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the E_ 'ergreen <br />CONSTRUCTION <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO. <br />07269 <br />CITY HALL 259 8745 <br />❑ COMBINATION ( BUILDING El MECHANICAL <br />PLUMBING <br />EVERETT. WA 982DI <br />qiV <br />MAIL ApDRE55 98201 <br />211: <br />259-3168 <br />PHONE <br />OWNER <br />Evergreen Medical/Dental Bldg. 3327 Colby <br />ZIP <br />,„ONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />CITY <br />ZIP <br />P HONE LICENSE <br />GENERAL CONTRACTOR <br />MAIL ADDRESSIN <br />CITY <br />ZIP <br />PHONE LICENSEI <br />MECHANICALCONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION Rk ENCE <br />[]SIGN ❑GARAGE <br />ClA55 OF WOR <br />❑NEW <br />s 600.00 <br />erect wooden fence 72" <br />17/18 791 <br />LOT BLocn_oF <br />3330 Wetmore <br />PLUMBING <br />TRAY <br />residence <br />(SHOW BELOW OR ATiAGM I OUP <br />Everett Div. A <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL B - COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF P PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CON T LICTION OR THE PERFORMANCE OF CONSTRUCTION. <br />TA(x pFTE <br />SIGNAT OF CONTRACTOR OR HOPI2ED AGENT 2/26/80 <br />MECHANICAL <br />FEE I NO. <br />YARD SETBACK I STREET SETBACK <br />REAR YARD SETBACK <br />❑YES CNO <br />OF <br />AIR <br />MECHANICAL <br />1, ENVIRONMENTAL CHECK LIST PENALTY <br />2. BUILDING PLANS TOTAL <br />9. FIRE HYDRANT PERMIT' <br />4. FIRE PROTECTION SYSTEM WHEN PF <br />5, GRADING <br />6, DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED By APPR. FOR ISSUANCE BY <br />). UNITS — H P. EA <br />7ATION UNITS — HP. <br />— H P. EA. <br />V IYIIJ- <br />'STEMS — BIT U, M <br />—BT.U, M <br />—RTU M <br />UNIT — <br />FEES <br />FEE <br />s 600.00 <br />RECEIPT NO. <br />MM <br />USC <br />SEC. 3031a) <br />6 LOO <br />ITION <br />Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />8769 50176.00 — r' <br />N <br />YOUR RECEIPT o <br />THANK YOU <br />• 1 <br />