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lheEvergreen �� C�STRl.1CTION ��' <br />CITY OF <br />eve.rett PERMIT pERMIT NO.OH1H6 <br />CITV HAiL 259�8745 <br />EVERETf.�`�A 98201 ❑ COMBINATION XI�"BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MRILPDDRE55 CITY ZIP PHONE <br />Harold A. Burrier 3319 Mukilteo Blvd. Everett 355-2412 _ <br />ARCHRECT CR DESIGNER AIRIL ADDRESS CITY 21P PMONE <br />GENERALCONTRAC70R MRILADDRE55 QTY 21P PMONE LICENSLI <br />Same <br />IAECNaNICAL CANTPACTOR MAIL ADDRE55 CITY ZIP PHONE LICENSE / <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UGENSE 1 <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN �]�.ARAGE <br />s 5000.00 <br />construct new <br />aingle family <br />LEGAL DESCRIPiION OF PROPERT <br />lOT_6._ _BLOC�_OF <br />.qB ADDHESS <br />3319 Mukilteo Blvd. <br />PLUMOINO <br />TYPE OF FI%TURE OR ITEM <br />I�1:LU:1 <br />ORAINS — <br />3ERVICE — <br />SIDE YARD SETBACK STREETSETBACK <br />7�x' 20' <br />USE ZONE LOT AREA <br />V NN57. OCCUPA'�NCiGR <br />�X2�8G. NO.OFST10RIE5 <br />tONE BASEMENT <br />7. ENVIRONMENTALCNECKUST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAI. IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />�PPLICATION ACC. BY PLANS CHECKED BY <br />V.C. <br />REAR YARD SETdAGK <br />2�� <br />VACANT $�T� <br />❑YES f3Nm <br />NO. OF DWELLING UNITS <br />MAX. <br />FIRE <br />APPR.FORISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS AP- <br />PLICATION 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 ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CANTRACTOR OR AUTMORIZED AGENT � OATE <br />MECHANICAL <br />N0. TYPE OF EQUIPMENT <br />AIR COND. UNITS — HP. EA. <br />REFRIGERATION UNITS — H,P. EA <br />BOILERS — H.P. EA. <br />GAS PIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. � <br />G <br />� <br />AIR <br />80/8186 <br />FEES <br />N <br />8 CHIMNEY <br />i49 <br />M <br />PLAN CHECK FEE <br />FEE 1 G. 0 O � RECEIPT NO. <br />55000.00 <br />U.B.C. <br />SEC.303(a) <br />32 100 <br />32 <br />PROPERLY VALIDA7ED (IN THIS �Pf�CE� IHI515 ��R�6yMr{ O�_� <br />U� 6 L U <br />� <br />�; �.�, ,� ('. REC [ f Pfa. <br />i : i;1f.� YOU � � � <br />