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the Evergreen r O N ST R U CTI O N <br />CITY OF PERMIT IT <br />everett PERMIT N0. 09778 <br />CITY HALL9.8❑ COMBINATION BBUILDING ❑ MECHANICAL ❑PLUMBING <br />EVERETT, WAA 98201 201 <br />OWNER MAIL ADDRESS <br />CIiY Zlp PHONE <br />Olsen, Robert 2111 21st EveCITY 1p PHONE <br />9ZIP PHONE 22 <br />MAIL ADDRESS <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP PHONE LICENSE F <br />GENERAL CONTRACTOR 98109 284-6011 <br />Walsh Construction Inc. 8 Ni ckersen SeattleG CITY <br />ZIP PHONE LICENSED <br />MAIL ADDRESS <br />MECHANICAL CONTRACTOR WA LS NC S377NN <br />PHONE LICENSE � <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION }Q$REPAIR ❑DEMOLITION ❑FENCE ❑SIGN DGARAGE <br />VALUATION OF WORK <br />s 4,000.00 <br />DESCRIBE WORK <br />Repair fire damage <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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRA OR OO/AUU3HORIZED AGENT <br />DATE <br />9/15/81 <br />MECHANICAL <br />UCOND. <br />TYPE OF EQUIPMENT FEE <br />UNITS —HP. EAATION UIJITS — HP. EA <br />H.P. EA. A.C. UNITS —TONNAGE EA.IR SYSTEMS — B.T.U. M EA. .TERS — BTUMTFRS — B T.U. M <br />4�DT46' 17iOA2 4bp Everett Div. K <br />JOB ADDRESS <br />2TTT 21st Street <br />PLUMBING <br />NO.I IT <br />YARD SETBACK <br />SUB 70i <br />PERMIT <br />TOTAL <br />BEET SE <br />am <br />SIZE OF t'Luli. �• <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />S. GRADING <br />6. DRAINAGE <br />T ENVIRONMENTAL IMPACT STATEMENT <br />TEAR YARD <br />OACANT SIT <br />DYES ❑N <br />BUILDING <br />OCC. LOAD <br />PLUMBING <br />SPRINKLERS IIRED MECHANIC <br />i ❑NO <br />HOOD <br />.ins uar- UNIT — <br />FEE I RECEIPT N0. <br />$4.000. <br />44 150 <br />OTHER <br />U.B.C. <br />EPENALTY SEC, 303(a) <br />44 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE); HIS IS YOUR PERMIT n -- <br />CT) <br />8. HEALTH DISTRICT <br />ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />APPLICATION <br />