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tlieEvergreen ^.ONSTRUCTION - <br />CITY OF <br />everett PERMIT PERMIT NO. 08903 <br />CITY HALL 259�8745 <br />EVtRETT. WA 9ezai ❑ COMBINATION X� BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAiLADDRE55 CITY 21F PMONE <br />Art Brandvold 1012 Park Drive Everett WA 98203 353-3952 <br />ARCNRECi OR DESIGNER M/ IL AODf1ESS CIiY ZiP PHONE <br />GENERALCANiRACTOR MPILAODRES$ CITY ZIP PNONE LICENSEI <br />Art Brandvold <br />��E���qy��p��qtqq�TQp MAILApOPESS CITY iIF PHONE IICEN5E1 <br />ttU1.I�iNGCCVTflACiOR MAILADORE55 CIiY ZIP PMONE UCENSE� <br />❑NEW C�ADDITION ❑A�TERATION x�( REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />s 860.00 <br />nE scamE woAK <br />Reronf <br />vaovosEo use eF aui�owc <br />Single Family Residence <br />LEG/L D[SCRIPiION OF PROPf.RiY ISNON' L+EIOW OR ARACH FOUR COPiES) <br />LOi BLOCK_OF <br />JO�' AD���2 Walnut Street, L•'verett <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATLR CLOSLT (TOILET) <br />�AiH7U8 <br />IFVATORY �WASH BASINI <br />SHOWEF <br />KITCNFN SINK & DISP. <br />ROOF <br />SID[ VARD SET�ACK <br />US[ ZONE <br />T1'PE OF CONST. <br />SI7.E OF BLDG <br />RRE ZONE <br />0 <br />� <br />SiRL[T Sf:T[1nCK <br />NO <br />AREn <br />1. ENVIRONMENTALCHECKLIST <br />� UUILOING PLANS <br />3 FlRE MYORANT <br />G FIRE PROi[CTION SYSTEM <br />S GRADING <br />6 �RAINAG[ <br />7. [tJVIROhMENiAL IMPALT STATEMENT <br />0 HEALTH DISTRICT <br />M'PUCAt101: ACG �1' VLANS CHECKED �Y <br />F[AR VARD SETBACF <br />VACANT SITE <br />iYES ❑NO <br />NO.OF DWELUNG UNITS <br />MA% OCC.LOAD <br />APPR. FOR ISSUP.NC[ ��' <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE S�ME TO BE TRUE AND CORRECT. <br />�LL 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 l)OES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF �NY OTHER STATE OR I.00AL LAW REGULATING <br />CONSTRUCTION GR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAi [O�CONiRACTORORAU�1104112EDAGENi ���E <br />,/ ,9 / 2/24/81 <br />X .�1+ � i/Y � t -rr�c� �% `t'K`�- _ <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />AIR CONU. UNITS — F�.P. EA. _ <br />REFRIGLRATION UNITS — HP. EA <br />�ORERS — HP.EA. <br />GASFlREUAC UNITS—TONNAGEEA. <br />FORCED AIR SYSTEIdS — BT.U. M EA <br />VlALL H[ATERS — � 1 U. M <br />UNIT NEATERS — � TL. M1� <br />EVAI'OFATIVE COOLEFS <br />CIOTHES CFYERS <br />VENTIIl�TION FAN <br />RnNGEHOOD _ <br />AIR HANDLING UNIT — CF1d. <br />STOVB <br />METAL FIREPLACE 8 CHIMM1EY <br />NUMOER <br />FEES <br />PLUM9ING <br />AIECHANICAL <br />OTHER <br />PLAN CHF.CK FCE <br />FEE RGC[IFT NO <br />VALUATION FEE <br />5860.00 16 00 <br />U.BL <br />SEC. 303 fa) <br />rcnmu • <br />YJHEt� PROPtr'LY VALIDA-ED �IN THIS SPACE� TH1515 YOUR PERIAIT <br />M <br />��; i �:,,If !'''- �' <br />� <br />� <br />� <br />