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Ihe£vergreen • CO TRUCTION . <br />CITY OF <br />everett ERMIT pERMIT NO.O�O9H <br />CITV HALI 259�8745 <br />4VERETf. WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />awnia n�niinonness arr ;i�� n�o�u <br />�ale Peterson 40 14001 Place F.verett <br />ARCII�1fCi OR �ESIGNLF AIAI� AD�R[55 (;IiY $IP p11pNL <br />GENERAICONiRPCTOR MnIIADDRE55 CIiV Z�� PIIONE LICGNS[� <br />MECIIANICAI CONifiqCiOR MAII AD�RE55 CIiY IIF PHONE �ICENSE I <br />Natural (:ae Rquinment 9Sg_�ee7 <br />PLUMBING(.ONiRALLOP MP�I AOORE55 CITY 21P PHONE IICENSE ♦ <br />Li71EW ❑ADDITION ❑ALTERATION �'IREPAIR L]DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />4 <br />OESCRIBE WORK <br />Hot ivater tank (¢asl <br />�or BLOC�OF <br />JODADpRE55 <br />409 iVood Place <br />PLUMBIN6 <br />BELOIV OR ATtAC�� POUR <br />TYPE OF FI%TURE OR ITEM <br />CLOSETfiOILETI <br />SINK 8 DISP. <br />WATER HEATER <br />URINAL <br />VACl1Uh1 BREANERS <br />ROOF �RFINS — PA <br />FINK 6FRVICf — AP <br />PERMIT <br />TOTAL FEE <br />9DE YARD SET�nCF � STREET 5[iH:�C'� <br />USE ZONE LOT AREA <br />T1'PE OP CCVST. OCCUPANC' <br />9Z[ OF B'.UG. NO OF STO <br />1Ii+EZONE L�SEM1�ENT <br />APPHOVALS <br />: ENVIRONM1IENTALCHF�KLIST <br />C �UIIDWGPLANS <br />3 PIR[ HVDRANT <br />��RE PRO7ECTION SYSTEM <br />5 GPn01NG <br />G DRFINAGE <br />7 ENVIRONMENTAL 161PACT SIATEIdENT <br />8. HEALTM DISTRIGT <br />YES i:M1U <br />GROUP NO OFDWEL <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SR:N�A/I�PLOcCU'�lu.:(l�`�1pR;�'�In�iaj�DG.�EVt D41L <br />X T�/ii�)n. � t�r�°,�1r�Ll� 12/27/79 <br />TYPE OF E�UIPMENT <br />!dR COI:D UNITS — �� P. EA <br />REf RIGEfvAT10N UNITS — H P[A <br />BOILERS — H P. EA. <br />GASFIREDAC UNITS—TONNAfEEA. <br />FO�CEDAIRSYST[h1S—BTU M1I <br />IVALL HEATERS — 0 T U. M <br />UNIi HEATEP$ — �7 U. M <br />RANGEHOOD <br />Alp HANDLING lIN1T — <br />i r,.: .. rG4� CHECK NUh�BHR <br />FEES <br />BUII�ING <br />OCC LOnD <br />VLUMBING <br />SPRINNlEPS <br />IRED MECHANICAL <br />APPLICATION ACC. DY I PLANS CHECK[D BY I nPP�� FOR ISSUANCE DY <br />8 CNIIANEY <br />F[@ A[CEIPi Y,O <br />VALUATION FEE <br />5 <br />5 <br />U.0 C <br />SEC. 307 (a� <br />5 <br />Y:HGi PRGPERLY VFIICATED �M THIS SPACEI iH1515 YOUF PERldli <br />ADDRESS FIL <br />� <br />639� a005.00 �p <br />� <br />� <br />YOUR REGEIPT <br />THANK YOU <br />