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dic Fvergreea <br />��TYOF � ClIVSTRUCI'ION � "� <br />everett PERMIT PERMIT NO. 06528 <br />CITY HALL 259�8745 <br />EVERETT.INA 98201 ❑ COMBINATIOY ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />o�vn��a rrn��aoorvess cnv z�v ����or+n <br />Edwin [4hite 5 5 DocjWood Dr FvPrptt 9�9-7�q5 <br />aRC111TECT OR DESiGNER l,IAIL AD�RE55 ❑7Y ZIP PnON[ <br />Same <br />GEN[RAL WNiRRGNR AIAIL ADDRE55 CITY ZiC PMONE UCENSE I <br />Same <br />MEGHANIGPLCONTRACTOP M�ILADDRESS CITY ZIP PNONE LICENSEI <br />PLUMBINGfANTRACiOA MAIIADDRF55 �ITY Zlf� VMONE <br />ONEW �ADDITION ❑AL7ERA710N X�REFAIR C]DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />YALUlTION OF WORN <br />S 41��0 <br />DESCRI�E WORR <br />8x12 Add. & Re-roof <br />vaorosco use oc ouuoiNc <br />�o. 4 u�ocK � <br />� <br />JC�IADURCiS <br />5115 Dogwood Drive <br />PLUMBING <br />—NO. TYi <br />11'AiER CLOSET <br />UATHTUB <br />LAVATORV IWA'. <br />YlAIER <br />ri00R DRAIN <br />ROOF DRAINS — (7,iINLEA�E(i: <br />SINK (SERVICE — BAR. E?C.) <br />SIDE vARD SETBACK <br />6 <br />USE ZON[ <br />R-1 <br />V-N <br />H X1Z <br />FIRE ZONE <br />3 <br />SUBTOTAL <br />STfiEET SETBACK <br />20 <br />LOT AREA <br />R-3 <br />NO OF STO <br />1 <br />MSCMEM <br />No <br />1. ENVIRONMENTAL CHECK LIST <br />2. �UILDING PLANS <br />3. FIRF HYDRAIJT <br />:. P�I;E PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIAONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTpICT <br />APPUCATION ACC. OY PLANS CHECHED �Y <br />REAR VARD : <br />20 <br />VACANT SITc' <br />ures i�+o <br />1 <br />APPR. FOR ISSUANCE �Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />AL� PROVISIONS OF LAWS AND ORDINANCES GOVERNING 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 AUTHOP.ITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIQro OR THE PERFOpMANCE OF CONSTRUCTION. <br />SIGVAiU9LOF��NiRAG1'O�R �iHpp�AGENi � � DAtF� � <br />i � ir s <br />AIR COND. UNITS — H.P. EA. <br />HEFRIGERATION UNITS — H.P. I <br />�OI�ERS — H.R EA. <br />1�N5 YItICV N.l.. UIVIIJ- IVryry <br />FORCED AIR SVSTEMS — B.T.U. <br />\YALL HEATERS — B T.U. <br />UNIT HEATERS — � T.U. <br />DRVERS <br />RANGEHOOD <br />41R HANDUN( <br />79/492 <br />BUILDING <br />PLUA�BING <br />MECHANICAL <br />OTMER <br />PENALTY <br />TOTAI. <br />e <br />M <br />M <br />SUB TO'I AI. 5 <br />PERMIT S <br />TOTAL FEE S <br />Pl AN CHECK FEE <br />FEE 1[} . OO RECEIPT N0. <br />41812 <br />VALUATION FEE <br />�a,000.00 Zs o0 <br />U B.C. <br />SEC.303(a) <br />�' <br />PERMIT VALIDATION <br />WHEN PROPEHLY VALIDATED pN 7HIS SPApCE) T7HIS IS VOUR PEQRId1T * <br />OOT/ �SOTO.OQ-��ol <br />N <br />LC) <br />YOU R RFC�E1Pi� <br />T��� rbu <br />ADDRESS FILE <br />I 4 t,t� 19. . <br />