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rheE��ergreen � � �ONSTRUCTION� � <br />CITY OF pERMIT <br />everett PERMIT NO. 0931% <br />CITY HALL 259�8745 <br />EVERETT, WA 9820: ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />NER MAIL ADDRESS <br />Theodore Hagen 4525 Grand Avenue <br />Everett <br />98203 252-9178 <br />G[NERALCONTRACtOP <br />MAIL ADORE55 - <br />Same Z�P FNONE IIGEN5E1 <br />IJECMANICAL CANLRACIOP <br />MAIL POL�RE55 CIi ' <br />��TM Z�P PHONE UGENSE � <br />. . ueu >nnacss <br />OF WORN <br />❑NEW F�DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />�ATION OF WORK <br />4 31���.�� <br />3CPIBE WORK <br />12'x16 Addition to existing building <br />�aoseo�us�oFeunou+�c, � Duplex -(.D� <br />_ .. .............�...� nc onre[aiv �SIIOW BELOW OR ARALH FO119 CO�IES) <br />LOT BLOGK�_OF <br />4525 Grand Avenue <br />PLUMBING <br />NO. TYPE OF PIXTt <br />_ <br />� <br />SIDE VARD SETI <br />5' <br />USE ZONE <br />R-2 <br />TYPE OF CANS' <br />V-N <br />SIZE OF BLDG, <br />izrxie� r+a <br />STREET SEiBACK I REAR <br />I HEREBY CERTIFY T4AT I HAVE R[AD AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYP[ 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 />CONSTRUOCTION OR THE PERFORM�NC�E OF CONS RUCT ONNG <br />SIGNATURE O NiRAGTOR OR AUIMORI2E AG[NT <br />onTE <br />�� � /I% __ 6/3/81 <br />MECHANICAL <br />FEE N0. TYPE OF EQun <br />NR COND. UNITS — H P. [A. <br />REFRIGERA110tJ UNITS — H.F <br />BOIlERS — N.R FA. <br />GAS FIRED A.C. UNITS —TOP <br />FORCED AIR SYSTEMS — B T <br />WALL HEAIEF7S — B.T.U. <br />unut uFETFRS — R T.U. <br />20' 20' <br />LOT AREA VPCf.NT SITE <br />>.ZSZO SQ• Ft. oYES 8}No <br />OCCUPANCY GF10UP NO.OF DZEL <br />R-3 <br />NO. OF STOHIES M�� �� �� <br />1. ENVIRONMENTALCHECKLIST <br />2. BUI�DING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING �� <br />6. DRAINAGE —_ <br />7. ENVIRONMENTAL INPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />V.C. <br />qPPR. FOR ISSUANCE 9Y <br />BUILDING <br />PLUMBING <br />OTHER <br />81/9317 <br />FEES <br />ADDRE55 FILE <br />M <br />FEE Zr�,�3 <br />$ 3,000. <br />U.B.C. <br />SEC.303(a) <br />FEE <br />R��J'�5'@ <br />38 I50 <br />38�50 <br />wn <br />VALIDATEO (IN THIS SPACE) THIS IS YOUR PERMI <br />"c;� ���38.�0— � <br />M <br />� <br />. . � �i � � <br />�.. , . �� <br />