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dieErergreen �7NSTRUCTION � �� <br />pTY OF <br />everett PERMIT pERMIT NO. 09795 <br />CITV HALL 2t:9-8745 <br />EVEflE77. WA 99207 ❑ COMBINATION ❑ BUILDING �MECF{ANlCAL ❑ PLUMBING <br />OWNEH MAILAOORE55 Ci"Y ZIP PNONF <br />Neil D. Moynahan 3124 Grand Everett 98201 258-4951 <br />ApLHITECiOR0E51GNER MAILn)DRE55 CIiY ZIP PMONE <br />GEHERnLCONTRACTOR MAIIADDRE55 CIiY ZIP �HONE UCENSE� <br />MECHANIGALCONiRACiOA MNILAWRE55 CIT� 21P PHONE LICENSE� <br />Same <br />CLUMBINGCONLRAGLOR MAILAODRE55 Cltt Zlc PNONE LICENSEI <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />E <br />OESCRiBE WOPN <br />install freestandinq fireplace <br />PPOPOSE� USE OF OUILDING <br />single family reaidence <br />IEGFL OESCRIPTION OF PROPENTY �SMOW BEIOW OR RnAGN FOVP <br />�orZO-Z��a�z3,�r Everett <br />8B 3124 Grand Avenue <br />PLUMBINO <br />i <br />e <br />SICE :'ARD SETBACK STREET SETBACK REAR YARD 5 <br />USE ZONE lOT ARE4 VACANT SITE <br />CYES L'NO <br />TYPE OF CANST. OCCUPANCY GROUP NO. OF DWEL <br />OF <br />FIRE ZONE <br />1. ENVIPONMENTALCHECKUST <br />2. OWLDING PLANS <br />3. FIRE NYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPA(:T STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. DY PIANS CHECKED BY <br />MA%. <br />APPR.FOHISSUANCEBY <br />I HEREBY CERTIFY THAT I HAVE READ AND E%,4MINED THIS AP• <br />PLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI� <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATc OR LOCl�,L IAW REGULA7ING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF �ONiNnCiOP OR PUiHORRED RGENT DATE <br />i�. � 9,�1%�01 <br />MECHANICAI <br />TYPE OF <br />INITC — H <br />O <br />S <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />— TONNAGE EA. <br />—BT.U. M <br />U. M <br />1. M <br />1L FEE fl ,�Q <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEc <br />b <br />14 <br />U.B.C. <br />SEC. 303 (a) <br />I � la �qo <br />T VALIDA710N <br />PROPERLY VALIDATED QN THIS SPACE) TNIS IS VOUR PERMIT <br />i I' >' ° � � (i r�� _ � <br />i. � � <br />� <br />• ifi � <br />� , U <br />ADDRESS FILE <br />;, ` ' <br />, ., �� i <br />