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. , <br /> theEvergreen ,�� Ci�NSTRUCTION � �� <br /> CITY OF <br /> everett PERMIT pERM1T NO: 08333 <br /> CITY HALL 259-8745 <br /> EVERETf,WA 982Dt ❑ COMBINATION QxBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAODRE55 CITY ZIP PHONE <br /> Duane Clear 3702 Norton Everett 98201 259-5827 <br /> ARCHIIECTORDE5IGNER MAILADDRE55 CITY ZIP PMONE <br /> GENEMLCONTfUCTOR AIAILAUORE55 QTY ZIP PMONE LICENSEI <br /> Same <br /> AIECHAtlICAL CONiMCTOR 1AAIL AODRE55 G1Y ZIP PNONE LICENSE I <br /> PIUMBING CONTRACTOP MAIL AD�RE55 CITY ZIP PHONE LILENSE� <br /> C1P550F WOPK <br /> ❑NEW ❑ADDITION ❑ALTENATION ❑REPAIR ❑DEMOLITION L��ENCE ❑SIGN ❑GARAGE <br /> WIUALON OF WORK <br /> S ZOO. 00 <br /> DESCRIBE WORK <br /> 42" feiice in front area of property <br /> PROPOSED USE OF BUIl01NG <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCNIPTIONOFPROPERTYISNOWBEIOWORFTfACMFOURCAPIF.57 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or 18 e�a,�9 oF Friday' s 2nd TYPE OF WORK WILL BE COMPLIED �NITH 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 /> C�JNSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> � - SIGNATURE OF CANTRACTOFl OR AUi/10RIZED AGENT OATE <br /> JOB ADDFECS / <br /> 3702 Norton X � 9 24/80 <br /> � - . PLUMSINO MECHANICAL <br /> - N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WA7ER CLOSET OIL AIR CAND.UNITS—H.P.EA. <br /> � � � BATHTUB REFRIGERATION UNI7S—H.P.EA <br /> tAVATORY ASH BASIN BUILERS—H.P.EA. _ <br /> ��R GAS FIREO A C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWlSHEH WALL HEATERS—B.T.U. b1 <br /> I UUNORY TMY UNIT HEA7ER5—B.7.U. M . <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> � I WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILA710N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DMIN AIR HAN�LING U`dT— QF.M. <br /> � VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS ME7AL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE—BAH,E7C.) <br /> SUB TOTAL SUBTOTAL S <br /> PERMIT S PEHMIT f <br /> TOTALFEE f TOTALFEE f <br /> SIUE YARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE FEE6 VALUATION FEE <br /> GVES ❑NO <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING U�ITS <br /> BUILDING $00.0� 10 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.IOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT nEOISR IDNKLERS MECHANI(:AL <br /> C1YE5 ❑NO <br /> APPNOVALB BY DATE O7HFR <br /> 1. ENVIRONMENTALCHECKLIST PENALN U.B.C. <br /> SEC.3031a) <br /> 2. BUILD�NGPIANS � ZO 00 <br /> TOTAL <br /> 3. FIRE HYDFUNT � <br /> 4. FIR[PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPEfiLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMI7 <br /> 5 GRADING g I 7 H � O I O. O O �` r) <br /> 6. DRAINACaE <br /> 7. ENVIRONMENTAL IMPACT STATEMENT M <br /> � <br /> B. HEALTH UISiRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ��� J n r . <br /> E W -,�i.�I:'�P��K <br />