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ciTv Hn�� AS9 0745 ,�l COMBINATION �(BUILDING ❑ MECHANICAL ❑ PLUMBING <br />_........T ,�� on� <br />W. ENGSTROM <br />MAII <br />Snohomis <br />C10R MAtL AO�Pt55 - <br />❑NEW ❑AODITION ❑ALTERATION Y`[JREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />porch <br />�oT 25�p6s�K537oF Mi1ey Land Co. lst Add <br />Lots 25, 26, 27 61k 5 Hatch Heirs Ist Add <br />'B"�4"�� State Street <br />pLUMBING <br />OR <br />e <br />iIDE YARD SETBACK STREET SE <br />USE ZONE LOT AFEA <br />TYPE OF CANST. OCCUPAN <br />V-N R-3 <br />SIZE OF BLDG. NO. OF 5'� <br />6'x6'x6" <br />REAR YAflD 51 <br />VACANT SITE <br />f�YES Xk10 <br />NO. OF DWEL <br />1 <br />UCENSE � <br />LICENSE � <br />LICENSE � <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PI,ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />A�L PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DGcS NOT <br />PRESU ME TO GIVE AUTHORITY TO VIOLAT[ OR CANCEL THE PRO� <br />CON�STRU�CTION OR THERPERFORMANC�E OF CO STRUCTIONNG <br />�. September �ArE 1981 <br />SiG E OF CANi CiGR 0!i A11i110RIZE0 AGENT <br />x�'-�pll%, -�� <br />MECHANICAL <br />1. ENVIRONAIENTAL CHECK LIST <br />2. BUILDING PLANS <br />---_— <br />3. FIRE HYORANT <br />E. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACiSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICAiION AI;C. BY PLANSVCECKED BY APPR. FOR ISSUANCE BY <br />�E OF Ea <br />5-N.RE <br />UNITS - <br />EA. <br />UNITS -' <br />STEh15 - <br />- B i.U. <br />-BT.0 <br />81/9737 <br />PLUMBING <br />PENALTY <br />M <br />FEE 6.50 <br />uoc. <br />SEC. 303 (a) <br />RECEIPT NO. <br />� 11 <br />TOTAL I �OIOO <br />PEHMIT VALIDATION •-- � <br />WHEN PROPERLY VALIDATED (IN THtW SPACE)iH1515 YOUR PEI nT r1, "; <br />� . j ._ .. . ., <br />. . , . � <br />N <br />1i {� <br />0 <br />� �',� <br />ADDRE55 FILE <br />