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ihe£vergreen �- � CUNSTRUCTION - <br /> CITY OF <br /> everett PERMIT PERMIT NO. OH321 <br /> CI71'HALL 259�P745 <br /> evr-aerr.wn eozoi ❑ COMBINATION �CBUILDING ❑ MECHANICAL ❑ PLUNlBING <br /> CWNER MP'LPDDRE55 CIiY ZIP PnONE <br /> Ruth F. Coursol 1428 Hoyt Everett 99201 252-4330 <br /> ARCIIITEGi0RDE51GNER MAtLADDRE55 CIiY 2iP PHO�lE <br /> G"cNERAICONTRAGiOR MPILRD�RESS GITY 21P �'HONE LICE�bEI <br /> Same H & G Glass 6502 �vergreen Way Everett 98203 353-8484 <br /> IAECIIFNI]NLCANLRACTG� I.IAILAODRE55 CITY .'IP PHONE UC[NSCI <br /> 223-01-409-36 <br /> PLUMBINGGONTF.ACTOR MAI!AD�9ESS CIiY ZIP PMONE UCENSEI <br /> PA$$OP WORN <br /> ❑NEW ❑AD�ITION ❑ALTERATION ]{�FEPAIH ❑DLMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 5 S , OOC. 00 _ <br /> DESCRI6E WORK <br /> Vinyl siding and storm windows <br /> r��c�osco use ov euuoiNc � <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecnioescaiarioNOFvaoPearv�sNoweeiov+oanrrncNFouawPi=_s� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 9-20 29 Hilton ' s lst ALL PROVISIONS OF LAVJS AND ORDINANCES GOVERNING THIS <br /> ��it e�ocK_�F TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERM�T DOES NOT <br /> PRESUME TO G'��E AUTHORITY TO VIOLATE OR CANCEL THE P90� <br /> VISIONS OF ,4N�� OTHER STATE OR LOCAL LAW REGULATING <br /> COtJSTRUCTION OR TH[ PERFORMANCE OF CONSTRUCTiON. <br /> SIGn4�l1F1EOPGYIMW.GTOPOFAViNOHiZEDAGEkT DAiE <br /> '��4°��S�Ioyt Avenue X ---� � 9/19/80 <br /> PLUMBING MECHANICAL 10/6/80 <br /> h0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UIJITS-HP.EP. <br /> BATHiUB REFRIGERATION UNITS-HP.EA _ <br /> �AVAiORY fWASH BASIN� BOILERS-H.P �A. <br /> SHOWER GAS PIRED A C.U41i5-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. rORCEO AIR SVSTEM1IS-B T.U. M EA. <br /> DISHWASHER WALLHEAI[HS-�T.U. M _ <br /> lnUhDRY iPAY UNIT HEATERS-BS.U. M ___ <br /> CLOTNES WFSHER EVAPOPA�IVE '.J�)I ERS <br /> WATER HEATER CLOTHES�PY6fi5 <br /> URiNAL VENTILATION FAN <br /> DFiINKING FOUNTAIN PANGE HOOD <br /> FLOOR ORAIN AIR HANDLIFG UNIT— GF.M. <br /> b'ACUUM GREAKEFS S70VE <br /> ROOF DPAINS—RAINL[ADERS META�FIl7EPLACE 8 CHIMNEY <br /> SINK�SEflVICE—BAR ETCI <br /> SUB TOTAL SUB Tl17AL S� <br /> PEflMIT f PEPMIT S <br /> TCTAL FEE S TOTAL FEE S <br /> SiDE YAHD SETBAC!. STR[[7 `CT[:.rtCl: REAR YARD SET�ACK PLAN CHECK NUMBER PLAN CH[CK FFE <br /> FEE R[GEIPT NO <br /> USE ZONE � LGT AqEA t'ACANT SITE - <br /> , LIVES LJNO FEES VALUA710N FEE <br /> TYPE OF f,ONST. OCCUPAhi:V GROUP N0.OF DWELLING UNI fS <br /> BUILDING S S , OOO . SS OO <br /> S¢E OF BL[JG. N0.OF STORIES MA%.00C.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEM[NT FIRE SPR VKLERS ��ECHANICAL <br /> REOUIRED <br /> f lYES ❑NO <br /> 1 <br /> APPPOYALS BY DATE OTHER <br /> t ENVIRONNEN7AL CHECY.LIST PENAL7Y U B C <br /> SEC.30'.�a) <br /> z. s�moincaiaNs — K� S8 <br /> 3 FIPC HVDI:ANT TOTAL S� S� <br /> a FlRE PROTEC7ICN SYSTEM PEpMIT VALI(ATION <br /> _ WHEN PROPC IL�VALIDATED(IN iHIS SPACF)TNIS IS YOUR PER'AIT <br /> 5 GRADING _ � � � ; <br /> 6. DRAINAGE O � O• h a —` � <br /> 1 ENVIRONMENTALIMPACI'STAIEMENT M <br /> e raer,�rH oisraicr ` � � � � �'. R�C r�P'( O <br /> APPLICATION ACC.BV PLANS CNECKED�� APPR.FOR ISSUANCE PY <br /> ,"., ',' U <br /> x .c. <br />