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tNeEvergreen � C(��NSTRUCTION r � <br />CITY OF P ER� �T <br />everett PERMIT NO.O%Z61 <br />CITYHALL259�8745 � COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />EVERETT. WA 9820t _ _ _ <br />MNIL AD�AE55 <br />Orin Tuininga 6907 Highland Drive <br />OR DESiGNER MAIL ADDPE55 <br />GENERRLWnix^� <br />Same <br />cirv <br />96203 353-4825 <br />__ o,.,,u� <br />C1A550F WORK <br />❑NEW ❑ADDITION ❑ALTEFlATION �[ REPAIR ❑DEMOUTION ❑FENCE ❑SIGN GAFiAGE <br />VPLUATION OF WOFN <br />S LI�0�.0� <br />DESCRIBE WORK <br />replace foundation (conczete) <br />PPOPOSED USE OF Bl11LDING <br />Single family garage <br />LEGA� DESCRIPTION OF PPOPERTV �SHOW OELCW OR FTIACN FOUR 1 <br />�oT��B�aK�_oF Bever�v Hills�; <br />�Ge noor+css <br />6907 Highlanfl Drive <br />PLUMBIN6 <br />DISP. <br />� <br />� <br />SETBAC:( <br />ZONE <br />V-N <br />IIZE OF BLDG. <br />12'X18' <br />ITEM <br />iTREET SETBACK REAR YARO 5 <br />_OT AREA VACANT SITE <br />❑YES ❑NO <br />pCCUPANCY GROUP NO.OF DWEL <br />M-1 <br />N0. OF STORIES MAX. OCC. L( <br />1 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PIANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5, GRADING <br />6. DRAINAGE <br />7. ENVIROIIMENTAL IMPACT STATEMEIJT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />V.C. <br />1 <br />I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED TFIIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND I:ORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI� <br />TYPE OF WORK VJILL BE COMPLIED WITH WHETNER SFECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVF AUTHORITY TO VIOLATE OR CANCEL T:iE PRO� <br />COPl�STRUOCTIO JrOR THERPERFORMANCOE OF CO S RUCT ONNG <br />g� R OF CONiRACi OR 12ED AGENT <br />DAiE <br />� �. , � 2/25 /80 <br />`�J -�Ag ' �� <br />�� <br />MECHANICAL _ <br />APPR.FORISSUANCE BY <br />—HP.EA <br />INITS — H.P. <br />D A'C. UNITS — tONNAGE EA. <br />AIR SYSTEMS — B.T.U. M <br />ATERS — B?.LL �� <br />.rooc__atll M <br />1L�EE <br />FEE <br />E 1,000.00 <br />MECHANICAL <br />RECEIP7 NO. <br />10 00 <br />PENALiY U.B C <br />SEG. 303 (a) <br />10 00 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE)1HIS IS YOUR PERMIT <br />E704 SO � 0.00 - � <br />N <br />I YOUR RECEIPT o <br />THAt�!K YOU <br />ADDRESS FILE <br />2 4 FEB $ 0 <br />