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1heE��eryreen ' � CO�"STRIJCTI�I� � <br />(J'Y OF <br />everett PERMIT pERMIT NO. 0�220 <br />CITY HALL 259�8745 <br />EVERETf, WA 98201 ❑ COMBINATION �I BUILDING ❑ MECHANICAL ❑ pLUMBING <br />�HN-� MAILADORE55 CITY ZIP PHONE <br />O'Conner and Oehler 9210 Evergreen Way 98204 353-7700 <br />/+RGFIiEGi0RDE51GNER AIAILApDRE55 CITY ZIP PHONE <br />GENERALCONTRAGTOR MAILADDRE55 CITY IIP PMONE UCENSE/ <br />Same <br />MCCMAN�CALCANTNACTOR MAILADDAE55 CITy ZIP PMONE LICENSEI <br />PLUM�INGCONTNACTOR MAILAOOPE55 CIiV 21P PHONE LICENSE� <br />OF W�qH <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �]DEMOLITION ❑FENCE ❑SIGN ❑GA�AGE <br />f <br />SCRIBE WORN <br />Demolish Single Family Residence <br />LEGAL OESGRIPTION OP PROPEFiY (SMOW BELOW OR ATiACM FOIIR CAPIES) <br />�0�'2 e�oc�_nF �Plat of Lot 15 of <br />' Heverly Garden Tracts Div. #1 <br />OB ADDRE55 <br />101 Dorn Avenue <br />PLUMBIN6 <br />NO. TYPE OF <br />DISN WASMER <br />CLOTHES <br />0 <br />� <br />SIDE YARD SETBACK <br />USE ZONE <br />FIRE ZONE <br />STREETSETBACK <br />NO. <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPUCA710N ACG BY PLANS CHECKED BV <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVi510NS 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 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 CONiRACiOR OR AUTNORI2ED �GENT DATE <br />X 2/7/80 <br />MECHANICAL <br />TYPE OF E�UIPMENT <br />AIR COND. UNITS — HP. EA. <br />REFRIGERATION UNITS — H.P. EA <br />�OILE�S — H.P.E�. <br />GAS FIRED A C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS - � B.T.U. M <br />EVAFORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR MANDLING UNIT — QF.M. <br />SiOVE <br />METAL FIREPLACE 8 CHIMNEV <br />REAR YARD SETBACK PLAN CHF. <br />VACANT SITE <br />❑YES ❑NO <br />N0. OF D\VELLING UNITS <br />BUILDING <br />MA%.00C.LOAD <br />PLUMBINC <br />FIRE SPRINKLERS <br />BY <br />APPR.FORIfiSUANCEBY <br />OTHER <br />PF.NALTY <br />ADDRESS FILE <br />PERMIT <br />TOTAL FEE <br />PLAN <br />FEE <br />VALUATION <br />S <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />s►ro $aoo.00—� <br />N <br />YOUR RECEIPT� <br />Tb-i�•NK YOU � <br />, ,: <br />-%fEB80 <br />