br />SIDE YARO <br />TYPE <br />OF <br />� <br />e <br />BELOW <br />UR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />FOURCOPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />HEREI�NFOR NOVTJI THEEGRANT ING OF A PERMITRDOESI 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 />SIGNPiUREOF�LOJ�t�PAGiORORAViHOR�iD��NT� �r_ DAIE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS — H P. EA <br />REFRIGERATION UNITS — N.P. EA <br />BOILERS — H.R EA. <br />GAS FIRED A.C. UNITS — iONNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. M <br />WALL HEAiERS — B T.U. M <br />UNIT HEATERS — B T.U. M <br />EVAPORATNE COOLERS _ <br />CLOTMES DRV[RS <br />i vFUTII ATION FAN <br />SETBFCK � REAR YARD SEiBACK <br />LOT AREA <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROiECT10N SVSTEM _ <br />5. GRADING _ <br />6. DRAINAGE <br />7. EIlVIRONMENTAL IMPACI� STATEMENi <br />B. HEALTH DISTRICT <br />APPUCATION ACC. BY PIANS CNFCKED BY <br />VACANT SITE <br />L]YES ❑NO <br />NO. OF DWEI <br />MAX. OCC. L( <br />FIRE SPRINKI <br />APPR. POR ISSUANCE BY <br />i� <br />AIR HANDLING UNIT — C.F <br />STOVE <br />ucrAl FIRFPLACE S CHIMNEY <br />BUILDING <br />PLUMOING <br />MECHANICAI <br />OTHER <br />n <br />FEE <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S <br />6 00 <br />U.B.C. <br />SEC. 3031a) <br />WMEN PROPERLY VAIIDATED (�N THIS SPACE) THIS IS YOUR PERMIT <br />� <br />6589 ��06.0�'-- � <br />� <br />� <br />'�''"'� J° R � C E I PT <br />.; !� n. \� K 1' O U <br />