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tl�e E��ergreen -!�O NST RU CTIO M <br />rv oF '� <br />a <br />everett PERMIT pERMIY NO.O9H6O <br />CITV HALL 259-9745 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMB{NG <br />EVERETT. WA 982U7 <br />eirr zrv vr+or:e <br />O WNER MAIL AODPE55 2 5 9-18 4•1 <br />Doug Forrey 5026 Colby Everett <br />aRCHREGi OF DESIGNCR <br />MA4�ODRE55 CITY ZIP PMONE <br />MAIL A�DPESS CIiY ZIV PNONE ULENSE � <br />ceutanicor�rauTon Everett 353-4659 <br />Mel Forrey 7532 Lower Ridge Road <br />MECNANICAICANTRRGTOR <br />MALL ADOPE55 C17Y ZIP FMONE LICENSE 1 <br />PLUM9ING GONTRPL?OF <br />MAILADDRE55 CITY IIP PHONE LICENSEI <br />CU:SOF WORK <br />❑NEW ❑AD6Ri0N <br />UATION OF WOPK <br />E1��00.00 <br />❑ALTERAiION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />construct retaininq wall and deck <br />1SED iISE 0� BUILOMG <br />single family residence <br />�or 13 eioc�_aF _ <br />�oea¢�026 Colby <br />PLUMBIN� <br />Np, TYPE OF <br />WAT[R'JLOSET (TOILE' <br />pATHTUB <br />LAVAiG�7V I14ASH BAS <br />SNOWER <br />kiICHFN SINK 8 DISP. <br />fIOOR <br />NWr �/nnina — <br />SINK (SERVIC[ — <br />Saker McLaughl <br />RE OR <br />SIDE YARD SETBACK STRCET SCi 6r.C�: I REAR YARD <br />USE <br />FIRE <br />AREA <br />OF <br />LENVIRONM[NTALCHECHLIST _ <br />7. �UILDWG PLANS <br />3. FIRE HVORANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />7. ENVIRONMENiAL IMPAGT STATEMENT <br />0. HEAITH DISTRICT <br />APPUCA110N ACC. BY PLANS CHECKED BY <br />V.C. <br />❑ND <br />I HEREBY CERTtFY 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 VIOIATE OR CANCELTHE PRO� <br />VISIONS OF ANY OTNER STATE OR LOCAI LAW REGULATING <br />CONSTRUCTION OR THE f ERFORMANCE OF CANSTRUCTION. <br />SIGNAiUREOiW��iRAG�ORORPU1MOAl?EDAGENT DPiE <br />'l _ w / � D _ lo/1/al <br />MECHANICAL <br />N0. TYPE OF EOUIPM NT <br />AIR WND. UNITS — H P. [A. <br />REFPIGERP.TION UIJITS — H P. EA <br />DOILENS — HR EA. <br />GAS FIREO AL. UNITS — TONNPGE EA. <br />FORCED AIR SYSiEMS — B T.U. M <br />APPR.FORISSUANCE BY <br />WHLL nCn�cw — u <br />UIJIT NEATEHS — BT <br />[VAPORATNE COOLEI <br />CLOTHES DRVERS <br />VE4iILATION FAN <br />RANGEMOO� <br />AIR HAPIDLING UNIT <br />STOV[ <br />81/9860 <br />FEES <br />BUILDING <br />PLUM@INO <br />MECMANICAL <br />OTHER <br />PENALTV <br />FEril. 38 <br />E 1,000. <br />LLB.C. <br />SEC.3031a) <br />�'�$igr�o. <br />FEE <br />17 $0 <br />17 �50 <br />PENMII YPLIYnu�+n <br />WHEN PRO'ERLY VALIDA7ED (IN THIS SFAGE) THIS IS YOUR PERMIT <br />, � ^ '� 17. '; ; --- � <br />� <br />� <br />., . �:�-' O <br />.. �,� �.`. �:�f <br />� <br />