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� <br />!he Evergreen ^p N ST R U CTI O N <br />CITY OF � <br />everett PERMIT pERMIT NO.OgOHl <br />GTY HALL 259�8745 <br />EVERETf, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />p�yry�q MAILAO�RESS GIiY ZIP PNONE <br />Martin H. Ostby 2229 Oklahoma Avenue �Sverett 98201 252-1900 <br />nRCHITELi OR DESiGNER MNIL ADDRE55 CITY ZIP i'HONE <br />GENERAL CONiRACiOB MRIL ADDRESS GITY ZIP PHONE IiCENS[ � <br />Same <br />MECHANICAICONTRFCTOR IAAILPDDPESS CIiY 21P PHONE L�CENSE� <br />PWAIBING WNiRACiOR M�R A�DPESS CITY ZIP PMONE UCENSC � <br />CLASS OF WOFK <br />❑NEW ❑ADDITION ❑ALTERA710N ❑REPAIF ❑DEMOUTION }�FENCE ❑SIGN ❑GARAGE <br />VAIUAiION OP LYORN <br />S LI���.�� <br />OESCRiOE WORK <br />Erect chain link fence <br />PFJ1'OS[D USE OF BNlOIrvG � <br />Single family residence <br />l[GAL OESCR�PiION OP PROPcRiY �SIIOV'/ OLL01Y OR ATTACH FOUR CO�IES� <br />��r 15 o��K_or Temwalt Terrece #1 <br />J06ADORF55 <br />2229 Oklahoma Avenue <br />PLUMBING <br />NO. TYPE dF FIXTURE OR <br />IAVATORV (WASH BASIN) <br />SHOWER <br />KIiCNEN SINK $ DISP <br />OISHWASHER <br />LAUNDRV TRAY <br />CLOTNES W�SHEii <br />WATI:fi HEATEF <br />URINA� _ <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUId HHEAKERS <br />RO(�F �RAINS—I±AINLEAC <br />SINK �SE�VICE — B�N. ETC. <br />SUB <br />SIDE V�RD SETBACK <br />US[ ZONE <br />TYP[ OF CONST. <br />SIZE OP BLOG. <br />PIRE ZONL <br />STPE61 5[T6ACK <br />LOT AREA <br />GROUP <br />L ENVIRONMFNTAL CH[CK LIST <br />2. �UILDING PIANS <br />3. RRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. 6RADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STAT[MENT <br />9. HEALTN DISTRICT <br />pPPUCATION ACC. BV PLANS CHECKED BV <br />1 <br />FEE <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO B[ TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL B[ COy1PLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING 0� A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VICLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION O THE PERFORMANCE OF ONSTRUC710N. <br />SIGNA7/w�/ �O/F" �Cyq+ iqACl ,(�OH h. '_p A � � PAiE <br />X ��1(//�t' .L_ . � 4/6/81 <br />AIR CONU. UIJITS — HP. EA <br />REFPIGERATION UNITS — H P. EA <br />BORERS — HP FA. <br />GAS F IREU A C. UNITS -- 1CNIJAGE EA <br />FORC[U AIR SYSTGMS — 0 T U. M EA. <br />VJALL HCATLfiS — B T U. M <br />UNIiHEAlERS—BT.U- M <br />CLOTHES DPYCRS <br />V[NTILAiION FAN <br />PANGEHOOD <br />!dR HANOLING UMT — <br />STOVE <br />N�EiAL FlREPLACE 8 CHIMNEV <br />SUB TOTAL <br />HEAR VA5D SETBACK PLAN CHE <br />VACANT SITE <br />! WCS LNO <br />NO OF DWELLING UNITS <br />BUI�DING <br />MFX.00C.LOAD <br />PWld�IN( <br />RqE SPRIIJKL[RS <br />RWUIRED ldECHANII <br />I'�.YF.S I1N0 <br />BY DATE OTHER <br />PENALTY <br />AI'PR. FOR ISSUANC[ BY <br />PLP.I; CHECK FE[ <br />FfG REChIPI� NO. <br />VALUATION FEE <br />b1,000. 17 50 <br />U O.G. <br />SEC.3031a) <br />PEFMIT VALIDATION <br />"�MCIa P^^�ERLY VAUpATEU �IN THIS SPACE) THIS IS YOUR PERMIT <br />�-�0 :����.�u- � <br />� <br />n <br />r� <br />r.. � �rl Q <br />-I <br />