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`''�£,����oF � �NSTRUCTION • � , <br />everett PERMIT pERMIT NO. �b4�.i <br />CITV HALL 259-B7a5 <br />EveAerT.�.n �ezo� Q�CO\qBINATION � BUILDING �MECHANICAL �j pLUMBING <br />n19NER �,INLAUCfiL55 CIIY �.. PHONE <br />David Bigelow P.O. Box G97 Stanwood 98292 652-9G57 <br />n.�rnrecr on oesicr�en nia� no�aess cirr ur v��or�c - <br />GENERF�COqiRPGiOfl MAtIADOflE55 CI1V Zlv P��ONC �ICCNSL• <br />Same <br />vLGlIANICALCCNiRACTOR MAILADJRESS CIiY Zlo vnOrvE LIGENSEI <br />�'LUA'BINGCANiPACTOfl MAILADDFE55 Uil 21P P110tiE lIC[hSE• <br />j�jQJEW ❑ADDITION ❑ALTERATION ❑REPAIR I.�DEMOlIT10N ❑FENCE ❑SIGiJ ❑GAFAGE <br />� S�r���.00 <br />Construct Duplex <br />n�o=asm us� o� cw�oiNc <br />Two Family Unit <br />ILGAL �CSCRIPi104 UF PR� <br />4 ,_�r, N§-6 u�o:;K. 9 <br />�SN01Y FE�O\Y OR ATTACH f011R CC�I! il <br />Lowell Div. 4 <br />P 32-29-5 <br />A& H eOUTH 3rd AVENUE <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />4 vinlEaaos�raoi�m <br />KITCNEN SINK A DISP. <br />�NATER HEATEP <br />VnCUUM BREAREPS <br />ROpF DRAINS — FA <br />SINN �SFRVICF — BF <br />S[)E VARD SETBACI: <br />5� <br />USE 'ONE <br />R-2 <br />: VPc OF COHST. <br />V—N <br />fiIZC OF BLDG <br />FIRE Z(1N� <br />3 <br />SiRECT Sf.TE3ACK <br />20' <br />LOT AREA <br />7500 Sq. Ft <br />O:.CUPANCV GPOUP <br />R-3 <br />none <br />1. ENVIR�NMENTAL C:'[CK LIST <br />2 �UILOING Pll.NS � <br />2 <br />S FIFE HYDRANT ya _ <br />c F iR& Pi70iE{[f10N SYS <br />, 5 <<�A��N� �-� — <br />wc. nr,niNncEZY � <br />7. ENVIRONMENTAL IM1IPA6GSTAfEMENT <br />. �8. HEALTH DqryilCi �— <br />�.DnPPUC N. C �Y P�qNS CHECKEO �Y <br />m <br />� .D v.c. <br />-� <br />� <br />FEE <br />I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />PLL 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 />PRESU�-0E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAIWG <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC'; ION. <br />siov;ru��..j,-��cor:r�:r.�ro�+a�nuna,urz�cnaer,r wa�. <br />x lr=.il��i_r'?� �/ z 7/� 9 <br />MECHANICAL <br />N0. I <br />iR COND <br />TYPE OF EQUIPMENT <br />1NIT5 — H P 6�. <br />;IONl1NIT5--H; [A <br />auanm — n r. r.w. <br />GAS PIPED AC UNIiS — TONN <br />FORCE� AIR SYSTLMS — � T.U. <br />NALL HEATEHS — B T.U. <br />UNIf HEATE(75 — E3 T ll <br />VEN7ILA710N FAN <br />METAL FlREPLPCE 8 CMIMNEV <br />RE�R V4RU EEiBnCK PI.W CHECK N <br />20' 79/447 <br />\'ACANT STE <br />.}jv�5 i'NO <br />NO OF UIVELLING UNITS <br />2 <br />APPR FORi55UANCE <br />ACD <br />TOTALFtE <br />FLE /� <br />M <br />M <br />FEES I VALUATION <br />5 57,000 <br />U.B.C. <br />SEC. :f03 ln) <br />ree <br />GiECK FEE <br />� RCCEIPT NO <br />201 00 <br />36 00 <br />� � � <br />TOTNL I• I 2$ 3 I � � <br />PEflMIT VALI�ATION <br />K'�1[N PRi PERLY VAL10AT[� IN THIS SPACE� TH15 15 Y P� 1 1T �� <br />�0i6.00— � 0335 �.00 ' <br />M <br />�UR P.[CEIPT XOUR RECCIPT� <br />!-,�!!: YOU TFiANk YOU � <br />- 3 nuc 79 - 3���c 19 <br />