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theEvc� oF - CC�VSTRUCTION = �' <br />everett PERMIT PERMIT NO.O�6HH <br />cin Hn�� xss e�as <br />EVERETT, WA 98207 ❑ COMBINATION � BUILDIN(i ❑ MECHANICAL ❑ PLUMBINO <br />OWNER MAILADDRE55 CITY ZIP PHONE <br />Dorn L. Jelliaon 4006 Hiqh Street 98201 <br />ARCNI7ECT OR DESIGNER MAII ADORE55 CITY 21P PHONE <br />GENEMLCONiRACTOR AU4ADORE55 Cltt ZIP PMONE LICENSE/ <br />3ARIE <br />MECMANIGLCONTMC70R M�ILADDRE55 �ITY 21P PNONE LICENSEI <br />PIUMBINOCONiAACfOR M�I�ADDRESS Cltt ZIP PHONE �ENSE• <br />CUSS OF WJNK <br />❑NEW �DITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATqN OF V/ORN <br />f 1%��.�� <br />Addition of Dack and <br />reaidence <br />wr � n�oc�oF Smyth Land Co.'s 2nd <br />1 thru 5 <br />16-17 <br />.qe ADDRESS <br />4006 High Straet <br />PLUM�INO <br />N0. TrPE OF Fl1(TURE OR ITEM <br />0 <br />e <br />6' <br />IE ZONE <br />R-1 <br />re oF oa�sr. <br />V-N <br />LE OF BLOCi. <br />18'x�4' <br />iE ZONE <br />3 <br />25' <br />' AREA VAGNT SITE <br />7262 Sq. Ft. oves �o <br />A-3 <br />1 <br />1. ENVIIpNMENTAL p1EdC LIST <br />2. BUILDINOPLANS <br />3. FIRE HYDMNT <br />�. FIRE PROiECi1pN SVSiEM <br />5. f3R110�NO <br />8. DMINA(1E <br />7. ENVIRONMENTAL IMPACT STA7EMENT <br />e. N�xn� oisrn�cr <br />APPLICATION ACC. BY PLANS CMECKED BY <br />V.C. <br />I1 i i:w 3�7:14�CgIL1 V i�ly: P� <br />I f1EREBY CERTIFY THAT I HAVE READ PND E)GCUINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AidO CORRECT. <br />AlL PROVISIONS OF LAWS AND ORDINANCES GOVERi:ING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HFREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE ORCANCELTHE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREy5 CONTR�ACyTOR OR AUTHORIZED AGENi D�TE <br />y �i T/ �_ �� � . / 6�4�80 <br />). UNITS—H.P. F <br />iATION UNITS — <br />— H.P. EA. <br />.D A.C. UNITS —1 <br />FIR S+STEMS — I <br />ATERS — B.T.U. <br />�TGNS — P T 11 <br />6 CHIMNEY <br />7688 <br />FEEB <br />BUILDINQ <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALN <br />TOTAL ' <br />FEE 8.50 <br />u�oo.00 <br />U.B.C. <br />SEC. 303 (a) <br />RECE�PT NO. <br />17 100 <br />PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3095 t011.00 --od � <br />� <br />� <br />YO U R RECEIP o <br />r��K Y�u ; <br />. � i ' <br />y g ,�i 80, .. <br />ADDRE55 FILE <br />0 <br />