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die Ll�ergreen L��y ST R U CT I O N <br />CITY OF <br />everett PERMIT pERMIT NO.Og53O <br />CITV HALI 1`&d7�15 <br />evEaerr, w: se2a� ❑ C7MBINATIQN XkX� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />�;��,E� rani�nooaess cirv z�vi ce�one <br />EUGENE PETERSOiJ 13107 -• 4th DR SE Everett 98204 337-6428 <br />qNGMIiEGi OP DESiGNER h1AIL Ap�PESS GITY Z'P PH0�1E <br />G4nERl.LCO:lTRACTOR MAILApDRE55 QiT ZIP GHONE lIC[115E♦ <br />Owner <br />NECIIAIIICALGONiRaCTOR IAAILADDRE55 CIiY 21P PHONE IICENSE! <br />PLUIdBMGCONiPFCiOR MAILADDRE55 CITV ZiP PYONE LiCENSE� <br />CV.55OF WORK <br />❑(er.Hr ❑qODITION ❑ALTERATION ❑PEPAIR ❑DEMOLITION X}(�fENCE ❑SIGN ❑GARAGE <br />VAIUATl01! OF VIORK <br />s 300.0� <br />DESCRid[ WORK <br />Wood fence <br />PROPOSEO USE OG �UILDING <br />Residence I HEREBY CERTIFY THAT I HAVE READ A(JD EXAAIINED'fHIS AP� <br />�ecn��escruanor�eFe�ovearr�sNowoaowonnTTacNFouecavies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRcCT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS <br />�oi»�� 8 eioc� oF Snu+h Par4 urld TYPE OF WPRK !NIIL BE COMPLIED WITH WHETHER SPECIFIED <br />JOd AfJUFL55 <br />4132 Hoyt Avenue <br />PLUM8ING <br />TYPE OF F1%TURE <br />WATER CLOSET (TOILETI <br />BATH7U0 <br />IAVATORY (W��SH &4SIN) <br />SHOWER � <br />KITCHeN 9NK 8 71SP. <br />DISf{WqSHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HLATER <br />URINAL _ <br />DRINKING FOUNTAIN <br />FLOOfi DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLLAuEFS <br />SINK �SERVICE — BAR, ETC.1 <br />SUB TOT! <br />1'AHD SETOACK <br />ZON[ <br />STREET SETBACK <br />LOT AREA <br />1. ENVIflONMENTAL CHECK LIS7 <br />2. BUILDING PLANS <br />3. P�RE NY�RANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />7. ENVIf70NMENiALIMPACTSTATEMENT <br />0. HEALTH DISTRICT <br />�,�u...V i..f: n ... ul� I .. ..i'._ _ <br />FEE <br />REAR YARD SE <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWELL <br />MA% OCC.LOI <br />BY <br />HEFEIN OR NO1' THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE P.!!THORITY TO VIOLATE OR CANCEL THE PPO� <br />VISIONS OF ANY G11iER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTInN OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT iE0FG0441ACTOPC3�iaUTMOPI.EDNGENT DAiE�J p <br />X �� v1�.4i- /il. !"'1'� 7/�G/O� <br />M� NICA� G''1 6 C..E "C '"''°""� <br />NO. TYPEGFE�I'IPMENT FEE <br />AIR COND. UNITS — H P. LA. <br />PFFPI(,FRATI(lAI I INITC — H P FA � <br />ovaena — nr. on. <br />GAS FIRED A.G UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALI. HEATERS — 8?.LL �� <br />UNITHEATERS—B.T.U. M <br />EVHPORATN[ COOLEflS <br />CLOTHE$ JRY'cRS <br />VFNTILATION FAN <br />RANG[NO00 <br />AIR HANDLING UNR — QF.M <br />fEE RECEIPTNO. <br />VAf IIOTION I FEE <br />BUILDING 5300.00 �O OO <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV U B C. <br />SEG 309 (a) <br />TOTAI � O O <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />_ � I� �l--�l <br />_ �.� <br />Q� <br />� <br />