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theEvergreen ,^ C�STRUCTION ��� <br />CITY OF <br />everett PERMIT pERMIT NO. 0799% <br />CITY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION C��UILDINO ❑ MECHANICAL PLUMBIN(i <br />OWNER NAI�ADDRE55 CITY Z�P �59�4410 <br />Rufus Summera 3812 Grand Everett <br />ARCNRECT OR OESIGNEP MAII ADDPESS Cltt ZIP PMONE <br />GENEML CANTR�CTOR MAIL ADDRE55 CITY 21P PMONE LICENSE � <br />Same <br />MECH�NIGLCONTMCTOR MAILAD�RESS Cltt 21P PHONE LICENSE• <br />PLUMBINC CANTRACTOR MAIL ADDRESS CITY ZIP PNONE LICENSE 1 <br />�NEW C�A�DIiION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GI�iAPAGE <br />f 2$0�.�� <br />DESCR�BE M/OiM <br />construct carport over exietinq slab <br />reaidential car <br />IEGAL DE6CRIPfION OF Pff�7FERTY 15HOW BELOW OR ARACH FOl <br />2 1 Hewitt He <br />Wi eLOC OF <br />3812 Grand Avenue <br />PLUM�INO <br />��:7«� <br />DRAINS — <br />SERVICE — <br />SIDE VARD SETI <br />6' <br />USE ZONE <br />R-1 <br />TYPE OF CONS' <br />V-N <br />512E C�F BL�G. <br />FIRE'LONE <br />3 <br />OF <br />ITEM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />Es� PLICATION AND KNOW THE SAME TO BE TFUE AND CGRRECT. <br />ts ALL PROVISIONS OF LAWS AND ORDINAN(:ES GOVERNING THIS <br />TYPE OF WORK WILI BE COMPLIED WITF� WHEi HER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF � PEFMIT DOES NOT <br />PRESUMETOGIVEAUTHORITYTOVIOV EORCANCELTHEPRO- <br />VISIONS OF ANY OTHER STATE OR LG..AL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA�TUR)E OF�q/ NTRACTOR OR RUTHOR12E� AGENT �ATE <br />.. (Ic / �' %�Zi�ao <br />STREET SETBACK RFJ'�R VARD SETBAGK <br />20' 20' <br />LOT AREA VACANT SITE <br />LIYFS �[}�VO <br />OCCUPANCY GROUP NO.OF DWELLING UNITS <br />M-1 <br />NO. OF STORIES MAX. OCC. LOAD <br />1 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PIANS <br />3. FIRE IIYDRANT <br />4. FIRE FMiOTECTION SYSTEM <br />S.GRADMG <br />6. DRAINAGE <br />Z ENVIRONMENTALIMPACTSTqTEMENT <br />B. HEALTH DISTRICT <br />APPLICA710N ACC. BY PLANS CHECKED BY <br />v.c. <br />qppp. FOR ISSUANCE BY <br />TYPE OF EQUi <br />1N1TS — N.P.EA. <br />"I(1N IINITS — H <br />unna — <br />STEMS — <br />— B.T.U. <br />—RT11 <br />8 <br />EA. <br />PENMIT i <br />TOTALFEE f <br />:CK NUMBEfi PLAN CHECK FEE <br />7997 FEE 12.00 I 4��P�1�0 <br />BUILDING <br />PENALTY <br />TOTAI <br />S <br />25)0.� 24�00 <br />u.e.c. <br />SEC. 303 (e) <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />� <br />5?68 soza.00 �= � <br />ti <br />0 <br />You�a aECEiPt <br />THANK Y�iU n,, <br />