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theEvC� oF � C�NSTRUCTION - � <br />.-., <br />everett PERMIT pERMIT NO. 0861% <br />CITY HALL 259�8745 <br />EVERETf, WA 99201 ❑ COMBINATION �BUIL.DINQ ❑ MECHANICAL ❑ PLUMBINa <br />OWNER MAILADDRE55 CITY ZIP PHONE <br />John Campbell 14139 82nd Place N.E. Sothell 98011 823-9380 <br />ARCNITECT OR DESIGNEP M�IL AODRE55 CITY ZIP VHONE <br />GENERAL CONTRPf.TOR M�q ApDPE55 Cltt ZIP PMONE �ICENSE I <br />Same <br />MECHANIGICONTRACTOR MAILAOOPE55 GITY ZIP PHONE �ICENSE/ <br />PWMBINGCANiRACTOR MAILADORESS CITY ZIP PHONE LICENSE� <br />❑NEW ❑ADDITION ❑ALTERATION i�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORN <br />f %QO.�� <br />re-roof composition <br />aingle fami] <br />LEWL DESCRIPTION OF PROPERi <br />LOT` � 2 BLOCK 3 5�F <br />JOB ADDRE55 <br />1829 Highland <br />PLUMBINO <br />r <br />A <br />SI�E VARD SE� <br />USE ZONE <br />TYPE OF CpN: <br />s¢e oF e�oc. <br />re <br />St <br />fl�:l'.lYi <br />STREET <br />ce I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />fACNFOIIRCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />cholas ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF �VORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEFEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />f'RESUME i0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS F ANY OTHER STATE OR L LAW REGULATING <br />CONS C N OR E PE RM OF CANSTRUCTION. <br />SIG U NiR q AUT ZED DATE <br />i �,� !�� li/2aieo <br />OR ITEM <br />N0. OF STORIES <br />1. ENVIqONMEN7ALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. EN'.l(iONMENTAL IMPACT STATEMENT <br />8. HEAITN DISTRICT <br />APPLICATION ACC. BY PV�NS CHECKED BV <br />7YPE OF EOUIPMENT <br />AIR CpND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P EA. <br />GAS FIRED A.C. UNITS — iOM1NAGE EA. <br />FORCED AIR SYSTEMS — 8 LU. M <br />WALL HEATERS — 8 T.U. M <br />UNIT HEATERS — B 7.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIi — C. <br />REAR VARD SETBACK PLAN CHE <br />VACANT SITE <br />UVE$ LiNO <br />NO. OF DWELLING UNITS <br />BUILOING <br />APPR. FOR ISSUANCE BY <br />TY <br />PLAN <br />FEE <br />VALUATIO� <br />5%0�. <br />U.B.C. <br />SEC.3031a1 <br />FEE <br />RECEIPT NO. <br />FEE <br />13 I 00 <br />TOTAL I I 13 I 0 0 <br />PERMIT VALIDATION <br />WHEt� PROPERLY VALIDATED �1N THIS SPACE� THIS IS YOUR PERMIT <br />0915 �013.00 - ..�`.., <br />%� <br />� <br />;�-�;:.IFi � <br />� ,r. � <br />� � � i <br />