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�heEvergrren ^ CO"�'STRUCTION ' <br />CITY OF <br />everett PERMIT pERM1T N0. O7��s <br />CITY HALL 259�8745 <br />EVERETf, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br />C'JY Z�p PHONE <br />OWN`q un��nuoaess 98y03 355-4801 <br />Richard A. IIosse 5016 Sound Avenue rHONE <br />ARCHRECI OR �ESIGNCR <br />MAILADDRE55 CI�Y Z�P <br />GENEf1AL CANiRRCTON MAIL AD�F[55 <br />CiTV 21P PHONE UCENSE 1 <br />Shc[le LIiY � 21V PMONE LIGENSE 1 <br />MLCMANICAL CANiPFCTOR MRIL /OORESS <br />PW MRW G CONTfinCiON MAIL AODRE55 <br />GITY 21P PHONE L�CENSE I <br />55OF WORK <br />�ryEyy �ADDITION ❑ALTERATION ❑REPAIR ❑OEIdOLITION ❑FENCE ❑SIGN GARAGE <br />L4ilON OF WORK <br />S LQr���.�� <br />Addition to existing buiJding <br />ioT 5�� <br />Joe nooatss <br />5016 Sound Avenue <br />PLUMBINO <br />idence I HEREBY CERTIFY TI1AT I HAVE READ AND EXAMINED THIS AP- <br />rsMowae�owoannncNrouacories PLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. <br />ALL PROVISIONS OF LAW� AND ORDINANCES GOVERNING THIS <br />Edgewater TYPE OF WORK WILL BE COMPLIED 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 SiATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR T PERF ANCE OF CONSTRUCTION. <br />SIGNAiUR[OF A 4U� AGENi <br />�o � 3/10/80 <br />OF <br />—16AR LETC <br />SIDE YARD SETBHGK oinee� <br />USE ZONE LOT AR <br />T'!PE OF CONST. ��P <br />V-N <br />SIZF OF BLDG. N0, OF <br />Bedroom 18'6"x22' <br />POIq ZONE X EhSEM <br />3 <br />OR <br />SETBACK <br />R-3 <br />1. ENVIRONMENTAICMECKLIST <br />2. BUILDING PLANS __�� <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIRONMENTALIMPACTSiATEMENT <br />B. HEALTN DISTflICT <br />nPPLICATION ACC. BY PLANS CHECKED BV <br />V.C. <br />MECHANICAL <br />N0. TYPE OF EUUIPMENT FEE <br />AIR CONO. UNIT$ — N P. EA. <br />HEFRIGERATION UNITS — H P.EA <br />BOILERS — H P. EA. <br />GAS FlRED AG. UNITS —T�NNAGE EA <br />FORCFD AIR 5Y57LM5 — 8 T U. M EA <br />WALL HEATEFS — B.i.U. M <br />UNIT NEATERS — B T.U. N' — <br />E�'/.ppRATNE CAO�LRS <br />CLOTHES �RVERS <br />VLNTILATION FAN <br />RANGE H000 <br />AIR NFNOLMG UNIT — CF.M. <br />REARYARD SET9ACK <br />VACANT SITE <br />IlYES ❑NO <br />NO. Of DWELLING UI <br />1 <br />MA%.00C.LOAD <br />qppR FOR ISSUANCE BY <br />80/7299 <br />PLUMBING <br />PENALTV <br />PLAN CHECK PEh <br />fEE z6.00 I 4���T NO. <br />$10,000. <br />u.e.c. <br />SEC.303�a) <br />52 I 00 <br />TOTAL , I I 52 I 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED I�N THIS SPACE) TNIS IS YOUR PERMIT <br />9366 S051.00 - � <br />' N <br />YO�UR RECEIPT o <br />j H,,n,jdk YOU <br />