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, <br />the£vergreen � ONSTRUCTION� • <br />CITY OF <br />everett PER11r� 1 pERM1T NO. 06��7 <br />CI7Y HAIL 259�8745 <br />EVERETT, WA 9B20t ❑ COMBINATION � BUILDING LJ MECHANICAL ❑ PLUI IBING <br />�W��p MAILADDRESS CITY 21P PHONF <br />Mildred J. Ptiller 5411 Sunset Lane Everett 98203 353-2045 <br />ARCMITECL OP DESIGN[R Id4q AOURE55 CrtY ZIP PNONE <br />GENCRAI COMRF�;ipN MAIL AO�PE55 QTY ZIP P��ONE I�CENSE I <br />Karl Hofmann Jr. 25�-4673 <br />MECMRNIC4LCON1RMiOR �IAI�ADDRE55 [ITY 21v pMONE �LF_SEI <br />PlUM01!IGCANiRnCiON IAAILA�DPE55 �IiY ZiP PHONE LIGFNSEI <br />C1A55 OF JJORK <br />❑NEIY ❑AODITION ❑ALTERATION XEREFAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VnlUAiION OF WOAN <br />$ Si�00.00 <br />OFSCRIBE WOPK <br />Repair Auto Damage to Garage and Single Family Residence <br />Single Family Residence <br />IEGAL DESCRiI'iICN GF VRONC�Tv �5��01Y BElO'N UR ATiAC�� �OUR CO�il". <br />58 Highland Farms #2 <br />�or x�ocr�_oF <br />J00 ADCn[55 <br />5411 Sunset Lane <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATEF CLOSET (iOILEiI <br />�ATHTU� <br />LAV410RY pVASH BASIN� <br />SHO\V[R <br />KITCHEN SR�K 5 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTNESbVASHEF <br />WATER HEATER <br />URINAL <br />ORINKING FCUNTAIN <br />FLOOf± DRAIN <br />VAC W h1 BHEAKERS <br />ROOF DRAMS — RAINLADERS <br />SINK ISERVICE — �AR ETC 1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE F.'JD CORHECT. <br />Al l PROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS <br />i i r'E OF WORK WILL BE COMPLIED WITH WHETfiER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHURITY TO VIOLATE OR CANC[L THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTFUCTION OR THE P[RFORMANCE OF CONSTRUCTION. <br />5 f VNUPE 0° COtJiHPCiOq OA �U1 '00.12 ) PGENi peiE <br />� ' '�t'��J / <br />X �'[�y�•, /'� � � 11 26/79 <br />MECHANICAL � <br />FEE NO. TYPE OF EOUIPMENT <br />nlfiCONI] UNIiS—NP.[A. <br />��Ef RIGERAiION UNITS — HP. EA <br />L'OIL[PS — H P [A. <br />unSHREDAC UNITS—TONNAGEEA <br />FORCED AIR SYSTEMS — B i.U. M EA <br />CJALL NEATLRS — � i U. h1 <br />IINITNPATFRS—FTII AI <br />TOTALFEE S <br />SIDE ��RD SETOACK � STFE[T SETBACK HUR Y�RD S[T�ACK PLAN <br />USE ZONE <br />: vPE OF CON: <br />GiZF OF BLDG <br />I u7i' ZONE <br />LOT AREA VACANT Sli[ <br />! "YES '.:NO <br />OCCUPANCV GROUP NO.OFDWEL <br />NO. OF STORIES MA%. OCC. LO <br />AASEMENT FIRE SPPMKL <br />REOUIRED <br />VES I NO <br />VALS BY DP <br />+ [NVIRONMENTAL CHECK LIST <br />:' BUILDINGPLANS <br />� FIRE HY�RAN7 <br />FlRE PROTECTION SVSTEM <br />!: GRAUING <br />6 DRAINFGE <br />� ENVIRONMENTAL IMPACT STATEMENT <br />� ME!+LTH DIS7RICT <br />APPUCATION ACC �Y PLANS CHECKED BV <br />APPR FOR ISSUANCE Eil <br />ADD <br />ClO7HE5 ORYE . <br />VENiILA71PN FAN <br />$10V[ ' <br />lAETAL FIREPLACE & CHIMNEY <br />�UILDING <br />PW Id�ING <br />1AECHANICAL <br />OTIIER <br />PENALTY <br />TOTALFEE <br />dOER PIAN C1 <br />FCE <br />FEES VALUATION <br />b 5,000.00 <br />U.B C <br />SW 303 (a� <br />RECEIPT NO <br />32 � 00 <br />32 I 00 <br />PROPERLY VAUU�VLD pN THIS SPACE� THI515 YOUR PEAId1T <br />51{3 SOii,!)0---- � <br />� <br />C.D <br />'��l.;il � i��C��PT � <br />' ..�;'�"�^,I�. ��.�U <br />16��r 19 <br />