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the Evergreen C7NSTRUCTION <br />GTY OP <br />everett PERMIT pERMIT NO.OH6O7 <br />GTY HALI 259�8745 <br />EVERETT, WA 9820� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEN MPILAO�RE55 CIIY ZIP PMONE <br />Harry Matthews Sk20 Sunset Lane Everett 98203 252-9122 <br />ARGHIiLGiOPDWIGNER MAiLR�pRE55 CITY ZIP PMONE <br />GENERPLCONiPAGTOR � �A/+ILAp�PE55 CITY ZIP PHON[ LICENSEI <br />Same <br />MECHnNiCALCANTRACTOR MAILAODRE55 GITY ZIP PHON[ IICEN5E1 <br />PIUMBMG CANiRACiOR IdAIL ADDRE55 CITY ZIP PHOHE UCEkSE � <br />Cth55O: \YORN <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN XSGARAGE <br />VALUATION OF WORN <br />y 6,000.00 ' <br />oEscai�E woaK <br />construct gzrage and car-port <br />or <br />1 <br />i <br />Everareen Terrace <br />'-��--5120 Sunset Lane <br />PLUMBING <br />N0. TYPE OF FIXTUR <br />WATER CLOSET ITOILET) <br />DISHWASHER <br />LAUIJDRV TRAY <br />CLOTHES WASHER <br />WATER HENTEP <br />URINAL <br />DRINKING fOUNTAIN <br />I�LOOR DPAIN <br />VACUUA"BHFANERS <br />ROOF GRAINS — RAINLEADERS <br />SINK �$[RVICE — BAR, ETC � <br />SIIB TOTAL <br />SIDE VARD SETBACK <br />6' <br />USE ZONE <br />R-1 <br />TVPE OF CqNST. <br />V—N <br />24'x30' <br />STREEi SETBACK <br />20' <br />LOT AREA <br />FEE <br />REARYARD SET�ACK <br />20' <br />VACANT SITE <br />I'�,YES ��f0 <br />No or owE�uNc ur <br />M-1 <br />NO. OF STORIFS MA%. <br />1 <br />none <br />1. ENVIRONMENTALCNECKLIST <br />'[. BUILDING PLANS <br />3. FIRE HYDRANT <br />4 FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMpqCT STATEMENT <br />B. HEALTN DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />V.C. <br />onTe <br />APPR. FOR ISSUANCE BY <br />I NEREBY CERTIFY THAT I HAVE f7EAD AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME i0 BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS <br />TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. <br />61GIJ<T/` O� GONiRACiOR OH AUif10Nl 'U AGENi OAiE <br />rD�.. .i � , ,. 12/9/80 <br />TYPE OF EOUIPMF <br />�rvirs — H.r. en. <br />❑f1N UNITS — H.P. EA <br />GAS I IREU AO. UNITS — TONNAGE EA. <br />FORCEDAIRSYST[MS—PT.U. � <br />VJALLHEATER$—OT.U. � <br />IINIIHGATFRS—�Tll. ! <br />V[NTIIATION FAN <br />METAL FIREPLACE d <br />SUB <br />I CHECH NUIdOEfl PLAN CHfCK fE@ <br />8607 rEE 32.83 r�ECEirrNo <br />51156 <br />FEES VALUATION FEE <br />$6,000. � 56 � 50 <br />PLUMUING <br />MECIiANICAI <br />PENALIV U.00. <br />SEC. 303 (a� <br />TOTAL 56 50 <br />WHEN PROPERIV VALIDATED (IN THIS $PACE) THIS IS VOUR PERMIT <br />�� �� ��� N <br />. �6.5� - p <br />� <br />� .: �. '. ��.�I 1 O <br />\ � � <br />. . . .. :.� 1 * <br />