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theEvergreen C�NSTRUCTION — <br />CITY OP <br />everett PERMIT PERMIT NO.O%7H9 <br />CITY HALL 259�8745 <br />EVERETT, WA 9620t ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAODPE55 CITY ZIP iMONE <br />Margaret D 6 Randall Riddle 4715 Greely 98203 355-7741 <br />�NCIIITEGi OR DESIGHER MAiL qDDRE55 CITY ZIP FHONE <br />GENER�L fA1JTR/.CTOR MAIL AD�PE55 CITY 21P PMONE LICENSE / <br />Same <br />MECHANICAL CAhTRAG10R MAIL AUORES$ CItY 21P R�ONE LICENSE � <br />PLUMBING CANTRACTOR MAIL ADDRE55 CITY 21P FMONE UGENSE � <br />CUSS OF WOAK <br />❑NEW ❑ADDITION �ALTERATIOI� ❑R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN Y�GNNNGE <br />VA'_U�TIO�Q�}Y�RILO <br />UU U <br />f <br />DESCNIBE WORri <br />attached qarage and a concrete block foundation <br />sinqle family residence <br />IECJ�L DESCRIPiION OF VROVERTV (SHOW BCIOW OR Ai <br />N�i-13,14,15 7 Quei�n Anne <br />LOT BLOCK__OF _ <br />ADDRESS <br />4715 Greely <br />PLUM6INO <br />TYPE OF <br />' qOOF DMINS — MINLEADEFiS <br />� SINK SERVICE — BAR, E?C.) <br />IW � TOTAL <br />� PEIIMR <br />T TAL FEE <br />SIDE YARD SET&4CK STREET SETBACK <br />6' 20' <br />USE ZONE LOT AREA <br />R-1 <br />� TVPE OF CONST. OCCUPANCY GR( <br />V-N <br />SIZE OF BLDG. NO. OF STORIES <br />26.5'x30' 1 <br />FIRE 20NE BASEMENT <br />3 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PIANS <br />3. FIRE HYDMNT <br />0. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISiRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />� <br />FEE <br />REAR YAFD SET <br />20' <br />VACANT SITE <br />❑VES � <br />UNITS <br />h1 <br />APPR.FORISSUANCEBY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRl'G AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <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 STATE OR LOCAL LAW REGULATING <br />CONS RUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />Y NA� R AFu /�TI ITII R O�� O�I��A�i^NT � 1CJ Op�JA� I/ i� V <br />.i <br />MECHANICAL <br />UNI1S — H.P. EA. <br />TION lIN1T5 — HP. EA <br />ovi�cno — r. <br />GAS FIRED A.C. UNITS — <br />FORCED AIR SVSTEMS — <br />WALL HEATERS — B T.U. <br />UNIT HEATERS — BSL. <br />EVAPORAiNE COOLERS <br />CLOTHES DRVERS <br />VENiILAiION FAN <br />fiFNGE HOO� <br />AIR HANDLING UNIT — <br />METAL FIREPLACE <br />M EA. <br />M <br />7769 FEE 18.�� <br />EES VIILUATION <br />y3000.00 <br />u.e c. <br />SEC.303 <br />RECEIPT N0. <br />18 100 <br />18 <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />4902 so i s.00 � <br />ADDRESS FILE <br />YGUR REC[IPT <br />71-1JW K Yp !1 <br />I'� � 80 <br />•• <br />u <br />v_ <br />� <br />