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UirLl�crgrnen . �Os,V��� w�'�� <br />i, ITY OF �v v <br />��'��°�tt PERNf IT <br />arvi{n��zs�r�,a, PERMIT N0. 06255 <br />�vEFaETT, v+a ".q:-�� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />oviruri <br />�a<i� auoia[ss cirr <br />General Telephone Directory Office Z1P �"°"E <br />nNa+uccr o� uesi�urH n�na nooaess <br />arr ziP rroNe <br />cen�nn� cormucroa nina nnoeess <br />A 6 H HllildEYs 11002 Loo Road CiY Z1P r��or�e ucer�ser <br />P Lake Stevens 98258 334-5589 <br />M1'ECMPNICALCONTBACi0f1 � MAILApORESS <br />CRY ZIP <br />PH01lE lICE1+5L r <br />� W I,IBING COYiRqG10R h1AIL �OOf1E55 <br />Clil Z�p <br />PHONE �ICENSE I <br />❑NEW ❑ADDITION ❑AL7ERA710N IiOR[PAIR <br />.uarioN or wor�K <br />f 9,000.00 <br />SCBI�E SYpRK � <br />replace sidewalk on orivate property <br />Sec. 7 5E-28N <br />7710 Evergreen <br />PLUMBi!•!G <br />N0. TYPE OF FIX7 <br />UM <br />SINK <br />SINK <br />SIDE VARD SETBAGK <br />USE ZONE <br />TVPE OP CONST. <br />SIZE OF �LDG. <br />FIRE ZONE <br />G <br />� <br />OR ITEh7 <br />STREET SETt3ACK <br />lAT AREA <br />OCCUPAIJCY GRC <br />uo. oF srnaicc <br />- i. ENVIRONMEN7AL CHECK LIS7 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />n. FIPE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIqONMENTA�IMPACTSTATEMENT <br />8. HEALTH �ISTRICT <br />APPLICATION ACC. BY P�p.NS CHECKE� BY <br />FEAR YARD : <br />VACAN7 SITE <br />f ]YES ❑NO <br />ND.OF DWEL <br />Mnx.occ.�o <br />FIRE SPRINKLi <br />R[OUIRCD <br />❑YES L;NO <br />aT <br />APPR. FOR ISSUANCE BY <br />❑DE1dOLITION ❑FENCE ❑SIGN ❑GARAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COFlRtCT. <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 PFO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONST CTION OR THE PERF, RMANCE OF CONSTRUCTION. <br />`�G�!<TU���: �i�yiCRnC1�0q,0�Ay1NORIZ DAGENi <br />^�.� -'-tC�rt%2{��j�� 6/2�/79 <br />IdECHANICAL �� <br />UJIiS — <br />n.r ev <br />ERS — H P. EA. <br />FIRED A C UNITS — TONNAGE EA <br />:EO AIR Sv$TE�dS — B.T.0 M17 <br />_ HEATERS — B.T U. h� <br />HC-_4TER5—Biu �� <br />AIR HARDI IN(; IINIi _ <br />AIETAL FIREPIPCE 8 <br />PERMIT <br />iOTAL FEE <br />FEE RECEIPi NO. <br />FEES VALUATION .'-EE <br />BUILDING I S <br />9,000. 48 00 <br />PLUIdBING <br />orHE� —i-- <br />PENALTY U.B.C. <br />_ SEC. 3�3 (al <br />ro7a� 48 00 <br />PERMIT VqLIDATION — <br />\YHEN PROPERLY VAI_IDATED (IN THIS SPACE) THIS IS YOUR PERIdIT <br />R43b $04$.00 � � <br />� F� <br />Yfl�UR RE�EI�'T � <br />� �Hn�v� Yo u � <br />;����:�-�� -,, :_ <br />: 21 ��( 14 <br />�.. <br />