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theEvergreen CONST ',1��/ ■'O�' . � <br />CIiY OF PER��T <br />everett PERMIT NO.OS667 <br />CIIY HALL 259�8745 � COMBINATION � BUILDING ❑ MECHANICAL � PLUMBING <br />EVERETT, WA 98201 eHor+e <br />,,.,, ZIP <br />MAIL A�DRE55 <br />WNER <br />Bernard Harris 7111 Morgan Road <br />Everett <br />MAIL ADORESS <br />'ENERPICANTflNCTOR <br />Everett Builders Inc. 5606 Evergreen ay <br />uliT " ' <br />Everett 98203 353-7161 <br />CITY 21P PHONE <br />EV ER EB ?O1PM <br />_._ ownNF <br />ui. <br />CLASS OF WORK <br />❑NEW �S6DDIilON ❑ALTERATION ❑REPAIR ❑DEMOLIT10= N�E �SIGN ❑GARAGE <br />VAIUAiION OF WORK <br />S 8�%50.�� <br />OESCPIBE WORK <br />21'12' addition to existing residence <br />PpOPO5E0 U <br />single family residence <br />IEGAL OESGF�PTION OF PROPERTY �SHOW OELOW OR ATTACH fOUR ('OPIES) <br />�or 113 oiaK_oF <br />Beverly Hills Div. #5 <br />7111 Morgan Road <br />PLUMBINO <br />r <br />� <br />SIDE YARD SEiBAGK <br />USE ZONE <br />V-N <br />!E OF BLOG. <br />21'x12' <br />STHEET SEi <br />1. ENVIRONMENTALCNECKLIST <br />: BUILDING PLANS ^� <br />iv <br />3. FlRE HYDRANT � <br />4. FIRE PFOTECLION SY5�1 <br />5. GRAD�NG <br />6. DRAl11AGE . � <br />�----- <br />,7. ENVIf10NM@NtAL IMPA�SL <br />=8. HEAL'RI`019T�ICT o0 <br />�APPLICATiQN ACs%. BY � <br />f l r7j <br />G 'n <br />R-3 <br />iOR1E: <br />1 <br />CHECKED L�Y <br />V.C. <br />FEE <br />REAR YARD SETBACK <br />VACANT SITE <br />❑YES �:� <br />NO. OF DWELLING UI <br />1 <br />Mq7c. p^„C. LOAD <br />I HEREBY CERTIFY THAT I HA\'E READ AND EXAMINEO THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COP.RECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />HERE NFOR NOT.I THEEGRANT ING OF AW ERMITRDOESI NIOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TI1E PRO� <br />VISIONS OF ANY OTHER STATE OR LOCA! LAW REGULATING <br />CONSTRU�TION OR�+�E PERFORMANCE OF CONST DUCTION. <br />SIGNAiURE O CONiHFGTOP Og�AU�MORIZED AG[Nf . �_ J�� <br />X - . r IC.� � .1- - �� <br />MECHANICAL __ <br />qppR. FOfl ISSUANCE BY <br />TYPE OF EO <br />). UNITS — H P. [ <br />7ATION UNITS — <br />— H P. EA. <br />�.D � C. UNITS — <br />AIR SVSTEh1S — <br />:ATERS — P i.U. <br />ATFGS - B.1.11. <br />FAN <br />M <br />80/8667 IFEE 48.q� R[C.EIPTNO <br />51901 <br />BUiLDING <br />MECHAK�CAL <br />OTHER <br />TOTAL <br />s <br />U.B.C. <br />SEC.303�a) <br />74 50 <br />8 00 <br />un <br />VALIDATED (IN THIS SPACE) THIS IS YOI�R PERMIT <br />13G9 $� 7G.50 - '� <br />� <br />� <br />�. � �f ii <�!.�PT � <br />'�IA �I{.-U <br />` i ��;,ii 8 � <br />w �DDRESS FILE <br />