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�heEvergreen � CONSTRUCTI4�' � <br />CITY OF <br />evereti PERMIT pERMIT NO.OH66% <br />CITY HALL 259�8745 <br />EVERETf, WA 9ezai ❑ COMBINATION � BUILDING ❑ MECHANICAL �X PLUMBING <br />aH,NER UAILAD�RE55 CItY ZIP PMONE <br />Bernard Harris 7111 Morgan Road Everett <br />PRCHITECTOR�ESIGNEP MAILAD�PE55 CITV ZIP PHONE <br />GENEPRLCANiRACTOR MAILADDRE55 GiY ZIP FNONE UGENSE� <br />Everett Builders Inc. 5606 Evergreen Way Everett 98203 353-7161 <br />MECHANICALCONTRACTOR MAILR�DRE55 CITV ZIP �HONE LIGENSEI <br />EV ER EB 301PM <br />PLUMBINGCANTRPQOfi MAI�ADORE55 CITV ZIP PHONE IICENSE� <br />OF <br />❑NEW <br />S 8,750.00 <br />�¢DDITION ❑A�7ERATION ❑REPAIR ❑DGMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />21'12' addition to existing residence <br />single family residence <br />��f.Al �ESCRIPilOY OF PPOPEIiTY i5H0\Y 9ELOW OR ATTAGH FOUR COPIES� <br />�oT 113 o�aK_oF Beverly Hills Div. #5 <br />JB 4�DRE55 <br />7111 t9organ Road <br />PLUMBING <br />OR <br />8 <br />TRAY <br />MVVr �nnirva — <br />SINK ISLRVICE — ��R ETC! <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />YAflD SFTBAGK STREET SETOACK <br />ZONE LOTAREA <br />Of CANS <br />V-N <br />21'X12' <br />OCCUPANC� GF <br />R-3 <br />NO. OF STOF�F; <br />1 <br />1. ENVIRONMENTALCHFCKUST <br />�. BUILDING PLANS �� <br />3. F�RE NYDRANT "' <br />4. FIRE PROTECiION SYSTSi►1 <br />5. GRADINCa <br />6. DRAINA�E�. � <br />7. ENVIRONMEFi�AL IMPAE�STi <br />[L: <br />flqN AC�. BY <br />!'i n <br />C T <br />CHECKED BV <br />v.C. <br />REAR YARD SETBACK <br />VACANT SITE <br />L1Ye5 I�CdC1 <br />NO.OF DWELLIN <br />1 <br />P.IAX. OCC. LOAD <br />APPR. FOR ISSUANCE BY <br />� HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNO�V THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL 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 ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRU�TION OR;` T,,+�E PERFORMANC& OF CONSTRUCTION. <br />SIGNAtURE bi CONTRPCTOR"'g�nurHoa¢eo nccyi ./� _ oAT� <br />X „� , • ,- ��, E ' �, t <br />NECHANICAL <br />NO. TYPE OF EQUIP <br />AIR COND UNITS — HP. EA. <br />REf-RIGEfiATION UNITS — H.` <br />i3oILEPS — H P. EA. <br />ona rincu r+�. �i.��o — �v <br />fORCED AIR SYSTEh15 — 8 Tl <br />WALL HEATEFS — �.TL. <br />UNIT H[A7ER5 -- B T.U. <br />EVAPof±ATIVL COOLERS <br />CIOTHES ORYERS <br />VENTILATION F�N <br />RANGEHOOD <br />AIR HANOLING UNIT — <br />STOVE <br />MEiAL FlREPLACE 8 CHIMNEY <br />M <br />lOTAL FEE <br />PLAN CfiECK NUM�ER PLAN Ch <br />80/86u7 FEE 48.4 <br />FEES VALUATION <br />OUILDING b <br />MBCHANICAL <br />OTHER <br />PENALN <br />TOTAL <br />U.F3.C. <br />SEC. 303 (a) <br />FEE <br />GJ <br />RLCEIPT NO. <br />51901 <br />FEE <br />74 50 <br />8 �� <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEflMIT <br />23G9 �07U.5�- <br />n <br />.� �� I��: t��._��T <br />� ���. �� 1 \ �� C. U <br />. <br />• <br />• <br />� <br />