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1NeEvergreen C7NSTRUCTION � <br />CITV OF <br />ever�tt PERMIT PERMIT N0. 09139 <br />CITY HAI 59�8745 <br />EVERE� .+ eezo� ❑ COMBINATION �S�UILDING ❑ MECHA`lICAL P!_UARBING <br />MFIL ADURE55 CIiY <br />2�P PM N <br />wnea 98201 252-3994 <br />Alice Wood 923 Rucker Avenue _ <br />ARCHIIECT OF OESIGNEP <br />MAIL ADDRE55 CIiY ZIP PIIONE <br />GEN[PRLCANTRACiOR <br />MPit ADORC55 CIIY ZIP PHONE UCENSE � <br />Capatin Conat 3311 123rd Street S.E. Everett 98Z?p09 p o E-10 „ceNSE� <br />MA�I AODRE55 ���Y <br />Mec�nHicn�corvTancrua HA RV EF C247IL <br />VLUMBING CANi3ACi0P <br />MAIL ADDRE55 , CI1Y ZIP PHONE LIGEI:SE � <br />❑NEW ❑ADOITION <br />VA:UATION Of WORK <br />s 2,500.00 <br />uEscaioe woaK <br />re-roof--compositioi <br />PROPOS[D USE OF BUILDING <br />❑ALTEHATION �EPPIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GAHAGE <br />single family residence <br />LEGRL DESLRIPTION OF PRO�[RtY ISNOW PCLO\Y OR ATL <br />12-13 174 Bailey's <br />LOT BIOC✓�_OF <br />923 Rucker Avenue <br />PLUMBI <br />NO. TYPE OF FIXTURE OR ITEM <br />VlAiER CLOS[T Q04ET) <br />pATHTUB <br />LAVATOHY (WASH BASINI <br />SHO\VER <br />KITCHE4 SINK fl DISP. <br />DISHWASHEP <br />LAUNDPYTRAV <br />CLOiHES WASHER <br />WATER H[AiER . <br />ROOF <br />SIDE Y�RD SET <br />USB ZONE <br />TYPE OF WNS <br />SIZE OF BLDG. <br />FIRE 70NE <br />— nran��n� <br />— DAR.ETC.1 _ <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />STFiEET SET�ACK <br />LOT AREA <br />OCCUPANCY GR( <br />NO. OF STORIES <br />1. ENVICONIdENTAL CHECK LIST <br />2. �UIIDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING __ <br />G. DHAINAGE <br />7. ENVIRONMENTALIMPACT STATEMENT _ <br />0. HEFLTH DISTRICT <br />APPIICATION FCC. BY PLANS CMECKED 0� <br />I HEREBY CERTIFY THAT I HAVE READ AND ExAMI."IED THIS AP- <br />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 WI7H WHETHER SPECIFI[D <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PF10� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />C�TRUCTION OR THE PERFORMANCE OF CONSTAUCTION. <br />si�niw� cr cou a rory�}�c� ui oneEur �>�*� <br />X AJ� �[`� �i 4/16/(31 <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR WND. UNITS — H P. EA — <br />REFRIGEFNION UNITS — H P. EA <br />nnu cRS — 1i P. EA. <br />PEAR YARD StitlnGrc ruuv �n��.� � <br />Vr1CANT 51TE — <br />❑YES ❑NO _ <br />NO. OF DWELLIN� . L'NITS <br />oui�oitic <br />MAX. OCC. LOAD <br />PLUM�ING <br />FIRG SPRINKLERS ��ECHANICAL <br />REOUIRE� <br />IlVES I1N0 <br />_,. ..... OTHER <br />APPR. FOR ISSUANCE DY <br />UNI75 — TONNAGE EA. <br />STEMS—BT.U. M <br />—oru ��+ <br />—RTU M <br />8 <br />iL FEE <br />PLAIJ C <br />fEE <br />VALU,ITION <br />�25��.�� <br />U.BA. <br />SEC. 303 (a) <br />RE�EIPT NO. <br />38 <br />38150 <br />PROPERLY VALIDATED (IN THIS SPAC[� THIS IS YOUP PERMIT <br />i � ��� �,'J�.�'U -- (t) <br />c—'1 <br />� <br />. i�,T p <br />, �� <br />. i ,. <br />ADDRESS FILE <br />� �� � I <br />�i ;,, . <br />