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dic Evergreen � � <br />CITYOF CC'�NSTRUCTION . ,- <br />everett PERMIT pERMIT NO. OH131 <br />CITY HALL 259�87d5 <br />EVERETT, WA 98207 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEN MRILAUDfiE55 CIiY ZIP PHON[ <br />TQj'FDFj j�j �;� 3630 ROCKEFELLE$ F'VFRFTT qR901 9Sq—d5d1 <br />ARCHITECtOR�[SIGNEN MAILADDPESS CIiY ZIP P��ONE <br />GENERALCONTPACTOR MAllA0DRE55 CIiY ZIC PMONE LICENSEI <br />MECHRNICALCANT!'AGTOR MAILADDPESS CItY ZIP PH�NE UCENSEI <br />SELF <br />PLUMBINGCONTRACiOR MAIIADDRE55 CILY ZIP PNONE UCENSEI <br />LLASS OF WORK <br />❑NEW ❑AODIiIJN ❑ALTERAiIJN ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />s INSTALL WOOD STOVE <br />DESCRIBE WORK <br />LOT BLOCK_OF <br />3630 ROCKEFELLER <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR <br />—�ATER CLOSET fTOILEi1 <br />I HEREBY CERTIFY THAT I HAVE READ .4ND EXAMINED THIS AP� <br />FouacoP�es PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISInNS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH VJHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FRO� <br />VISIONS 0� ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />S�GN�nlunEOP /0/y/Tp AcionOnnutMOR� iof�(',ENt T on1G <br />v �,(�IN i.� � : n� � /% A / .. ... ,. .... <br />NITCHEN GINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOH DRAIN <br />VACUUM BREPKERS <br />ROOF DRAINS — RAINLEADERS ._ <br />SINK (SERVICE — dAR, ETC.) _ <br />SIDE YARD SETBnCK <br />USE ZONE <br />TYPE OF CANST. <br />SIZE OF BLCG. <br />FIRE ZONE <br />STREE7SETBACK <br />NO.O� <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PlANS <br />�. FIRE HVDRANT <br />a. FIRE PROTECTION SYSTEM <br />5, GRADING <br />6. DPAINAGE <br />L ENVIRONMENTALIMPACTSTATEMENT <br />P. MEALTH DISTRICT <br />AFPLICATION ACC. BY PLANS CHECKED BY <br />MECHANICAL <br />FEE NO. TYPE OF EC <br />AIR COND. UNITS — HP. I <br />REFRIGERATION UNITS — <br />BOILEHS — N.R EA. <br />REAR YARD ;iETBACK <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWELLING Ut <br />MF+(. OCC. LOAD <br />FIRE SPRINKL[RS <br />REOUIRED <br />�❑YES ❑NO � <br />9Y I DATE <br />APPR. FOR ISSUANCE BY <br />i� <br />I�HJ �IrIL'! M V. Vn1�J — <br />FORCED A�R SYSTEMS — <br />'NAIL HF.ATFRS — B T.0 <br />UNR HEATERS — B.T U <br />EVAPORATNE COOLERS <br />CLOTHES DPYERS <br />VENTIIATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FIFEPLACE 8 CHII <br />FE[ <br />FEES � <br />BUIIDING b <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />U.B.C. <br />SEC. 3031a) <br />fA <br />FEE <br />RECEIPT NO. <br />PROFERLV VALIDATED pN THIS SPACE) 7HI5 IS YOUR PERMIT <br />r'.� 1 � <br />� <br />6589 3� �6.00 '�-- QM-i <br />� <br />� <br />1'-'�UP R�CEIPT <br />T;;ANK 1'OU <br />ADDRESS FILE � ^ ���^ �n <br />