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`,"`,.�;�aF ''i1NSTRUCTION <br />everett PERMIT pERMIT NO.OS83G <br />CITV HALL 259�8745 <br />EVERETf, WA 98201 (� COMBINATION C� BUILDING � MECHANICAL C�] PLUMBING <br />�'��%�+�A MnILNpOPE55 GiY 21P GMOrvE <br />DEL REED 4919 Dogwood Everett 259-1466 <br />FROIITECT OR pES�GNER MAIL NDORE55 GIiY ZIP PHONE <br />GL��ERALCONiRACLOR MnILADpRE55 CIiY 21P FMONE UCENSE I <br />Everett Builders Inc. 5606 Evergreen Way Everett 98203 353-7161 <br />U�EClIANIGALCANiRRCiOR MRILAOORE55 CItY ZIP PNONE LIGENSEI <br />EV ER EB 301PH <br />PLUMBINGCONiRACTOR MAILADORE55 �ILY ZiY PNONE LICENSEI <br />ClASS OF WORR I� y <br />ONEW L7AODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN �GARA(;E <br />VALUATION Oi WORK <br />S 1��8��.�� <br />addition akt to exist <br />PROPOSEO USE OF BUiI�iNG <br />single tamily residence <br />IEGAL OESCRIPiIDN OF pROPERtt ISMOW 9ElOW OR ATiRCM <br />iorW�12�2B��K_oF Forest Park <br />Dogwood <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILETI <br />BATHTUB <br />`1 <br />� <br />SUB TOTAL <br />PERMIT <br />SIDE VAR'J SETBACK STREET SETBACK <br />6' 20' <br />USE ZONE <br />R—I <br />OCCUPANCVGROUP <br />R- 3 <br />FIRE <br />1. ENVIRONMENTAL CHECK UST <br />2. OUILOING PIANS __ <br />3. FIREMYDRANT '" <br />-� <br />d. FIfiE PROTECTION &YSTEM <br />5. GRADING <br />6. �RAINAGE --� <br />7. ENVIRONMENTAC IA�PACT STATEMENT <br />8. h1EALTM,DISTRICY_� <br />�pLICATION ACC. BY PLANS CMECKED BV <br />... _- I v.c. <br />'i <br />p <br />residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />„A„ ALL PROVISIONS OF IAWS AND ORDINANCES GUVERNING 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 PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONS fiUCTION OR�Fi� PERFORMANCE OF CONSTHUCTION. <br />X�+nrnEOFcorvr��ror�o iH�aaEo r onie <br />�, . , '� ] 2/25/81 <br />MECHANICAL <br />REARVARD SETBACK <br />20' <br />VACANT SITE <br />�5 f�I� <br />NO. OF DWELUNG Uf <br />1 <br />APPP. FOP ISSUANCE BY <br />AIR CAND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />�OILERS — HP. EA. <br />GASFIFEDAC 11NITS—TONNAGEEA. <br />FORCED AIR SYSTEMS — PT.U. M <br />WALL NEATERS — 0 T.U. M <br />UIJIT IIEATERS — B T.U. M <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />8834 I F[E 5623 � ��c�ia�r�o. <br />$ � 86 50 <br />� 6 00 <br />3 00 <br />(a) <br />95 � 50 <br />HEN PROPERLV VALIDATED (IN THIS SPACE� THIS IS YOUR PERMIT <br />��� � �. 0 �— 3 I; I; � Z �� c�. 5 0—C� <br />. � <br />� <br />' . , : �- � - I nT� <br />'. 'J . � U <br />ADDRESS F�ILE'� '' I <br />/. 5 rL3 u � <br />