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d�e£vergreen �� CCySTRUCTION �� � <br />qTV OF <br />�verett PERM{T pERMIT NO. 08353 <br />C�TV HALL 259�8745 <br />EVEaEtl.wn sezo� ❑ COMBINATION �' BUILDING ❑ MFCHANICAL ❑ PLUMBING <br />O\YNEP MAILAp�RE55 CIiY ZIP FHONL <br />Walter Patmore 6504 Wetmore Everett 98203 353-6852 _ <br />4aCHrtEQOR�E51GNCq MMIADDRE55 CITY ZiP R�ONE <br />GENERPLCONiNPCiOR MAIII,D�A[SS CITY ZIP PNONE LIJENSE� <br />Same <br />M[CMnNICFICONiRACTOR MAIL 100RE55 piY ZIP PHONE UCE45E I <br />�WMBMGCANTRACiOR MAILA�ORE55 CIiY ZIP PHONE LICENSEI <br />E <br />❑NEW ❑ADDITION ❑ALTERATION ❑P.EPAIR ❑DEMOLI110N ❑FENCE ❑SIGN ❑GARAGE <br />OF <br />install wood heate <br />LEG/L DESCRIPiION OF PRO`ERTV �SHOW <br />ior aiocR_oF <br />aoe nooaess <br />6504 Wetmore <br />PLUMBINU <br />SINK 8 <br />WATER <br />VACUUM BREAKE <br />ROOF ORAINS — <br />��uv �ccovirc — <br />YARC SEiBACK <br />ZONE <br />OF <br />SUB TO7AL <br />PEHMIT <br />TOTAL FEE <br />STREET SETBACK <br />l0T A4EA <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. CRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />APPLICA?ION ACC. BY PLANS CHECKED �Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />fAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />VIEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCT�ION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNRT CV Ni �R�RnUll�ORiZkUAGENi pn1E <br />v %/�°��—� y �y �ra <br />REAR <br />❑YES <br />MA%. <br />APPR.FORISSUANCE BY <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR CANO UNITS — H P. EA <br />REFRIGEFAiION UkITS — HP.EA <br />BOILERS — H P. EA. <br />GAS FIFEU A C UNITS —� TONNAGE EA. <br />iORCEO AIR SYSTEMS — B.T U. 1A <br />WALLH[ATERS—�T.U. M <br />UNITHGATERS—�TU. M <br />R41�GE HOOD <br />�IR MANDLING <br />PLAN CHLCK <br />PENALTY <br />TOTAL <br />CFh1. <br />FEE <br />S <br />U.B �. <br />SEC. 303 (e) <br />FEE <br />RECEIPT NO. <br />i <br />% <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATEO (IN THIS SPACE) TMIS IS YOUR PERMIT <br />aaOO $0O7.�J ` <br />ADDRES° FILE <br />'� "' ! R R�CEIPT <br />1',�;� YOU <br />29s�'8U <br />• <br />� <br />