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thc£rc:grren C1�STRUCTION � � <br />CITY OF <br />ever�tt p�R��� PERMIT NO. 09306 <br />CITY HALL 259�8745 <br />E\ERETT. WA 96roi ❑ COMBINATION �BUILDING ❑ MECHANICAL PLUMBING <br />OY NEF <br />AIAIL AODRESS CITV ZIP PNONE <br />Chet Westre 2115 Mukilteo Blvd. Everett 98203 355-6401 <br />ARnNIfECi CN DESIGNEN <br />N4ILAOORE55 GIT'l 21P FHONE <br />GENERALCONTRACTOR <br />MAILADDf1E:w5 CIiY ZIP PHONE LICENSEI <br />Ever��tt Bldrs. Inc. 5606 Ev�rgreen Way Everett 98203 353-7161 <br />MAIL AOORESS QTY 21P PHONE LIGENSE � <br />MECHANICALCONTRACTOR EV ER EB *301PH <br />PLUh101NG GONiPFCTOB <br />— AIAII A�DRESS GITY ZIP PMCVE LICENSE � <br />CLASS OF WORN <br />❑NEW ❑ALDITION ❑ALTERA-ION �REPAIR ❑�EMOLITION ❑fENCE ❑SIGN ❑GARAGE <br />VAWAiION OF \YORK <br />S 2333.00 <br />re-roof - Composition <br />PPOPOS[D USE OF BUILDING <br />4QTLess F�i K_oF <br />200 a1To�5 <br />2115 <br />PLUMBINO <br />SIDE <br />M <br />8 <br />TRAY <br />� <br />� <br />DarlingT.on <br />YARD SETBACK S7REET SET�ACK <br />ZONE LOT AREA <br />: OF CONST. OCCUPANCY GR( <br />t. ENVIRONMENTALCHECKUST <br />2. �UILDING PUINS <br />3. PIPE HYDRANT <br />a. FIRE PROTECTION SYSIEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />�PPLICATION ACC. BY PLANS CHECKED BY <br />I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICNTION AND KNOW 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 A�IY O1HER STATE OR LOCAL LAW REGULATING <br />CONSTROCI"ION OR�FV1E PERFORMANCE OF CONSTRUCTION. <br />SIGN4TURp�JFGONTRilGTO ORAUTHORI2EOA(iyNT;7 � DAiE <br />�� :v�-�/ / 5/27/81 <br />X - ! I fi �( ! �� , ,n,,; il' ��K/ <br />FEE N0. T'!PE OF EaUirmtn i <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UN�TS — M.P. EA <br />BOILERS — H.P_EA. <br />GAS FIRED A C. UNIiS — TOIJNAGE EA. <br />PORCED AIR SYSTEMS — B 7.U. M E <br />�VA'_L HEATERS — B.T.U. M <br />UNIT H[Ai ERS — B.T.U. M <br />EVAPORATNECOOLERS <br />CLOTHES DRYERS <br />VENTILAT�ON FAN <br />RANGE�i00D <br />.�.,��...�ni�n�riiurt— QF <br />METAL <br />9EAR YAFlD SETBACK PLAN CHECK NU <br />VACANi $ITE <br />❑YES ❑NO <br />NO. OF DWELLING UNITS <br />�UILDING <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLEflS MECHANICAL <br />REOUIRLD <br />17YES ❑NO <br />BY DATE OTHER <br />PENALTY <br />TOTAL <br />APPR.PORISSUANCE BY <br />& CHIMNEY <br />SUBTO7AL <br />PERMIT <br />70TAL FEE <br />PL1N CH <br />FEE <br />VALUATION <br />$ 2333.00 <br />U.B.C. <br />SEC.303(a) <br />RECEIPT NO. <br />F�'� m <br />38 I50 <br />PROPERLY VALIDATED (IN iHIS SPACE) THIS IS YOUR PERMIT <br />�=:3 °�38.50-� <br />M <br />� <br />�— � <br />(:�.Irl <br />, 1. U <br />ADDRE55 FILE ` �' � � I <br />