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the£rerRreen � �7NSTRUCTION �� �- <br />pTY OP <br />everett PERMIT pERM!T NO. 09374 <br />CITV HALL 259�87�5 <br />EVERETT. WA 9B2C� ❑ COMBINATION �XJ BUILOING ❑ MECHANICAL ❑ oLUMBING <br />OwNfP MAILADDRE55 CITY pIP pMONE <br />GEORGE SHUH 3508 Broadway Everett 58201 252-4785 <br />ARCHITECTORDESIGNER MAILADPRE55 ��TY 21P pNONE <br />G[NERALCONTPAGTOR 1,IAi�ADORE55 QTY ZiP PMONE IIGENSEI <br />Owner <br />MEOiANICALfANiRALTOR MAlI.A00RE55 CITY ZIP PNONE LICENSEI <br />PlUM81NGfAHTRA�TOP MAIL ADCRE55 �ITY 71P PNONE UGENSE � <br />OF N'OBK <br />❑NEW <br />VAIUATiON OF WORK <br />s 300.00 <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION X�FEH:i. ❑SIGN ❑GARAGE <br />5' wood fence on East property line (125' <br />LEGAL DESGNIPiION OF PROPERiY ISHOW BEIOW OR ATTACM FOUR CpPIES) <br />�0,18'19'7�Q��1-27�F23-24 Mitchell Land Blk 534 <br />2422 Harrison Ave <br />PLUMBINO <br />N0. TYPE OF I <br />WATER CLOSET ITOILET' <br />DISP. <br />WASHER <br />DRAIN <br />0 <br />A <br />OR ITEM <br />SIDE YARD SETBACK � STREET SETBACK <br />TVPE OF CANST. <br />SIZE OF <br />FIRE ZONE <br />OCCUPANCYGROUP <br />NO. OF STORIES <br />BASEMENT <br />1. ENVIRONMENTAL CHECK UST <br />2. BUIL�ING PLqNS <br />3. FIRE HVDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />FEE <br />VACANti SITE <br />❑VES ❑NO <br />NO.OF DWELLING UNI7S <br />MA%.00C.IOAD <br />FIRE SPRINKLERS <br />APPR.FORISSUANCEBY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAAIINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED <br />HERElN OR NOT. THE GRANTING OF A PEFiM1T DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW AEGUTATING <br />CON/STRUCTION OR THE PERFORMANCE OF CANSTRUCTION. <br />SIGNgn���OFCpNTRAGTORORAaf1�RIZED�'iENT DATF <br />MECHANICAL <br />AIR CONC. UNITS — H P. EA. <br />REFFIGERATION UNITS — H.P. �. <br />l301LER5 — H P. EA. <br />GAS FlRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSiEMS — A T U. A <br />UNIT HEATERS — 8 T.U. <br />DRVERS <br />AIq HAIJDLING UNIT — <br />METAL fIREPLACE 6 CHIMNEY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />M <br />PERMI7 <br />TOTALFEE <br />PLAN <br />FEE <br />VALUATION <br />$30�.0� <br />U.B.C. <br />SEC. 303 (a� <br />FCE <br />FEE <br />RECEIPT NO. <br />�� 0�� <br />T VALIDATION r. �� I � '� . I, 'J ` � <br />PROPERLY VALIDATED QN THIS SPAGE� THIS'IS YOUR PE <br />� <br />, i C'M <br />� <br />' b <br />i r iL,i I <br />1 �i � � <br />ADDRE55 FILE <br />