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1heEvcrgreen •� C�STRUCTION � <br />GTY OF ^ �\ <br />everett PERMIT PERMIT NO. osss� <br />CITY HALL 259�8745 � COMBINATION �jcl BUILDING ❑ MECHANICAL ❑ PLUM8ING <br />EVERETT, WA 98201 <br />0\VNER <br />MAIL ADDRE55 CIiY ZiV PMONE <br />Harold A. Burrier 3319 Mukilteo Blvd. Everett 98203 355-241 <br />ARCMITECT OR �ESIGNER <br />MAILAO�RESS CItY 21P PHONE <br />GENEPA�CONTRACiOF MAILADUPE55 GITY ZIP PHONE UCENSEI <br />Same <br />MECMRNICAL LONTRACTOR <br />MAIL ADDHESS GITY 21P PHONE IICENSE I <br />PI.UMBING CANTRACTOR <br />MAIL ADDRESS QTV ZIP PNONE LILENSE � <br />C1A55 OF WLRK <br />❑NEW ❑ADOITION ❑A�TERA710N ❑REPPif }E}�CdOLITION ❑FENCE �J£IGN GARAGE <br />VALUALION OF WORN <br />f _ <br />CR1BE WORK <br />Demoliah existing garage <br />single family <br />LECJ�L DESCRIPTION OF PROPERTY <br />5-6 6 <br />ior e�ocK_oF <br />Shore Acres <br />JOB ADORE55 <br />3319 Mukilteo Slvd. <br />PLUMBINO <br />F➢ <br />O <br />� <br />SIDE YARD <br />P7y <br />ITEM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />TYPE OFVWORK WIL BE COMPLI�EDDWITH WHET� Efi SPECIF EI[� <br />HEREIN OR NOT. THE GRANiING OF A PERMIT DOES NOi <br />PRESU ME TO GIVE AUTHORII Y TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA?ING <br />CONSTRU ION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN E CONT i0F OR AUTMOHII{0 AGEVT OATE <br />.. .A�/%�•- - 9/2/80 <br />NO. TYPE OF EOUIPMEB� <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GP.S FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSiEMS — B.1.U. M <br />WALL HEATER$ — B.T.U. M <br />n.u. ucnr[PC _ R T 11 M <br />SiREETSETBACK REAR YARD $ETBACK PLAN CHEc <br />LOT AREA VACANT SITE <br />�YES ❑NO <br />OCCUPANCY GROUP NO.OF DWELLING UNITS <br />BUILDING <br />NO. OF STORIES MAX. OCC. LOAD <br />PLUMBING <br />1. ENVIRONMENTAL CHECK LIST <br />2, BUILDING PlANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPUCATION ACC. BY PIANS CHECKED BV <br />PENALTY <br />TOTAL <br />APPR. FOR ISSUANCE BY <br />F�» <br />FEE <br />E <br />U.B.C. <br />SEC.303(a) <br />FEE <br />RECEIPT NO. <br />FEE <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />7137 5000.00 �1 <br />l'� <br />.,�OUP, RECEIPg° <br />T;-{p,NK YOU <br />ADDRE55 FILE <br />