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rheEvergrcen '-` C�STRUCTION - �' <br />CITY OF <br />everett PERMIT pERMIT NO.O�6SH <br />an Hn�� zsaa�es <br />EVERETI, WA 98201 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILA�ORE55 CITY ZIP PHONE <br />Dorn L. Jellison 4006 Hiqh Street 98201 <br />MCHITEC� 7F1 DESIGNEP MAI� ADONE55 CITV ZIP PHONE <br />GENEIUL CONIRACTOR NML ADORE55 QTY ZIP GMONE LICENSE I <br />Sanle <br />MECHANICAL CONiRACTOR MAIL ADDRE55 CITY ZIP RiONE LICENSE 1 <br />PLUMBINGCONiHACTON MMLADDRE55 CITY ZIP PMONE IICEN5E1 <br />CUSSOF WOPK <br />❑NEW B%I)DITION ❑ALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE CJSIGN ❑GAMGE <br />= 1700.00 <br />DESCFIBE WORK <br />Addition of Dack and patio <br />reeidance <br />�oT 7Q0 p�� 4� Smyth Land Co.' e 2nd <br />1 thru 5 <br />16-17 <br />4006 Hiqh Strsat <br />PLUM�INO <br />G� <br />e <br />6' <br />USE ZONE <br />R-1 <br />TVPE OF CONST. <br />V-N <br />SI2E OF BLDO. <br />18'X24' <br />F:RE ZONE <br />3 <br />I HEREBf' CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PR�• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CANSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�TURE CO_NT_M/C�TO_R OR AUTHOPIZED A/GENT DATE <br />X �./,G- �i�/�i.�-y// 6/4/80 <br />EEfSETBACK REAFl YARD SEfBACK PLAN CHECK <br />25' 7688 <br />AREA VACANT SITE <br />�262 SQ. F�. OYES �10 <br />;UPANCY GROUP N0. OF DWELIING UNITS <br />R-3 BUILOING <br />OF STORIES MR%. OCC. IOAD <br />1 PLUMBING <br />EMENT F�PE SPRINKLERS <br />REOUIRGD MECHPNICAL <br />1. ENVIRONMENTAL CHEdC USi <br />2. BUILDINQ PLANS <br />3. FIRE HYDMNT <br />1. FIRE PHOTECTION SYSTEM <br />5. WiADINO <br />6. DMINAOE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />a. H��rri �isrRicr <br />APPLMATION ACC. BY PLANS CHECKED BY <br />V.C. <br />pPPR.FORISSUANCEBY <br />PENALTY <br />TYPE OF EOUIPMENT <br />1D. UNITS — H.P. EA. <br />ERATION UNITS — H.P.EA <br />i — M.P. t �. <br />IED A.0 UNITS — TONNAGE EA. <br />) AIR SYSTEMS — B.T.U. M EA_ <br />EATERS — B.T.U. M <br />ATERS — B.T.U. M <br />wrive coo�eRs <br />s oareas <br />\TION �AN <br />HOOD <br />uoLING tINiT — C,F.M. <br />FEE 8.5� <br />s1700.00 <br />U.B.C. <br />SEC. 3031a) <br />FEE <br />RECEIPT NO. <br />17 100 <br />17 100 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />i093 s0�i.0�--ai' <br />� <br />� <br />YOUR RECEIPTo <br />Thi��K Y�lf j <br />. � � ' � <br />