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Ihe Ev¢r�rec.v �pNSTRUCTlO�' <br />��TY.�� '' PERMIT <br />everett PERMIT NO. 09190 <br />CIfV HALL 259�8745 � COMBINATION � BUILDL'IG ❑ MECHANICAL ❑ PLUMBING <br />EVERETT.1"1A 992a1 <br />DDRE55 citr zic rnorv[ <br />OWNEA on s o onia Furnitni� 9g206 252-0222 <br />Thelma Kellv 4302 Everareen Wav F Ptr — <br />Ri'Gi!IT[Ci OR DESiGN[R MAR ADDRE55 QiY 21P �'MONE <br />GENERAICANTRALiGA <br />MRI�ADDR[55 QTY 21P �HDNE lIG[NSCI <br />MECIIPNIGALCANTRACiOR ' MAIIADDF[55 C�tY ZIP PNONE IICENSE� <br />FlUM81NG CONiRACTOR <br />MA�L AD�RE55 CIiY ZIP PMONE LICENSE � <br />WORN <br />❑NEW ❑ADDITION ❑ALTERATI0�1 '�EPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />s 909.00 <br />lESCPIBE WOAK <br />Install siding <br />�aoroseo use or em�mrvc <br />retail sales <br />EGRL DESCRIPtiON OF PROPEPiY RMO <br />pi ,' BLOCK_OF _ <br />South Park Add. <br />aoo nooAcss <br />4302 Evergreen <br />PLUMBING <br />�{p, TYPE OF FI <br />!;ATEF CLOEET QOIL[T) <br />E3ATHTU6 <br />V.VATO�+Y fWA5t1 BASIN) <br />SHOWER <br />KITfuFN SINK A DISA. <br />DRAIN <br />HOOF <br />SIDE YARD SETBALK <br />USE ZONE <br />TVPE OF CANST. <br />SIZE OF BLDG. <br />FIRE ZONE <br />� I HEREBY CERTIFY THAT I HAVe READ AND EXAMINED THIS AP� <br />Anncr+rouacories PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />at Blocks 19-28 ALL PROVISIONS OF LAW:i AND ORDINANCES GOVEFiNING THIS <br />TYPE UF WORK WILL DE I:OMPLIED WITH WHETHER SF[CIFIED <br />HEREIN OR NOT. THE 6�RANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS UF ANY OTHER STATE OR LOCAL LltW REGULATING <br />CONSTRUCTION OR THE PERF MANCE OF GONSTRUCTION. <br />SGNATUR6 ' G�AGIOR O9/.tiiHp i_D hG[Nt D�iC <br />/ / / / <br />J( V[ yr.,..,,6�� 4 29 81 <br />MECHANICAL <br />FEE N0. TYPE Of E�UIP <br />AIR COND. UNITS —� H.P_ E� <br />REfNIGERATION UNITS— H.P. <br />BOILERS — HP. EA. <br />GAS PIF[J A.C. UNIiS — TONI <br />FORCEO AIR S�STEMS — B T.l <br />WALL FIEATERS — 0 T U. <br />i nart ucnicn5 — R T ll. <br />— IiAR LCTCJ „ <br />SUB TOTAL <br />PERMIT S <br />� TOTAL FEE f <br />STfi[Ei 5[T[3ACK FEAR YARD <br />OCCUPA4CY <br />GCH <br />1. ENVIRONMENTALCHECKUST <br />2. BUIIDING PLANS <br />3. FIRE HVORANT _ <br />q. F;RE PROTECTIOIJ SYSTEM <br />5 GRADING <br />G. DRAINAGf <br />7. ENVIPONMENTF: IMPACT S7AlEMENT <br />0. HEALTH D�STflICT <br />�— <br />qPPLICATION ACC. BY I°LANS CNEGKED BY <br />RAN�EHOOD <br />AIR IIANDUNG UNIT — <br />PLAN CHECK <br />f_IYES CNO <br />NO. O'r DWELUNG UNITS <br />BUILDMG <br />MA%.00C.LOAD <br />PLUMBING <br />FlNE SPRIWKLERS MECHANICAL <br />REOUIRED <br />I1VES i �NO — <br />BY pATE OTHER <br />APPR.FORISSUP.NCH UY <br />8 CH <br />En. <br />M <br />M <br />0. FEE <br />PLAIJ <br />FEE <br />a 909.00 <br />U.B G. <br />SEC. 303 (a) <br />RECEIPT NO <br />FEE <br />17150 <br />17 150 <br />WHEN PROPE1iLY VALIDATED ON 1HI5 SPACE) THI515 YOUIi PERAl1T <br />;.�, ��I1.`�-�j <br />� <br />. . . '. �' �1'I � <br />. �J <br />ADDRESS FILE <br />r I <br />j � 6 �� (; <br />