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s <br />rhe Evergreen r� NST R U CTI O N � <br />CIiY OF <br />everett PERMIT pERMIT NO.O863C <br />CITY HALL 259�8745 <br />EVERETT, WA 98291 ❑ COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O\VNER MA�LADC9E55 CIiY ZIP PHUNI. <br />Lorraine Ramsey 19523 19th Avenue Bothell 337-G900 <br />ARCHITECTOPOESIGNFR MAILAODRE55 GiY Z:P PHONE <br />GENERALCANTRALiOP MAILAD�flE55 GTY pIP pHONE LILENSE� <br />Paul Daniels & Sons P.O. Box 573 Mercer Island 98040 232-0624 <br />MECHANICALCONiPACLOP �AI{,qDDRESv CItY 21P PHONE IICENSE♦ <br />PA UL DS G313� <br />PIUMBING�ANiRACiOR MAILRDDRE55 CIiY jl� PHONE G3JC4MS <br />C1A550F WORK <br />❑NEW ❑ADDITION ❑ALTERATION <br />VALUATION OF Y/OPK <br />S lO,OOO.00 <br />oesceieE woRe <br />repair fire damage <br />moros�ouseoFuuaoiHc �� <br />single family residence <br />LtGALDESCRiFi10' PROP[R1Y�SHOWLiELOWO�ATTACNFOURCOPI[5� <br />io�1-2-3� ��.. Lowell Div. A <br />JOB ADUf1k55 <br />4800 South 2nd Avenue <br />PLUMBING <br />NO. <br />SIIOWER <br />KITCNEN <br />1VATER HEATER <br />OF FIXTURE OR ITEM <br />VACUUN BREAKENS <br />ROOF DPAl1�5 — RAMLEADEPS <br />SINY. �SfPVICF — flAR FiC 1 <br />SIDE YARD SETBACK <br />SIZE OF BLDG <br />STREET 5[i�ACK <br />LOT A(iEA <br />OCCUPANCY GR( <br />N0. OF STORIES <br />OASEMENT <br />L ENVINCNMENTAL CNECK L�ST <br />2 BUILDING FLANS <br />3. FNE HYDFANT <br />4 FlRE PROTECTION S�STEM <br />5 GRADING <br />G. DRAINAGE <br />7 ENVIPONMENTAL�MPACTSfATCMEN* <br />B. HEALTH DISTRICT <br />APPLICATION ACC. �Y PLANS CMECNE� BY <br />%i%:REPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />FEE <br />I HEPEBY CERTIFY THAT I HAVE READ AND EXAMINFD T�-i15 AP� <br />PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WIIL BE COMPLIcD WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TtiE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER ST TE OR I.00AL LAW REGULATING <br />CON CTI N OR THE PE F RMANCE OF STRUCTION. <br />SIGN URE �C ��iR4CU ORAUiM�iRl RGFNI pAtE <br />x /� i2�ii8o <br />NO. TYPEOFE�UIPM <br />Alii CAND UNITS - N P EA. <br />REFRIGERATION UNITS — HP. E <br />flflll FRS — HP. PA <br />GHS FIREU A.C. UNI7S — TONNAGE EA. <br />FORC[D AIR SYSTEMS — B.T U M EA. <br />WALL HEATERS — B T.U. M <br />11NlT HEATERS — fi T.U. M <br />RANGEHOOD <br />AIH HANDLW( <br />REM YARD SETOACK PLAN CHECK <br />VACAIJT SITE <br />LriES i�NO <br />N0. OF OWELUNG UIJITS <br />BUILDING <br />MA% OCC.IOAD <br />APPR. FOR ISiUANC[ BV <br />PLUMBING <br />MECHANIC4l <br />OTHER <br />PENALTV <br />TOTAL <br />FCB <br />VALUATfON <br />g10,D00. <br />UB.C. <br />SEC. 303 (a) <br />RECEIPi NO <br />FEE <br />8� SD <br />PERMIT VALIDRTION <br />WHEN PROPERLV VALIDATED UN THIS SPACE) THIS IS pYOUR PERMIT <br />� ��I) bu fl�.J� �� <br />i.o <br />, �-�., �PT 0 <br />� . , l U <br />n�����ss r-i�e <br />_ I � -'� u il <br />