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!h: EverAreen C���TRUCTIUN � � �� - <br />GiY Of <br />everett PERMIT PERMIT NO.O67SH <br />CITY HALL 259�8745 <br />eveaerr, wn eezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBiNG <br />owr�tn unnnoo��ess crtr nv ���one <br />Loren Pachett 737 Vista Place 252-0739 <br />ARLMIiECT OR pC51GNER MAIL ADDRESS QTY ZIP PHON[ . <br />GENEP4LWNiPAGiOR M'.ILAD�RE55 CiTY :IP PHONE IICENSEI <br />Solie Blders 7514 Juniper Drive 98203 353-2331 <br />M[CIIRNiGALCONiRnCiOR MAILADDRE55 CITY ZiP PHONE LIGENSE� <br />se Le sa *s�zao <br />PLUM�ING CANiRFCTOR MAIL ACOR[55 CITT 21P PHONE LICENSE I <br />CLA55OF WORK <br />❑NEW �PODITION ❑AITERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE <br />S 10��0�.�� <br />DESCRIBE WORK <br />18'x18' Addition to existing building <br />PR01'OSED USE OF BUILDING <br />single family residence <br />LWN: �ESCRIPiION OF PPOPERiY ISHOW DEIOW <br />�or 1 e�ocK_orY0S7[JCE <br />437 Viata Place <br />PLUMBINO <br />NO. TYPEC <br />WATER CLOSET (TOIi <br />BATMTUB <br />LAVATORY (\YASH B� <br />SNOWER <br />h�TCHEN SINK 8 DI: <br />DISHWASHER <br />LAUNDFVTRAY <br />CLO?HES WASHER <br />WATER H[ATER <br />URINAL <br />•�• <br />SIDE VARD SETBACK <br />USF <br />N�E OF CONST <br />V-ti <br />SL>E OF BLOG. <br />18'X18' <br />FIRE ZONE <br />3 <br />r <br />� <br />OR ITEM <br />SiPEET SEIOACK <br />OCCUPANCYGROUP <br />R-3 <br />NO OF STORIES <br />1 <br />none <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PtANS � <br />3. PIRc HYDRAN� <br />4. FIPE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />Z [NVIRONMENTALIMPACTSTATEMENI <br />0. HEALTH DISTRICT <br />APPUCATION ACC. BY PLANS CHECKED BY <br />v.c. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 1�HIS AP- <br />rouacories� 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 GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY O�fH TATE OR LOCAL LnW REGULATING <br />CONS TIO R T E PE FORMA F CONSTRUCTION. <br />s�c�+ nc wr+ ncro un� �rzeo nc �_ — on.E <br />X 10/3/79 <br />REAR YAPD S <br />VACANT SITE <br />:iV[S l_iN0 <br />NO.OF DWEL <br />1 <br />MAX.00C.LC <br />FIRE SPRINKI <br />17[OUIRE�p <br />f1VE5 NO <br />aT—o� <br />APPR POR ISSUANCE BY <br />TYPE OF EOUIPMENT FEE <br />AIR WNU. UNIiS — H P. EA <br />RElPIGkf1ATION UNITS — HP. EA <br />DOILERS — H P EA. <br />GAS HRCI7 A C. UNIiS — TONNAGE CA <br />FORC[D AIR SVSTkMS — B T U M EA. <br />WALLIIEA7ER5—DTU M <br />UNIT NEAT[RS — � T U. M <br />EVAPORATWECOOlGRS <br />CLOTHES DiiYERS <br />V[NTILATION FAN <br />RANGEHOOD <br />AIR IiANDLING UNIT — GF M <br />STOVL <br />METAL FIREPLACE 8 CHIMNEV <br />79/6788 <br />TV <br />PLAN C <br />FEE 26.00 <br />$10,000.00 <br />U.B.C. <br />SEC. 303 �a) <br />R�&�'g�°Y'. <br />52 � 00 <br />52 I 00 <br />PROPERLY VAUDAiE� QN THIS SPF:E) THIS IS YOUR PERMIT <br />sosa f052.Q0 �aT � <br />� <br />� <br />YOUR •R:E'CEIPTo ' <br />THANK 'Y'O U <br />