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the Evergreen CONSTRUCTION <br />CITY OF <br />everett PERMI'�� PERMIT NO.06821 <br />CITY HALL 259 U745 <br />EVERETT WA 98201 L] COMBINATION BUILDING Ll MECHANICAL Lj PLUMBING <br />OWNER <br />MAIL Al1UNl55 <br />CITY <br />III` <br />98203 <br />PHONE <br />353-2476 <br />Will Olson 2201 <br />74th Street S.E. <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />ARCHITECT DR DESIGNEP <br />CITY <br />ZIP <br />RIONE LICENSE F <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Same <br />CITY <br />ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 1 <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />KNEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />❑DEMOLITION ❑FENCE <br />❑SIGN[]GARAGE <br />VALUATION OF WORK <br />a 1400.00 <br />DESCRIBE WORK <br />Rebuild garage on existing <br />slab <br />single family residence <br />' <br />17-18 42 Pinehurat Div. D <br />LOT BLOCK__OF <br />74th Street S.E. <br />PLUMBING <br />OR <br />YARD SETBACK <br />STREET St <br />!ONE <br />LOT A.TEA <br />R-2 <br />OF CONST. <br />CCCUPIAAN <br />V-N <br />OF BLDG. <br />NO OF 61 <br />16'x32' <br />3 <br />APPROVAL_ <br />1. ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />SETBACK <br />5. GRADING <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPR, FOR ISSUANCE BY <br />V.C. <br />I HEREBY CERTIFY. ]HAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND YNOW 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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />XSXYSX X <br />MECHANICAL <br />NO. TYPE OF EC <br />AIR COND. UNITS -- H P. I <br />REFRIGERATION UNITS — <br />BOILERS —HP EA. <br />GAS FIRED A.C. UNITS — <br />FORCED AIR SYSTEMS — <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />nIR uANnI IMn UNIT — <br />II FEE I RECEIPT NO. <br />�..�.I UAI NATION I FEE <br />BUILDING I %1400.00 14 00 <br />PLUMBING <br />PENALTY UBC <br />EC. 3031a) _ <br />14 00 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />saoo SO I�.00 «+ <br />00 <br />OUR RECEIPT `�CC)'F <br />THAN) Mi ' <br />IDOPT 79 <br />ADDRESS FILE <br />