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� <br />�he Evergrcen r7NSTRUCTION <br />CITY OF <br />everett P�RMIT PERMIT ��0. 09426 <br />GTV HALL 25^s�97a5 <br />eveaErr.wn eszo� ❑ COMBINATION �BUILDING ❑ MECHANICAL PLUMBING <br />OWNER !'�''�LfU�AE55 CITY ZIP 1'HONE <br />Dave Swain Safe=T-Sweep P.O. Box 1639 Everett 98206 252-7339 <br />P�CHrtECT OR DiS�GNER MA�I ADDP[55 GIiT Zlv PHON[ <br />GENERnL fqNTRAQOR MAIL ADDRE55 QTY 21P PNONE UGiNSE 1 <br />Same <br />1ACCNANIG4LCANTRACTOR MAILADDR[55 GTV ZIP PHONE I�GENSC� <br />VLUMBIt�G GONTRACTOA MAIL A��PE55 CiT" 21P PHON[ LM.ENSE r <br />C1A55 OF NJFY <br />u4EW ❑ADDIiION ❑ALTERATION ❑F�EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VAl 11PTION OF WORI. <br />{ <br />GEFCRiBE WORrc <br />install fireplace insert <br />PROPoSEO USE Of AWt01NG <br />single family residence <br />..,..� ,.«�o�o.i.,u nc oonvcurv iswnw x[iow oR AT1nCP <br />io� eia:K_ov <br />3802 Wetmore <br />PLUMBING <br />NO. TYPE <br />wnt tR closEt IT <br />�AiHTU� <br />IAUNDRYTRAY <br />CLOTHES WASHEi <br />WATEP HEATEfl <br />URINAL <br />DRII:KING POUNT <br />FLOOR DRAIN <br />VACUUM OREANf <br />ROOF DRAINS -- <br />SINK ISERVICE — <br />SIDE YAR� SETBAGK <br />I�SE ZONE <br />TYPE OF CONST. <br />SIT.F OF BLDG. <br />RRE ZONE <br />I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />comes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIGNS OF LAWS AND ORDINANCES GOVERPJING THI.�, <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOi. TH[ GPANTING OF A PERMIT DOES NOT <br />PRFSUME TO GIVE AUTHORITY TO VIOLATE OF CANCEI_ THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW RtGULATING <br />i CO UGTION OR TH RFORMANC6 Or CONSTRUCTION. <br />SIGNAi . ' GONi CT R R P N i1ZCL` `(.CNi Ul.if. <br />- 6/25/81 <br />X !.f � _ <br />MECHANIrAL <br />OF FIXTURE OR ITEM FEE N0. TVPE OF EU::!.^n7ENT <br />OILET) AIR CONO. UNITS — H P. FA. <br />REFRIGERHTION UNIT$ — 4.P. EA <br />3ASIN) �OILERS — MR EA <br />GAS FlPED A C. l JRS — 1 OIJNAGE EA. <br />ISP. FORCCD AIP SYSTFMS — � T.U. M EA. <br />WALIH[ATERS—�.i.U. M <br />UNIT H[ATEf�S — B.T.U. M <br />ETCI <br />STREET SETBACK <br />ANEA <br />1_FNVIRONMENTAL CHECK LIST <br />2 GUIIDING PLANS <br />3. FlHEHVJRANT <br />a nn� raorEcnoN srsrEn+ <br />5 GRAUING <br />6. DRAINAGE <br />7. ENVIRONMEHTAIIMPACTSTATEMENT <br />B. HEALTN DISTRICT <br />APPLIGATION ACC. BY PIANS CHECKED PY <br />PEAR YARD SE i dACK <br />VACANT SITE <br />�JVES L]NO <br />NO. OF DWELUNG UI <br />MA%. OCC. IOAD <br />FIRE SPRINKLF.RS <br />REOUIRED <br />I 7YE5 I-NO <br />BY OpTE <br />FAN <br />AIP HANOLIN^ UNII — <br />crn�rr <br />NUM�[R I �'U`y <br />FFE R[CEIPT N0. <br />veIOATION FEE <br />PWIOMG $ <br />PLUMBING <br />PENALTV U B G. <br />SEC 3031a) <br />TOTAL <br />14�50 <br />, _. ... $_ A T Ca �I `. - CC5 <br />WHEN PRGPERLY VAUGATED QN THIS P GF� HIS IS NR � MB �_ <br />, > � <br />N <br />� <br />� � �� <br />�� � <br />APPR. FOR ISSUAHCE BY � � <br />ADDRE55 FI'_E <br />� : I <br />