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theErcrgreen C��ySTRUCTION --�" <br />CITY OF <br />everett PERMIT PERMIT N0. 08271 <br />CITY HALL 259�8745 <br />EVEREI7, WA 98201 ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDPE55 GTY 21P PNONE <br />Eugene E. Dalton 6030 Dexter Everett 98203 355-6142 <br />ARCMRECTOfiDESIGNER MAILAODRE55 CITV ZIP PHONE <br />GENEFAL CANTPAGiOR MAII ADOFE55 CITY ZIP PMONE UCENSE A � <br />Same <br />MECNANICALCANTRAGTOR MAiLApDRE55 CITY 21P PHONE UCENSEI <br />PLUTABING CONTRACTOP MAIL ADDRESS Cltt ZIP PNONE UCENSE I <br />❑NEW ❑ADDITION ❑ALTERATION �Bd:PA1R ❑DEMOLITION L-FENCE ❑SIGN ❑GARAGE <br />y 277.00 <br />iCRIBE \YORK <br />composition re-roof of existing garage <br />residence <br />LEWL OESCRIPTION OF PROPERT <br />LpT 17 BlOC1L_OF <br />Dexter Avenue <br />PLUMB�N6 <br />N0. <br />DISHWASHLR <br />DRAIN <br />DRAINS — <br />SFRVI( F — <br />SIDE YAPD SETdACK <br />USE ZONE <br />TVPE OF CANST. <br />SIZE OF BLDG. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />ATTRCH FOURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERN�NG THIS <br />ew ' e' 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 OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SI�G-NyA�iURE OF CONiRACTOR OR AUTNOFIZE[1 AGENT UATE <br />YA I/�,. �%/�. 9/12/80 <br />OR ITEM <br />STREETSETBACK <br />OF <br />t. ENVIRONMENTALCHECKLIST <br />2. BUIIDING PLANS <br />3. FIRE HYDFANT <br />4. FIRE PROTECTIOIJ SYSTEM <br />5. GPADING <br />G. DRAINAGE <br />7. ENVIRONMENTAL IAIPACT STATEMENT <br />B_NEALTH DISTRICT <br />APPLICATION ACG BY PLANS CMECKED BY <br />YARD SETBACK <br />�YES ❑�'O <br />APPR.FORISSUANCE BY <br />NO. TYPEOFE�UIPME <br />AIR COND. UNITS — �� P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BORERS — HP. EA. <br />GAS FIRED AC. UNITS —?ONNAC <br />FORCED AIR SYSTEMS — B T.U. <br />WALL HEATERS — � T.U. <br />UNIT HEATEqS — �.T.U. <br />EVAPORA7IVE COOLERS <br />CLOTHES DRVERS <br />VENTIU+TION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />ST07E <br />MFTAI FIRFPIACE 8 CHIMNEY <br />FEE <br />FEES VALUAI <br />BUILDING $ 2 7 7 , <br />PLUMBING <br />MECHANICAL <br />M EA. <br />M <br />FEE <br />RECEIPi hJ. <br />FEE <br />� 1 � <br />n. U.B.C. <br />SEC. 303 (a) <br />5 00 <br />f VALIDATION <br />PROPERLY VALI�ATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />7666 �005.00 - � <br />N <br />�;•'):12 R�CEIPT o <br />; �- �„� � r, Yo u <br />