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dieEvergrec�� ��NSTRUCTION - <br />CITY OP <br />everett P�RMIT pERMIT NO. 09154 <br />CIiY HALL [59�8745 <br />EVERETT, WA sazo� ❑ COMBINATION GtbiBUILDING ❑ MECHANICAL PLUMBING <br />MAILApOHE55 CITY ZIP PMON[ <br />OWNEA <br />Larry Fox 7� 6931 Olympic Drive Everett 98203 353-82 9 <br />qqCMRELT OR DESIGNE(i <br />M�ILPODRESS CITY ZIP PNON6 <br />GENEfiAI CONTRAGTOR <br />M4tLAUDRE55 CITY 21P PNONE VCENSE� <br />Same <br />MECNANIC4lCANiRACiOR <br />MAILRDOPE55 QTY ZiP PHONE L�CENSE� <br />P W MBING CONTRACTOR <br />AIA:LAODRESS CITY ZIP P40NE UGENSE♦ <br />C�.A55 OP R'ORK �y` <br />❑NEW ❑ADDITION ❑�LTERA'ION ❑REPAIR ❑�EMOLITION h-�ENCE ❑SIGN GARAGE <br />VALUAiION OF YlORK <br />f 900.00 <br />construct 6' fence in rear <br />single family residence <br />�ccrmetinu nF nnOPERTY ISHOW BELO'N 0'� ATTACM F <br />LOT BIOCK__OF <br />�09 Auurcaa <br />6431 0 <br />�� <br />PLUMBING <br />SID[ VARD <br />USE <br />OF <br />SINI: <br />0 <br />e <br />ic Drive <br />STREET SETBACK <br />LOT AREA <br />OI;CUPANCY GR( <br />NO. GF STOf71ES <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIIDING PIANS <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAG[ <br />7. ENVIRONMENTAL IMPACT STAiEMENT <br />B. HFALTM DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />ard and 42" fence in front <br />I HEREBY CERTIFY THAT I HAVE READ AND ETAMINED THIS Ar'� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK VJILL BE COMPLIED 1NITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELI HE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CON`�T RUCTION OR THE P- FORMANCE OF CONSTRUCTION. <br />sicNaT�j� or cor+rnacroa ..� nen¢eo accv� oare <br />��1C/I�A� � �'� 4/20/81 <br />FEE <br />RLAa YARD <br />VACANT SITE <br />!JY[S ❑NO <br />f <br />APPR. FOR :SSUANCE BY <br />TYPE OF EOUIPMENT FEE <br />AI(7 COND. UNITS — H.R EA. <br />REFRIGERFTIOIJ UNITS — H.P. EA <br />BOILERS — H P. EA. <br />GAS FIR[D A.C. UNIiS — iOHNAGE EA. <br />FORCED AIH SVSTEMS — B i.U. M EA. <br />41'ALL HEATEHS — B T.U. M <br />UNIT HEATERS — B?.U. h1 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN . <br />R�N6EHOOD <br />AIR HANDLING UNIT — C.P.M. <br />biETAL <br />PLUMBING <br />MECHANICAL <br />OTHEF <br />8 <br />p�� RECEIPT NO. <br />VALUATION FEE <br />F 900.00 16 <br />U �.C. <br />SEC. 303 (al <br />� �Tp� I I 16 0 0 <br />f ERMIT VALIUATION <br />NHEN PfiOPERLV VALIDATED pN THIS SPAC[) i HIS IS YO11RIPERb11T �.--� <br />6� <br />�) <br />."i <br />- �; �o <br />:� <br />ADDRESS FILE <br />/ fr� � <br />�U li �. <br />