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the EvergreenIg <br />CQVSTR U CT I O N <br />60 <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO. <br />07393 <br />CITY HALL 259 B7" <br />❑ <br />T--i� <br />COMBINATION ❑ BUILDING aMECHANICAL <br />PLUMBING <br />E.VERETT. WA 90201 <br />Cur <br />MML P�ORE55 <br />IIP <br />rgONl. <br />OWNER <br />Oscar Swedal <br />906 - 87th S P- Pvrse.rr <br />=p <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE IK:ENSEE <br />-' <br />GENERAL CONIWII <br />MML ADDRESS <br />MLAIL ADDRESS CITY <br />21P <br />PHONE LK:ENBE E <br />MECHANICAL OONTRACTOH <br />41 <br />Natural Gas <br />ptt <br />Equipment 16 LT <br />ZIP <br />PHO IE LK:ENSEI <br />PLUM91N0 CONTRACTUH <br />MAR ADDRESS <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑ FEN :E <br />❑SIGN 13GARAGE <br />CLASS OF WORT( <br />❑NEW <br />f <br />OESCRI13E WORK <br />Conversion burner <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO 3E TRUE AND CORRECT. <br />ALL OF LAWS AND ORDINANCES <br />TYPE OFVISIONS WORK WILL BE COMPLIED WITH WHETOHEER RNING SPECIE EID <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS NG <br />CONSTR CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />IO <br />SIGNATURE OF CONTRACTORo�y+�HORISE"NT DATE <br />/.:._ Lf 1�AA, T 3/27/80 <br />LOT RLOCK—OF <br />Jon ADDM 55 <br />906 87t1T S.G., Everett <br />PLUMBING <br />YARD <br />OF <br />APPROVALS <br />I. ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />3. FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />5 GRADING <br />S. DRAINAGE _ <br />'. ENVIRONMENTAL IMPACT STATEMENT <br />BY <br />❑NO <br />S. HEALTH DISTRICT 1 <br />APPLICATION ACC BY PLANS C' IECKED BY APERE. FOR ISSUANCE BY <br />OF EC <br />—HP.I <br />INITS — <br />PLUMBING <br />FEE <br />t <br />M <br />RECEIPT NO. <br />0 <br />PENALTY II E C. <br />SEC. 3031a) <br />TOTAL 8 0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ;IN THIS SPACE) THIS IS YOUR PERMIT <br />alas 5008.00 — 4F) <br />co <br />N <br />FY0VR RECEIPT c:) <br />I I TP-1A� Y, YOU <br />21gm80 <br />