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2121 MCDOUGALL AVE 2018-01-02 MF Import
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2121 MCDOUGALL AVE 2018-01-02 MF Import
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Last modified
5/3/2022 8:21:08 AM
Creation date
2/26/2017 4:29:47 PM
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Address Document
Street Name
MCDOUGALL AVE
Street Number
2121
Imported From Microfiche
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the Evergreen CITY OF f N ST R U CT I O N <br />everett PERMIT PERMIT NO. O9868 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ®t MECHANICAL PLUMBING <br />OWNER <br />Steven C. Gish <br />hIFIL PU VIIWJ <br />P.O. Box 780 <br />Everett <br />98206 <br />258-24 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE) <br />GENERAL CONTRACTOR <br />MAIL ADDRESB <br />CITY <br />ZIP <br />PHONE LICENSE 1 <br />MECHAWCAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSEE <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />❑NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />❑DEMOLITION <br />❑FENCE ❑SIGN <br />GARAGE <br />S <br />Install wood stove <br />WT BLOCK_OF <br />JOB ADDRESJ <br />2121 McDougall <br />PLUMBING <br />NO. TYPE <br />I HEREBY CERTIFY THAT I HAVE READ AND 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 />CONS <br />TRU ON OR THE PER MANS F CONSTRUCTION. <br />SIGNATURE ONTRALTOR OR H I D GENT LATE <br />X 10/5/81 <br />OR ITEM I FEE NO.� TYPE OF <br />ITT n11 rlmn I"ITS—H <br />TOTAL <br />YARD SETBACK I STRLLT SETBACK <br />USE ZONE I LOT AREA <br />OF <br />OF <br />1. ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />8, DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />3EFRIGERATIUIN URI IJ <br />301LERS— H.P. EA. <br />3AS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C <br />STOVE <br />MPTAI FIREPLACE 8 CHIMNEY <br />REAR YARD SETBACK <br />PLAN CHECK D <br />VACANT SITE <br />OYES ONO <br />NO. OF DWELLING UNITS <br />BUILDING <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE SPRINKLERS <br />REOUIRED <br />MECHANICAL <br />OYES ONO <br />BY DATE <br />OTHER <br />PENALTY <br />TOTAL <br />APPR. FOR ISSUANCE BY <br />FEE <br />U.B.C. <br />SEC.3 <br />RECEIPT NO. <br />1 vhuun u.. . <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />1. <br />ADDRESS FILE <br />17 150 <br />17 1 50 <br />
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