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the Eve <br />rgreen <br />OF CONSTRUCTION <br />CITY OF <br />everett PERMIT PERMIT NO.09394 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINA•rION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Terry Slatten 4100 South 3rd Everett 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />Art Santos <br />MAIL ADDRESS <br />2610 Rainier <br />CITY <br />Everett 98201 <br />ZIP <br />259-3456 <br />PHONE LICENSE# <br />600315417 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION XKXAEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 6f000.CO <br />Remove roof and replace with KHMNINK shakes <br />idence <br />OR ATTACH <br />LOT 6LOCK2_oF <br />4100 South 3rd <br />PLUMBING <br />NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANn CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />II 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 FRO - <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRU(i`TION 0 THE RFORMANCE OF CONSTRUCTION. <br />SIGNAIU P156 TRAC ROT THORIZED AGENT DATE <br />X ; , - 6/18/81 <br />MECHANICAL <br />TEFHIGEHAHUN UNIIJ — H.I <br />301LERS — H.P. EA <br />3AS FIRED A.C. UNITS — T01 <br />FORCED AIR SYSTEMS — B.T <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />HUOr UHNINJ — nnIIILIv1n <br />SINK (SERVICE — PAR. ETC) <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />$ <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />81 /9394 <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES LINE) <br />FEES <br />VALUATION <br />FEE _ <br />TYPE OF CONST. <br />O6: UPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />SG nnn Inn <br />Gf. <br />Fn <br />SIZE <br />NO. OF STORIES I MAX <br />DATE <br />1, ENVIRgNMENTAL CHFCK LIST <br />2. BUILDING PUNS <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTALIMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY ( PLANS CHECKED BY I APPR. FOR ISSUANCE BY <br />PLUMBING <br />MECHANICAL <br />U B.C. <br />SEC. 303(a) <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y07R PERMIT <br />9526 R056.50 -'D <br />Q) <br />CD <br />err <br />