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thc£vergreen - � ^pNSTRUCTION� <br />CITY OF J _ <br />�ve�e� �ERMIT PERMIT NO.OH7 I4 <br />CITY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />OWNEP MFILNOOFE55 G1Y 21P PNONE <br />George HoldEman _ <br />AqGHIiEGt OR DESIGN[R IAAd �DDRE55 CILY ZIP PHONE <br />GENEPAL CONiPPGTOP MAiI A�D.iE55 CITY ZIP PHONE LICENSE � <br />Blakely Camp Hcmes 219 Highland Road Everett Wa. 347-4747 <br />MEGMANICAICONTRACiOP MPILF�DPES$ ���Y 'P $L AKPEC H2O2BCsE� <br />FWMBINGCONTRACTOH MAILAD�RE55 LrtY LiP PHONE LICENSEI <br />$](�EW ❑ADDITION ❑ALiERAT10N UREPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GAFAGE <br />s 64,000.00 <br />JESCFIF3E WORK <br />Constuct 'Jup <br />�POPWED USE OF BVIL�IN(i <br />Two Unit Res <br />�EWL �ESGRiPiiON OF PPOPEPiY �5 <br />�or 1 e�ocK_oF _ <br />PLUMBIN6 <br />lex <br />iOW BELOW OR RTTACN FOVR � <br />W, 95' of Tr <br />Everett Dells <br />C—D 1-28-4 <br />A& B 55th Place S.W. <br />LAUNDRVTRAY <br />CLOTNES WASHEf <br />WATER HE-'CR <br />URINAL � <br />DR�NK�.'1G FJLN( <br />FL(')UR DfiAIN <br />VACUUM BREAKE <br />ROOF DRAINS — <br />CI�IK ICFPVIfF - <br />SIOE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />USE ZONE LOT AREA VACAP:S SITE <br />L'YcS ❑NO <br />TYPE OF CONST. OCCUPANCY GRC' �P NO. OF DWELU'G UI <br />V—N R-3 <br />SIZE OF BLDG. N0. OF STORIES MA%. OCC. LOAD <br />1. ENVIRONMENTh CHECK UST <br />2. BUIL�ING PIANS <br />3. FIRE HYDRANT ' — <br />4. FIRE PROTEC710N SYSTEM <br />—'S. GRADING ., <br />'`6. DFAINAGE� � -"� <br />��7.ENVIFONMENTALIMPACI�STP <br />p �8. HEALTH DISTRICT � <br />APCUCATION ACC. BY � �LA' <br />.._ =�; <br />_; <br />U <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANG CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVeRNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SFECIFIED <br />HEREIN CR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P90• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CO RUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />IGNNiURE F pONiRACiOR OR nUT�E� AGENT �' � ATf ^/, <br />/ <br />N0. � TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />HEFRIGERATION UNITS — H.P. EA <br />BOILERS — HP. EA. <br />GAS FlRED A.C. UNITS — TONNAGE EA. <br />FORC[0 AIR SYSTEA75 — B.T.U. M E.4. <br />WALL HEATEF7S — �,T.U. M <br />UNIT HEAIERS — BT,U. ti� <br />EVAPORATIVE COOLERS <br />Z CLOTHES DRVERS <br />Q VENTILATION FHN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE <br />META� FIREPLACE 8 CHIMNEY <br />SUB70TAL <br />PEflM1T <br />TO7ALFEE <br />'LAN CHECK NUMBER PL. N Ch <br />81�8��4 FEE BdS].0 <br />FEES VALUATION <br />3UILDING $ 64,OOC <br />PLUMBING � <br />MECHANICAL <br />OTMER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL <br />RECEIPT N0. <br />325 00 <br />36 00 <br />30 00 <br />391 � 00 <br />WFIF.N�PROREp/ LY YA� DA?ED pN JHIS SPACE)TNIS I: YOUF PERl.aiT <br />•� �� ,. ,i ti C. � i. i J � 0 „� L J. � L' �� <br />� <br />dENT � <br />��.� <br />. n�i � '; . ' fPTo <br />CHECKED BY APPR. FCfl IuSUANCE BY �' �� '� . , <br />� ,J <br />v.c. '. " <br />��, ::;,:t u � �;.','.;t t; � <br />ADDRESS FILE _ <br />