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rheEvergreen "'. C7NSTRUCTION '"" �� <br />GTY OF <br />everett PERMIT pERMIT NO.O919Z <br />CITY HALL 259�8745 <br />EVERETf, WA 98201 ❑ COMBINATION �7BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OV+NER MAILA��RE55 CITY ZIP fNONE <br />Gerald W Berndt 1909 Pinehurst <br />hRCHITEGTOR�E5IGNEP MAILAD�PESi GTY ZIP PHONE <br />GENERALLONTRAGTOR MAILApDRE55 CITY ZIP PHONE LICENSEI <br />Gerald W. Berndt 1909 Pinehurst Everett 98203 355-0846 <br />MECHANICALCANTRACTOR MAILqODRESS GTV 21P PHONE LICENSE� <br />PWM9INGCONTRACTOR MAILpDDRESS CITY ZIP PHONE UCENSE� <br />CLASS OF WORK <br />❑NEW <br />VALUTTION OF WORK <br />f 25��.�� <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN j�,ARAGE <br />construct attached garage to residence <br />single family residence <br />i M,AL �ESCFIPTION OF PBO�[RTY ISNOW OFLOW OR AiiALN <br />LOi21�Z2BLOGK? OF <br />doenooness <br />1909 Pinehurst <br />PLUMBIN(i <br />N0. TYPE OF FU <br />DISHWAShiER <br />BREAKERS <br />AINS — RA <br />lvlff- - R4 <br />YARD SETBAGK SiREETSE� <br />5' 20' <br />ZONE LOT AREA <br />R-2 <br />V-N <br />14'x24' <br />ITEM <br />ICY GROUP <br />M-I <br />1. ENVIRONMENTALCHECKLI57 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />qPPLICATION ACC. BY PLANS CMECKED BY <br />V.C. <br />REAR YARD SE7tlFGrc <br />20' <br />VACANT SITE <br />❑YES I'� <br />NO.OF DWELLING UNITS <br />MNc. OCC. LOAD <br />APPR. FOR ISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND C('RRECT. <br />AL� PROVISIONS OF LAWS NND ORDINANCES GOVERNiNG THIS <br />TYPE OF WORK WILI 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 AN`( OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAtUREj)FCON� AAU�TNp�[\IZEOAG/�ENT ne � DFiE <br />X^� � �4.J. 7J.1.h...0 _l/J�-' �f�%�/P <br />i �� <br />MECHANICAL <br />N0. TYPE OF <br />niA rnun IINITS — H <br />D A'C. UNIiS — TONN <br />FIR SYSTEMS — B.T.U. <br />ATERS — �.T.U. <br />�TGRS — � T.U. <br />AIR <br />METAL <br />61/9192 <br />FEES <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />CMIMNEY <br />PENMIT <br />M <br />FE�5.03 <br />y 2500.00 <br />U.E1.C. <br />SEC.F <br />FEE <br />RECEIPT NO. <br />38 150 <br />38 I50 <br />PROPERLY VALIDATED IIN 7HIS SPACL) THIS IS YOUF PERMIT <br />/. i � :'� 7 p C ��l _� <br />: 0. 1 v <br />c"� <br />� <br />i � <br />� �" I <br />. I .. U <br />ADDRESS FILE <br />