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1heC•vergreen �� C�''NSTRUCTION ���� <br />CITY OF <br />ev�rett PERMIT pERMIT NO.O71%4 <br />CIIY HALL 259�8745 <br />EVERETT, WA 96201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />05YNER MAILAODf?E55 GITY 21P PMONE <br />nRnrsu nnin .Tr�py pp�Mp 806 33rd St. EVERETT 98201 252-6051 <br />ARCNdECT OR D[SIGN[R h1Al� ADDRESS CITY 21V PMONE <br />GENEFALCONTRACTOR MAILAD�RESS CITY , FHONE LICENSEI <br />$ti%� <br />MECHANI;AL WPiRACTOR MRIL qODPE55 CITV ZIP PHONE LICENSE I <br />PlU41pINGCONTRAC?OR MAILq�ORE55 CIiY 21P PHONE UCENSEI <br />CA55OF WORN <br />❑NF.W }E]ADDIiION ❑ALTERATION ❑R_PAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑^AFlAGE <br />VALU/.TION �F WORK <br />S 1%�Q.Q� <br />BWLDING <br />�or 4-5 e�aK 783cF ST <br />w� of 4 and all 5 <br />PLUMBINfi <br />URINAL <br />806 33rd St. <br />ORAIN <br />ROOF DRAINS — RAiNLEAOERS <br />SIIJK ISFRVICF — PAR FTf.1 <br />tl TOTAL <br />YAFD SETBAGK � STREET <br />USEZONE I LOTAFEA <br />SIZE OF BLDG. I N0. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />d. FIRE PRO7EC710N SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH OISiRICT <br />APPLICATION ACC BV PLANS CHECKED BY <br />i� �� <br />❑YES ❑NO <br />NO. OF DWELLIN <br />MAX.00C.LOAD <br />flflE SPRINKLER; <br />REOUIRED <br />��YES ❑NO� <br />BY I UATE <br />APPR. FOR ISSUAN:F BY <br />vc/lc <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISION� OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEReIN OR NOT. THE GRANT!NG OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRU TION OR THE PERF RMANCE OF CONSTRUCTION. <br />SIGNAt�CONiPFf�tOROF9UiH0 D 't _ DAiE <br />/ <br />X ��%91i� i ��//%i �!� , 1/25/80 <br />i � r� vr �wmm��� � <br />). UNITS — H.P. EA. <br />±ATION UNITS — H.P. EA <br />— n.r. cN. <br />D A.C. UNITS — TONNAGE EA. <br />41R SYSTEMS — B.T.U. M <br />4TERS—B.T.U. !A <br />�7ERS — B T.U. M <br />TIVE COOLEPS <br />FAN <br />AIR HANDLING UNIT — <br />METAL <br />7174 <br />BUILDING <br />PLUMBIMG <br />MECHANICAL <br />PENALTY <br />FtE <br />PLAN CHECK FEE <br />PEE H.SO I R�C�drS$O. <br />S <br />U.B.C. <br />SEC. 303 (a) <br />ree <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />755i $011.00 -�1 <br />� <br />YOUR RECEIP�o <br />TH�f�� YOU <br />