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■i <br />rheEvergreen C NSTRUCTION ��_\ <br />�'TYOF pERMIT <br />everett PERMIT NO. 07141 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 r� COMBINATION ❑ BUILDINa ❑ MECHANICAL PLUMBING - <br />Wg, 98203 355-4891 <br />� Y Z�p PHONE <br />AFCHITECT OR DESIGNEH <br />��TY Z�p PHONE LICENSE I <br />GENEFALCONTRACTOR <br />MAIL AD�flE55 <br />A T L ON CITY ZIP PHONE LICENSE/ <br />MECHANICAL CONTRACTOR MAIL ADOPE55 <br />MAIL NDOPESS <br />CITY ZIP PHONE LICENSE I <br />PUIMBING CONTRACTOR _ <br />C�NEW <br />.UATION OF WORK <br />s 39,000.00 <br />iCR�BE WOFK <br />❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />SINGLE FAMILY <br />LEGAL DESCRIPTION OF PROVEFTY ISH <br />LOT 7 BLOCK 78�F —P <br />JOB ADOFE55 <br />3313 FEDERAL <br />PLUMBINO <br />NO_ TYPE OF I <br />r <br />e <br />SIDE YARD SETBACK <br />fYPE OF CONST. <br />V — N <br />iIZE OF BLDG. <br />16'x50' <br />FIRE ZONE <br />LZNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />ppqTTACH FOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />'T DZV. H 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 UTHER STATE OR LOCAL IAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCTION. <br />SIGNATURE OF CONTR9L10�R AU�ORIZED AGENT <br />� n 4� �Z �Q� <br />STREE75ElHncn <br />20 ft <br />LOT AREA <br />3000 sq. <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF 5 <br />2 <br />BASEMENT <br />NO <br />7. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS "' <br />3. FIRE HYDRANT � � <br />T <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING � <br />;�� <br />6. DFj�IAAGE _� � - <br />7. ENVIRONMENTAL IMPACT STATEM�NT <br />m <br />B. HF H �ISTRIC7� � <br />APPLI ON ACC. BY i� � PLANS C�EC <br />1C C_ -\ yC <br />_ � <br />.p <br />REAfl <br />VACANT SITE <br />❑YES ❑NO <br />N0. OF DWELI <br />1 <br />MAX. OCC. LO. <br />MECHANICAL <br />NO. TYPE OF E�UIPME <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNIT$ — TONNA( <br />�,..,nrn nio cvcic�AF — R T ll. <br />r <br />� <br />— S�B <br />PEH <br />TOT <br />'LAN CHECK NUMBER <br />7141 <br />FEES <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />QF <br />FEE 151.78I RE51626 <br />3 <br />U.B.C. <br />SEC.303(a) <br />18 00 <br />16 0 <br />- TOTAL 268 0 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS 5�ltG�l'T�iIS IS Y�UP RE9�"��h O�� <br />L6 LJJ � <br />d' <br />; � n , ;;: ;;::Ci:IPT ti <br />,F018.00— 3 � ��,:���: ���:u � <br />gy qPPR. FOR ISSUANCE BY � -' '��� <br />VC�iC �� � _ ;.IFI <br />. 'r �: J <br />ADDRESS FILE <br />-�rEe81 <br />