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dieErcrgreen ;ONSTRUCTIO�I , <br />CITY OF pERMIT <br />everett PERMIT NO. 09327 <br />CITY HAIL 259-8745 � COMBINATION �x�cd�tLDING ❑ MECHANICAL ❑ PLUMBING <br />EVERETT, WA 98201 PHU�+E <br />2i�' <br />OWNER <br />Sybil Johnson 2415 Rockefeller <br />CITY <br />Everett <br />98201 259-2005 <br />Z�p PMONE <br />ZIP PHONE LICE <br />I <br />GENERRLCONTRACiOR m���V� <br />Same GITY 21P PMONE LICENSEI <br />MAIL AUORE55 <br />MEGNANICAL GONiRACTO� <br />MPIL A�DRESS <br />CITY ZIP PHONE UCENSE ♦ <br />PLUMBIN <br />GLASS OF \VOPK <br />❑NEW ❑ADDITION ❑ALTERATION �j REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />VALUATION OF WORK <br />s 500.00 <br />single family residence <br />L[GAL DESCFIPPON OF PROPERTY �SHOW 9ELOW OR. <br />55 Everett <br />�or a-9 e�ocK—BF <br />JO�ADDFE55 <br />2415 Rockefeller <br />PLUMBING <br />un TYPE OF FIXTURE OR <br />WATER <br />SMK <br />SIDE YARD SETBACK <br />USE ZONE <br />OF <br />v <br />� <br />STREET SET�'rCK <br />GN] <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FlREHVORANT <br />4. FIRE Pf±�TEM — <br />5. GRADING <br />6. C7RAINAGE <br />7. ENVIRONMENTAL'�MPALT STATEMENT <br />8 HGALTH DISIRICT <br />—_L .. . . . ......,:.,:inr,.�- <br />I HEREBY CERTIFY THAT I hIAV[ READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COFlRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES uOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PR[SUME TO GIVE PUTHORITY TO VIOLATE OR CANCELTHE PRO� <br />VISIONS OF ANY Gf R STATE OR LOCAL LAW REGULATING <br />CONSTRU ON OR THE EFFORMANCE OF CONSTR�UCTION. <br />SIGNAtURE OIJTR�TO� OP AUT ORI2ED �N� <br />X `� <br />� YYPE OF EDUIPme <br />AIR COND. UNITS — H.P. EA. <br />REFHIGERATION UNITS — H.P. EA <br />OOILERS — HP. [A. <br />G�S FIRED AG. UNI1S — TONNA( <br />FORCED AIR SVSTEMS — �.�yU. <br />WAIL HEATERS — � T=! _ <br />� iurt iiFATFRS — � �.U. _ <br />REAR YARD Stlun�n ^ """' <br />VACANT SITE <br />❑YEC f7N0 <br />NO. OF DWELUNG UNITS <br />MAX. OCC.� <br />BUILDING <br />PLUMBING <br />FIHE SPRINKlFRS MECHANIC <br />REOUIRED <br />ittES llNO <br />gy UATE <br />pTHER <br />PENALTY <br />pppH F09 ISSU�NCE 8� <br />8 <br />fEE <br />b 500.00 <br />U.B.C. <br />SEC.303(a) <br />FEE <br />RECEIPT NO. <br />� �P <br />PERMI7vFuuwuvn <br />WHEN PfiOPERLV VALIDATED (IN THIS SPACE)ITHIS IS YOURI PLRh'1 — � <br />l <br />N <br />M <br />� �r� O <br />I �1 <br />