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, - � . <br /> �heEvergreen � r�NSTRUCTION �`� <br /> CITY OF � ` � ' <br /> everett PERMIT PERMIT N0. OH333 <br /> LITV HALL 259�8745 <br /> EVERETT.WA �ezoi ❑ COMBINATION C�BUILDIN(3 ❑ MECHANICAL PLUMBING <br /> MAILAUUFES� GTY ZIP PMDNE <br /> OWNER 259-5927 <br /> Duane Clear 3702 Norton Everett 99201 <br /> AqCH1T[CT OR�ESIGNEFi MAIL�DDRCES CITY 21P PHONE <br /> GENERALCONTMCTOR M�ILAO�RE55 GITY ZIP PHONE LICENSE� � <br /> Same <br /> MEGNANIGLCONTRACTOR <br /> MPIL�ODRE55 CITY ZIP PNONE LICENSE� <br /> PIUMBING CANTPACTOR <br /> MAIL ADDRE55 UTV ZIP PNONE UCENSE� <br /> CLASS OF WOIiK <br /> ❑NEW ❑AODITION ❑ALTERATION ❑REPAIR ❑�EMOLITION I9�NCE ❑SIGN ❑�RAGE <br /> VAWATION OF WORK <br /> f 2��. �� <br /> DESCRIBE WOPK <br /> 42" fence in front area of property <br /> PiiOPOSED USE OF BUILDING <br /> sinqle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINFD THIS AP- <br /> LEGAIDESCFIPTIONOFPPOVENTY�SMOW BELOWORA7TACNFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �o, 18 y���9 OF Frida ' s 2nd TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEiiEIN OR NOT. THE GRANTING OF A PERAIIT DOES NOT , <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PAO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CANiPAGTOB OR AUTHORIZEp AGENT DA1E � <br /> JOB�DDHESS ' <br /> 3702 Norton X � 9/24/80 <br /> i <br /> PLUMSING MECMANICAL ; <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOU�PMENT FEE <br /> i <br /> I <br /> WATER CLOSET OILET) AIR CAND.UNI7S—H.P.EA. I _ � <br /> – REFRIGERATION UNITS—H.P.EA � , � � <br /> BATHTUB I <br /> LAVATORY ASH BFSINI BOILERS—H.P.EA. . . .. , <br /> � SHOWER GAS FIRED A.Q UNI75—tONNAGE EA. . � <br /> FORCED AIR SYSTEMS—B.T.U. IA FA. � . <br /> KITCHEN SINK 3�ISP. I <br /> WALL HEATERS—B.T.U. M — , <br /> - DISHWASHER UNIT H:ATERS—BT.U. M � <br /> � LAUNDRYTRAY <br /> CLOT4ES WASHER EVAPORA7IVE COOLERS <br /> � � WATER HEATER CLOTHES ORYERS <br /> VENTILATION FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD � <br /> � FLOOR DMIN AIR HANDLING UNIT— C.F.M. I <br /> � VACUUM BREAKERS ST��E I <br /> I qOpF�RAINS—RAINLEADERS ME7AL FIREPLACE 8 CMIMNEY I <br /> SINK(SERVICE—BAR E«.) <br /> � SUO TOTAL SU!T0TI1L s � <br /> PERMIT f PEHa11T = <br /> ' TOTAL FEE t TOTALFEE t <br /> SIDE YARD SETBNCK STREET SETBACN REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK F RECEIPT N0. <br /> FEE <br /> USE ZONE LOT AREA �ACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING §00. 00 lO OO <br /> S2E OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> � FIRE ZONE BASEMENT REOUIRED KLERS MECHANIGIL <br /> OYES ❑NO <br /> APPROVALS <br /> er DATE OTHER <br /> 7. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.3031e) <br /> 2. BUILDINGPLANS TOTAL 10 00 <br /> 3. FIRE HYDMNT <br /> 4. FIRE PHOTECTION SYSTEM PERMR VALID�TON � <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YDUR PERMIT <br /> 5. GRADING 8 I I H � O I O. O O �` � <br /> 6. DMINAGE <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> B. MEALTH DISTRICT V r'l U I l R L'C C I P 1 O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> � .: <br /> �W ��-t.Ar�K You <br /> ADDRESS FILE 2 4 �EP SO <br />