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�heEvergreen C'°�NSTRUCTION � <br />qTY OF <br />everett PERMIT PERMIT N0. O8H56 <br />CITV HALL 259�8745 <br />EVERETT, WA 98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAODRE55 CITY ZIP PMONE <br />AT K7TTrFqON 6008 BEVERLYpoq�NE EVERETT 98203 ZiP�1PHONE <br />ARCHI7ECT OR OESIGNER <br />.�.5'�%'— .�y.�/ <br />� KTTTTFROh <br />MECMANICAL CANTRACTUR MAIL ADDRE55 CITY ZIP PHONE LICENSE / <br />PLUM9INGCONTpACTOR MAILAODRE55 CITY ZIP PHONE L�CENSE/ <br />VN"v V^^ �INEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />f 7600.00 ___ <br />OPOSEO USE OF BUILDING <br />SINGLE FAMILY <br />ioT 7 BLOC7�_OF EVERETT DIV. H <br />S3 ft af lot 6 <br />3313 FEDE <br />PLUMBIN(i <br />NO. T'i PE <br />WATER CLOSET (T( <br />BATHTUB <br />LAVATORY(WASH <br />SHOWER <br />BREAKERS <br />AINS — RP <br />ivirc _ at <br />YARD SEiBACK <br />USE ZONE <br />R-1 <br />NPE OF CONSL <br />V - N <br />OR ITEM <br />SUBTO7AL <br />PERMIT <br />TOTAIFEE <br />STREET SETBACK <br />20 ft <br />LOT AREA <br />OCCUPFNCY GRC <br />R-3 <br />NO. OF STORIES <br />BASEMENT <br />YES <br />L ENVIRONMENTALCHECKLIST <br />2. BUILDING PIANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STA7EMENT <br />8. HEALTH DISTRIC7 <br />APPLICATION ACC. BY PLANS CHECKED BY <br />VC VC <br />FEE <br />YARD <br />VACANT SITE <br />X YES ❑NO <br />NC.OF DWELLING UNIiS <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ ,�ND 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 YJHETHER 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 OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF fqNT�1CTORDR AyTNORl2E� AGENT OATE <br />MECHANICAL <br />1. UNITS — H P. EA. <br />7ATION UNITS — H. <br />— H.P. EA. <br />GAS PIflED AC. UNITS — TONNFGE tA. <br />FORCED AtR SYSTEIdS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />11N1T HEATERS — B.T U. M <br />DRYERS <br />HOOD <br />— GF.M. <br />TOTAL <br />V CHECK NUMBER PLAN CHECK FEE <br />8856 FEE44.53 RECEIPTNO. <br />5 <br />FEES VALUATION FEE <br />BUILDING 8 <br />LOAD <br />PLUMBING <br />KLERS <br />MECHANICAL <br />ao <br />�.�� OTHER <br />APPR. FOR ISSUANCE BY <br />VC�LC <br />PENALTY U.P.C. <br />SEC. 3031a) <br />TOTAL I � 68L $ <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />sa i � $068.50 —�;I <br />� <br />� <br />�� If'. f:'.CEIPT� <br />. i_.{,•' 1�(- U <br />:� <br />ADDRESS FILE ' y kE8 `� I <br />