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rr <br />Ir <br />Y <br />e L. <br />f— <br />7lJe Evergreen "p NSTR U CTIO N <br />CITY OF <br />everett PERMIT PERMIT N0. 11590 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION X® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />l4ASHINGTON <br />MAIL ADDRESS <br />STATE PATROL ZOtITF,Chestnut <br />CITY <br />Everett 98201 <br />ZIP <br />PHONE <br />AflCH1TECT OR OESIGKCR <br />259-8585 <br />Washington <br />MAIL ADDRESS <br />State Patrol 4242 Martin Way <br />CITY <br />Olympia IVA <br />9811 504 753P6854 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MgIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDgE55 <br />CITY <br />ZIP <br />PHONE LICENSE <br />❑NEW ❑ADDITION %%ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />.ON OF WOgK <br />s 2,000.00 <br />4CRIBE WORK <br />Remodel communications room <br />(POSED USE OF BUILDING <br />Office <br />LOT BLOCK -OF <br />20th FT Chestnut <br />PLUMBING <br />FIXTURE <br />SINK ! <br />HER <br />'TRAY <br />VACUUM BREAKE <br />ROOF DRAINS — <br />SINK (SERVICE — <br />FEE <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 O' 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 />SIGNATU CONTRACTOR OR A (ZED AGENT DATE <br />3/13/8'. <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS EA <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA, <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />FORCED AIR SYSTEMS — B.7 U M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING TWIT— ri <br />PERMIT S PERMIT S <br />TOTAL FEE S TOTAL FEE S <br />SIUE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NI MRFn I..��. <br />USE <br />❑YES ONO <br />TYPE OF CONST. OCCUPANCY GROUP NO. :FDWELLING UNITSSIZE OF BLDG. NOOF STORIES MAYp I nnn <br />FIRE <br />1. ENVIRONMENTAL CHECMUST <br />2. HUILDi`JG PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROIECTIONSYST5. <br />GRADING <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPAC <br />8. HEALTH DISTRICT <br />APPLICATION ACC. 9Y I PLANS CHECKED BY I APPR. FOR ISSUANCE BY <br />WC <br />BUILDING <br />MECHANICAL <br />FEE <br />S <br />FEE <br />RECEIPT NO. <br />PENALTY U.B.C. <br />SEC. 3G3 (a) <br />TOTAL 3 2 5 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />CD <br />4429 $032.50 <br />YOUR RECEIPT <br />THANK YOU <br />r I <br />ADDRESS FILE <br />J_ L UAW. R i <br />J_ J <br />