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the E��ergreen C��y ST R U CT I O N r" � <br />CITY OP <br />everett PERMIT pERMIT NO. OH271 <br />CITY HALL 259-8745 <br />eVERETT.WA sezoi ❑ COMBINATION �CBUILDING ❑ MECHANICAL ❑ PWMBING <br />owNER unanooRess citr zia vHONt <br />Eugene E. Dalton 6030 Dexter Everett 93203 355-6142 <br />ARCMITECT OR �ESIGNER MAIL ADDPE55 qTY ZIP PHONE <br />GENERq� CONTRACTOR MAIL ADDRE55 CITY 21P PNONE LICENSE � � <br />Same <br />AIEGMANICPLCONTRACTOR MAILADDflE55 CITY ZIP PHONE LICENSE♦ <br />FLUMBINGCANTRnCiOP MAILADDRE55 GITY ZIP FHONE IICENSE/ <br />Cl/SS OF WOPK <br />ONEW ❑ADDITION ❑ALTERATION �AEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />vnwnnou oF wonrc <br />s 277.00 <br />�ESCRIBE WORK <br />composition re-roof of existing garage <br />PROPOSED USE OF BUILOING <br />residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�or 1 7 e�ocK_oF <br />6030 Dexter Avenue <br />PLUMBIN6 <br />N0. <br />WATER CLI <br />BATHTUO <br />LAVATORY <br />ORATTACHFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRE.^.T. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />view 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��N�R[ OF GO/NTRAGTOR �OR- —AUiHORIZED AGENi DATE <br />X//1.:/1.! ////%/���. 9�12�a0 <br />TYPE OF FIXTURE OR ITEM <br />KITCMEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WA7ER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADER'. <br />SINK �SERVICE — BnR. ETC.) <br />SUB TO' <br />PERMIT <br />SIDE YARD SETBACK <br />7YPE OF CONST. <br />STREETSETBACK <br />LOT AREA <br />OCCUPANCY GR( <br />NO. OF STORIES <br />1. ENVIFONMENTAL CHECR LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. NEALTH DISTFIC7 <br />APPLICATION ACC. BY PLANS CHECKED BV <br />FEE N0. TYPE OF E�UIPMEI <br />AIR COND. UNITS — H.P. EA. <br />RLFRIGERATION UNITS — M.P. EA <br />BOILERS — H P EA. <br />GAS FIRED A.C. UNITS — TONNAGE <br />FORCED AIFi Sv5TE1d5 — B 7.U. <br />WALL HEATERS — 0 T.U. <br />UNIT HGATERS — B TL. <br />EVAPORATIVE COOLERS <br />CLOTHES DRVfi{5 <br />VENTI�ATION FAN <br />RANGEfi00D <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FlREPIACE 8 CHIMNEY <br />SUBTOTAL <br />S PERMIT <br />S TOTALFEE <br />REAR VARD SETBACK PLAN CHECK NUMBER <br />FEE <br />❑YES <br />Ib!_�:i�:KN <br />DATE <br />APPR.FORISSUANCEBY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />M EA. <br />M <br />VALUATION <br />S 277. <br />UB.C. <br />SEC. 303 (a) <br />RECEIPT hJ. <br />FEE <br />5 00 <br />TOTAL I I 5 I 0 O <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI° SPACE) THIS IS YOUR PERMIT <br />7b66 $005.00 -- -�-� <br />N <br />�;� �!�� R_CEIPT o <br />!;"�^,!�f: YOU � <br />ADDRESS FILE <br />I 2 S�' 8 0 <br />