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the EvergreenF <br />f'ONSTRUCTION <br />CITYYOf <br />everett <br />PERMIT <br />PERMIT NO.09849 <br />CITY HALL259.8745 <br />❑ COMBINATION BUILDING k MECHANICAL <br />PLUMBING <br />EVERETT. WA 98201 <br />nront <br />OWNER <br />AJMES L <br />MAIL ADURES5 <br />RATHBURN 811 91Bb PL. EVERETT, WA <br />982O3 355-494D6 <br />_ <br />- <br />. <br />ARCHITECT OR DESIGNER <br />MAIL ADORES:. CITY <br />.r <br />NE <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE IF <br />GENERAL CUNTTUCiOR <br />OWNER <br />CITY <br />ZIP <br />PHONE LILENSF.I <br />YF.CHANIGLCONiRM:TOR <br />MAIL ADDRESS <br />MAIL ADDRESS CITY <br />21P <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />❑NEW ❑ADOITICN ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />UATION OF WORK <br />$1180.00 <br />KRIBE WORK <br />MASONARY CHIMNEY AND WOOD STOVE INSERT <br />LOT 1 SLOCK_OF MT. V <br />B11 9 <br />PLUMBING <br />YARD <br />OF <br />T. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />SETBACK I AFAR <br />3 FIRE IIYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5 GRADING <br />1 6 DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />B. hEAITH OISTA,CT <br />i <br />UYES <br />No-0 <br />:,,, �, Ipan „-.1 tr.•,"r m. <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 STATE OR LL LAW REGULATING <br />CONSTRUCTION OR THERPERFORMANCOF CONSTRUCTION. <br />SIGNATURE OF CONTR CTjIR OR AUTHORIZED AGENT p ) DATE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT ree <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED AC. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. M EA <br />WALL HEATERS — B T.U. M <br />UNIT HEATERS — B.TM. M <br />EVAPORATIVE COULERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE <br />METAL FIREPLACE S C,HIMNEY — <br />_ SUB ;FEE <br />US5 PER <br />TOT <br />ILANENUMSERJEL <br />CK FEE <br />RECEIPT N0. <br />FEE <br />BUIL <br />PLUMBING <br />PENALTY U 0 C3031AI SEC <br />TOTAL 3 B <br />I VALIVAnvn <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT C <br />2 rn <br />00 <br />l� <br />I� <br />