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the Evergreen <br />^ CONSTRUCTION - <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.09282 <br />CITY HALL9 <br />El COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑PLUMBING <br />EVERETT, WAA 98201 8201 <br />CITY <br />MAIL ADDRESS Everett <br />ZIP <br />98204 <br />PHONE <br />337-1213 <br />OWNER <br />Kim Sandra <br />Gudgel 10304 33rd Ave. S.E. <br />PHONE <br />MAIL ADDRESS CITY <br />ZIP <br />ARCHITECT OR DESIGNER <br />CITY <br />ZIP <br />PHONE LICENSE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Same <br />CITY <br />Zlp <br />PHONE LICENSEr <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />❑ADDITION ❑ALTERATION ❑REPAIR ONEMOLITION ❑FENCE <br />❑SIGN OGARAGE <br />CLASS OF WORK <br />❑NEW <br />E <br />K <br />Demolish Single ';'amily Residence <br />LEGAL DESCRIPTION OF PROPERTY I:HUW nu,w vu -'-' <br />LOT 29 BLOCK_OF Beverl? Ac <br />JOB ADDRESS <br />7029 Lower Ridge Road <br />PLUMBING <br />8 <br />Rol <br />SETBACK <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTEUMON SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />R. HEALTI OISTHICT <br />DYES ONO <br />LOAD <br />AP- <br />PLICATIONI HEREBY THAT I HAVE READ ANDIFY KNOW THE SAME TO BEDTRUE AND CORRECT. <br />ALL 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 AUTHORITY TO VIOLATE OR CANCEL THE PRO, <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PE ORMANCE OF CONSTRUCTION. <br />SIGNAT OF CONT % <br />CTOR AUT ED AGyy S 19 B 1 <br />./ / / <br />S — H.P. EA. <br />UNITS - H.P. EA <br />EA. <br />UNITS - TONNAGE EA. <br />STEMS - B.T.U. M <br />- B.T.U. M <br />- B.T.U. M <br />;OOLERS <br />RS <br />AN <br />I INIT — C <br />PLAN CIIECK NUMncH FEE I RECEIPT NO. <br />BUILDING $ I 00 00 <br />MECHANICAL <br />OTHER <br />U.B.C. <br />SEC. 303 (a) <br />MM <br />PERMIT VALIYAI IVO <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S21q 000.00—ai <br />N <br />C" <br />!FT o <br />BY IT <br />