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�he Erergreen � C / N ST R U CTI O N --� <br />CIiV OF <br />everett PERMiT pERMIT NO.O95S� <br />CITY HALL 259�8745 <br />EVERETT. WA sezo� ❑ COMBINATION ❑ BUII_DING ❑ MECHANICAL ❑ PLUMBi.JG <br />OWNER M1IAILADDHE55 CITY ZIP PMONE <br />James Ready 3805 Grand Avenue Everett E68H8 98201 252-9578 <br />ARCHITECT OR pE51GNER MAIL ADDRE55 QTY 21P PHONE <br />GENENRLCONTRFGiOR MAILAO�RESS GIiY ZIP PHONE LICENSE/ <br />R. Kincsid 4724 Commercial Everett 98203 258-1670 <br />MECNANICALCAN1dAGTOF MAILAODRE55 CITY 21P PHONE UCENSE♦ <br />PLU1.101NGCONTfiACT00 MFILPOOPE55 GITY 21P PHONE LICENSE♦ <br />CLASS OF \YOi1K <br />❑NEW ❑AUDITION ❑ALTERATION ��&PPIR ODEMOLITION ❑FENCE ❑SIGN ❑GARA,E <br />VAWFTION OP \VORK <br />S %50.�� <br />DESCRIBE WORt <br />re-roof West Section of roof <br />PROP iSED USE OF BUIIDING <br />s: ngleFamily REsidence I HEREBY CERTIFY THAT I HAVE READ AND EW+MINED THIS AP� <br />LEGALDESCRIMIONOFPROPEPTVISNOWBEIOWORATfACHFOUPCAPIES� PLICATION A�D KNOW THE SAIdE TO BE TRUE AND CORRECT. <br />LOT_ _BLOC�OF <br />JOB ADDRESS <br />3805 Grand Avenue <br />PLUMBIN6 <br />TYPE OF FIXTURE OR ITEM <br />SHO\YER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUNDPYTRAY <br />CLO7HES WASH <br />WATER HEATER <br />URINAL <br />DRINKING FOU� <br />SINK <br />SIDE YARD SETBACK <br />FIRE ZONE <br />— RAINLEADERS <br />— BAR.FTCI <br />STREE7 <br />COT AREA <br />OCCUPANCY GROUP <br />APPROVALS <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTS7ATEMENT <br />8. HEALTM DISTRICT <br />APPLICA710N ACC. BY PLANS CHECKED BY � APPR. FOR ISSUANGE BY <br />FEE <br />VACANT SITE <br />❑VES ❑NO <br />,VO.OF OWELLING <br />MA%.00C.LOAD <br />FIRE SPRINKLER$ <br />REOUIPED <br />❑VES ❑NO <br />BY OATE <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVEFA�ING TH�S <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER �FECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUC OR THE PERFORMANCE 0 STRUC110N. <br />SIGNATU TRrI 12ED AGENT A �AiE <br />AA�I 7/30/81 <br />TYPE OF EOUI <br />Alfl CAND. UNITS — H P. EF,. <br />REFP'iERAT10N UNITS — li. <br />BOILER� — M.P. EA. <br />GAS FIRED A.C. UNITS — TOI <br />FORCED AIR SYSTEMS — B 7 <br />WALL HEATERS — B7.0 <br />11N1T HEATERS — flTL <br />RANGEHOOD <br />STOVE <br />EA. <br />M <br />SUBTOTAL <br />PERMIT <br />TOTALfEE <br />CHECK NUMDER PLAN <br />FEE <br />FEES VALUATION <br />71NG s �50.00 <br />iG7 <br />U.B.C. <br />SEC. 3031a) <br />RECEIPT NO. <br />FEE <br />14 150 <br />I I 14 I50 <br />T VALIDATION <br />PROPEFLV VALIDATED (I+1 THIS SPACE) THIS IS YOUR PERMIT <br />� ��% � �l I �� �i �—� '� <br />i.ri <br />� <br />iCi � <br />li <br />. . . '.� <br />I <br />ADDkESS FILE • � � <br />