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1heLverAree�; • ONSTRUCTION <br />CITY Of � <br />4s,. i—..�.. <br />�evere�t PERMIT <br />arvHa��zsse�as PERMIT NO. 0�934 <br />evEaen, wa seao� � COMBINATION [� BUILDING L� MECHANICAL � PLUMBING <br />OWNER <br />Rudy Wildermuth 3631 Broadways Everett Z�P <br />PIIONL <br />252-8366 <br />a������iCCi OR OESIGNCq M1!AIL PDDRE55 <br />���Y ��'' F��ONE <br />GFII[PA� CONiPq�Tpq I,IAi� ADDRESS <br />William G. Moore 102J "'Y Z�P v��oNe uceNse�� <br />` 79th Avenue S.E. Everett 982p5 334-4338 <br />rnccriarucr.i coNrnncroa Mna nooness <br />Q1Y ZiP PlIONE <br />UCENS[ � <br />VWM�INGCONTRACtOR WI LL IG A1335NG <br />IAAi� qDDPE55 ��t� <br />ZiP PNONE L�CENS[ 1 <br />WORK __ <br />�'E�' ❑ADDITION CALTERATION ❑REPAIR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE <br />a nc w�o� <br />s48,438.00 <br />construct single family residence <br />raoaoseo use or awiowc <br />single family residence <br />IEGAL DESCR!PIION OG PqCPEfliY �SMOW ffR01V OR FiTACH FOUR COPoE51 <br />�-8 Town of Lowell <br />�.or n��,-v 25 ... <br />�����.�s South 4th Avenue <br />PLUMBING <br />_N= <br />iCHEN <br />SIDE Y'AqD SET <br />5� <br />USC ZONE <br />R-2 <br />71'PG OF CONST <br />V-N <br />2G'x66' <br />rlfvE ZpNE <br />3 <br />ITEM <br />TfiAV <br />h�nLG�utHJ <br />— BAR,ETCJ <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />sinu_r;erench <br />2�' <br />LO7 AR[A <br />9820 Sq <br />OCCUPANCYGROUP <br />R-3 <br />NO. OF STORIES <br />BAS[MENT 1 <br />yes <br />i ENVIRONMENTA� CH[CK LIST <br />l GUILDING PLANS � <br />3 I-1R[ HYDRANT '� <br />< FIRE PROTECTION SYS1FI01 <br />F GqnOING <br />P UNACJAGE - - � <br />�J--- <br />167PAQj_$7ATEMENT <br />� 8 HEaLTH DISiRICT � <br />' G�'i't ICATION A4C� BY <br />CMl.ChCD BY <br />V,C. <br />FEE <br />REAR YARD S[7L <br />20' <br />VACANT SITE <br />t-�YES I_;NO <br />N0. OF DWftLIN <br />MA% OCC IOAD <br />FlRE SPRI�'(LtRS <br />?eouins� <br />�ves �o � <br />BY I OATF <br />� I HEREBY CERTIFY THAT I i1AVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDIK:aNCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIEU 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 REGULATWG <br />CONSTRUCTION OH THE PERFORMANCE OF CONSTHUCTION. <br />SiGNni�9�ONi��qpqpUiHOPVEDaGENi �,q�� <br />X y�� <br />MECHANICAL <br />NO. TYPE OF Fnwor,eour ___ <br />UNIT <br />RANGE <br />AIR HA' <br />U. UNITS — H.R EA. <br />FATION UNITS — H.P. <br />— HP. EA. <br />ED A.L 'JNITS — TONN <br />AIR SYSTEh95 — 0 T.U. <br />ATERS — BI.U. <br />1TER5 — B T.U. <br />YI.AY CHECK NUM01 <br />80/7934 <br />FEI <br />BUILDING <br />PLUMBMCa <br />MECHANICAL <br />OTHER <br />PENA�7Y <br />� <br />4L FEE S� � 1 � <br />�LAN CHECK FEE <br />F�E 92 . �O RECEIPt NO <br />99462 <br />VALUATION FEE <br />b 48,838. <br />U.O.C. <br />SEC.303(a) <br />184 00 <br />26 QO <br />1S �� <br />2251 00 <br />�- �� vn�nwy'qOP�j aY VALI�AT�pN THIS 5['�1 Fj Tfi1515 Yp� ��Mln O__ � <br />' � C b U U 6 6 6 � U <br />� <br />M <br />- -��-��T � - . _.,:IP1� <br />naen ro� issuaNce �ev � .., • i � O <br />� <br />