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r <br />!he Evergreen • �Q T R U CTI O N �� <br />CITY OF <br />�`!e,��� �R�I� PERMIT NO. O6H�_9 <br />GTY HALI 259�8745 <br />EVERETT, WA 98201 G COMBfNATION Lx�'BUILDING ❑ MECHANICAL ❑ PLUMBIWG <br />OVMEP MAILAO[1I1E5S CIIV ZIP PHONG <br />Lawrence Baldwin 8716 8th Avenue West Everett 98204 353-72E' _ <br />ABCHIIECT OR OESIGNFP MAIL AD�RE55 CITY ZIP FHONE <br />GENF�RALCONiRFGTJR <br />MAIL AOORE55 GITY 21P PMONE UCH�Sh I <br />Same <br />MECHANICAL WNTPAC70R MAIL ADORE55 CITY Z�P PHONE LICENSE / <br />PIUMpING CONTRACTOR MAIL A�DFE55 CI7Y Z�F PHONi LICENSE I <br />ClASS OF WOFM <br />❑NEW ❑ADDI110N 194LTERATION ❑REP4�R ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALl1ATION OF WORK <br />g 1�0��.0� <br />DESCRI�E WORK <br />Convert Garage into ftunily room <br />PROPO5�0 USE OF 9WLDING <br />Single Family Residence <br />IEGAL DESCPIPTION Of PROPEPTV ISMOW BELUIY Oii FTTACH FOUR COPI[5� <br />6 Solberg Additiun #2 <br />lOT 9L('CK_GF — <br />JOfl A[JUFE55 <br />8716 6L-h Avenue West <br />PLUMBING <br />NO. TYPE OF <br />WFTER CLOSET ��� dLF <br />BAIHTUB <br />LAVATOFY�WhSH BAS' <br />SHOWER <br />KITCHEN SINK R �ISP. <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES YJASHER <br />� YJATEP HEATER <br />V�CUUM BrIEAKERS <br />RWF ORAVJS — RAINI <br />SWK ISERVICE — 8/1R. <br />VARD SETBACK <br />USE 7_ONE <br />TYPE OF CONST. <br />STREET SETBACK <br />LOT AREA <br />ITEM <br />SIZE OF BLDG. NO.OF STORItS <br />FIflE ZONE BASEMENT <br />APPFi0VAL5 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FlRE HYDRANT <br />4. FIRE PROT[CTION SYSTEAI <br />5. GRADING <br />6. DFAINAGE <br />7. ENVIRONMENTAL Ih1PACT STATEMENT <br />0. HEALTH DISTRICT <br />APPLICATION ACC. 8Y PLANS CHECHED AY <br />�i. c. <br />FEE <br />REAR YARD SETBACK <br />VAC,dIT SITE <br />Ll'ES !.INO <br />N0. OF Dl4ELLING Ut <br />nnax occ �ono <br />APPR. FOF ISSUANCE BY <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL. PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLI=D WITH VJHETHER SPEGFiED <br />HEREIN OR NOT. THE GRANTING OF A PER�41T DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI. THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG�U.iUPF.O� GONIRnCiOROPAUiHORIZEO��EI� DAiE <br />�/; / /1 10/10/79 <br />x �(1��-�_•�ci � /� Ln�c�•�.,, _ <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H P. E� <br />REFRIGCPATION UNITS — HP. EA <br />3AS FlRED A�C. UNITS — TONNAGE EA. <br />FORCED AIP S�STLIdS — B.LU. M <br />VJALL HEATERS — B T.U. M <br />UNIT HEATERS — �.T.LL �� <br />VENTILATION FAN <br />RANGENOOD <br />AIR HANDLING UNIT — CF.M: <br />SiOVE <br />�AFTAI FIREPLACE 8 CHIIAHCY <br />NUPAf3�R <br />fEE I RECEIPT N0. <br />s 1,000.00 � 10 �00 <br />PWMBING <br />M11E^YANICAL <br />O1HER <br />PENALTY U B C. <br />SEC. 303 (a) <br />...... ..._._....__ <br />EN PROPEPLY VALIDATED (�N THIS SPACE) THIS IS YOUR PERMIT <br />;393 s01�.o0�� � <br />. , � <br />CD <br />�•o;u:� ��€�grPr o <br />' ��'�t.�t�K Y'O U <br />i 0 �T .l 9 <br />��...r <br />� <br />