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theEvergrecn �� C(+�STRUCTION �� � �� <br />CITY OF <br />everett PERMIT PERMIT NO. OH291 <br />CITY HALL 259�8745 <br />EVERE7T. WA 98201 ❑ COMBINATION �BUILDING ❑ MECHANICAL PLUMBING <br />O\VNER <br />M/ILAU�PESS QLY ZIP NMONE <br />Everett Lewis <br />AACHiTECT OR OESIGNEP <br />MRII/DU1iE55 CITY ZIP PHONE <br />uENERALGONTRACiOR <br />MAIL h�DRC55 CI�Y ZIP PHONE LICENSE � <br />Star Home Improvement 5314 2nd Street Everett 98203 353-9 <br />MEC4ANICAICANTPACiOR MAi�ADORESS ��rY Z�P DI ED RWENKSSZ <br />nC <br />PLUMBINGWNiRAGTOP MAILADORESa ��TY ZIP PHONE UGENSE <br />ClASSOF WORK <br />❑NEW ❑AODITION ❑ALTERATION }��',REPAIR ❑DEMOLITION ❑PENCE ❑SIGN GARAGE <br />VALUATION OF WORK <br />55�%OO.00 <br />DGSCRIBE WORN <br />foundation repair <br />PROPOSED USE OF BUIIDING <br />single family residenc <br />.�.... ...�����.��.� nc oonomiv �Ga(1W PELOW OF A <br />�or 20-aidcK1�6oF <br />926 Wetmore <br />PLUMBING <br />FLWR <br />8 <br />� <br />� <br />iIDE YARD SETBACN STREET SETBACK <br />JSE ZONE LOT AfiEA <br />fYPE OF CONST. OCCUPANCY GRI <br />SIZE OF BLDG. NO. OF S70RIE5 <br />FIRE 20DIE BASEMENi <br />APPROVALS <br />1. ENVIRONMENTALCHECKUST <br />2. BUILDING PUNS _ <br />3. FIRE NYDRANT <br />4. FIRE?RDTCCiNNSYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. [NVIRONMENTAL IMPACT STATEMENT <br />I HEREBY CERTIFY THAT I HAVE READ NND EXAMINED THIS AP- <br />PLIt;ATION AND KNOW THE SAME TO BE TRUE ANC� CORRECT. <br />ALL PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR PIOT. 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 REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUi1E OP CONiRAC10R O!1 NU1HORiZEO �GENt 0/•iE <br />X �:C�C..�... °�1" C-� L.��. 9/17/80 <br />MECHANICAL <br />7ATION UNI7S — <br />—HP.EA <br />D A C. UNITS — <br />AIR SYSTEMS — <br />ATERS — 8 T.U. <br />17EFi5 — B T.U. <br />SUB <br />s PERI <br />s TOL <br />REAR YARD SETBACK PLAK CHECK NUM�ER <br />VACANT SITE fEES <br />I]YES ❑NO <br />NO.OF DWELIING UNITS <br />BUILDING <br />MAX. OCC. LOAD <br />PLUMOING <br />olq`E $oRl� KLERS MECHANICAL <br />BY <br />B. HEALTH DISTRI.i <br />APPLICATION ACC. BY PLANS CHBCKED BY APPfl. FOR ISSUANCE BV <br />OTMER <br />M <br />FEE <br />VIILUATI01 <br />$$�i��. <br />U B.C. <br />SEC.303�a) <br />RFfEIFi NO. <br />rre <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) iH15 IS VOUP PERMIT <br />�86a $036.00—= � <br />N <br />, .� � �:�cr.-ieT o <br />;`I^�.��� YCU <br />