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The Evergreen C C 1 ST R U CTI O N <br />CITY OF <br />everett PERMIT PERMIT NO.06221 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADII%E LIIY ZIP PHONE <br />S. & L Construction <br />ARCHRECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LK;ENSE0 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE <br />LICENSE• <br />Same <br />Pt UNBIND CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE <br />LICE.NS' F <br />DLASSOE WUMt <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />Factory Built Fireplac <br />OF BUILDING <br />LOT BLOCK OF <br />2119 74th St. S.E. <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 ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONS 7RgC CONTRACTOR <br />OR THE PERFORMANCE NCE OF CONSTRUCTION. <br />N. <br />SIGNATU CONTRACTOR OR/,)L/gHORI/Z/[EyAGENT DATE <br />6/14/79 <br />PLUMBING (MECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM I FEE _ I NO. I TTrt: Or euUlrmenl <br />Hwr UN Mo — <br />SINK (SERVICE — <br />SIDE YARD SETBACK I STREET SETBACK I REAR <br />LIVES ONO <br />GROUP <br />STORIES <br />ZONE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY I PUNS CHECKED BY I APPR FOR ISSUANCE BY <br />'STEMS — B.T IT �M <br />— S.T.U. M <br />—ATO M <br />CHECK NUMBER I PLAN <br />FEE I RECEIPT NO <br />VALUATION <br />S <br />1 E E <br />PENALTY I U.SEC 3031s) <br />TOTAL I I 6 I 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS 0U O 6PERMIT <br />Q -� <br />•• CV <br />N <br />YOUR RECE11"T o <br />THANK YQU <br />11 <br />