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�he E��ergreen CC` "VST R U CTIO N <br />CItY OF � <br />everett PERMIT PERMIT N0. 07533 <br />CITV HALL 259�9745 <br />EVERETf. WA 992J� r�,J COMBINATION � BUILDING � MECHANICAL � PLUMBING <br />OWNEB MAILApORE55 GIiY 21P PMONE <br />Merle R Haug 405 Tamarack Drive Everett 98203 _ 353-8994 <br />ARCHRECTORDESIGN[P MAILF��R[55 CIiY 21P PMONE <br />GENERALCUNiRACTOR MRILAD�RESS CITY ZIP PHONE UGENSE� <br />Same <br />MEGIANICAICANTRACTOP MAILADDRE55 CIiY ZIP PHONE LICENSEI <br />PLUMBWGCONiRACLOR MAILADORE55 CIiY ZIP PNON[ IIGEN5E1 <br />OF W[ RK <br />❑NEW C�FIK�DITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAG[ <br />VFLUAIION OF WOAK <br />b20i��0.�� <br />Addition to ex�.sting si <br />PROPOSED USE JF �NLDiNG <br />Single Family Residence <br />IEGAI DESCRiV110N OF PROPEitt ISMOW BELOW OR ATTACN <br />�or 67o�aK_oF Beverly Ail] <br />405 Tamarack <br />PLUMBING <br />NO. TYF <br />1 WAT[H CLOSET � <br />�RINKING FOUNTAI� <br />FLOOR DRAIN <br />VACUUM OREAKE(i5 <br />ROOF DRAINS — RAI <br />,INK (SFRVICE —BA <br />_� <br />YARD SETBACK <br />6' <br />CONE <br />R-2 <br />OF CqNST. <br />V-N <br />OF BLDG <br />aa �9z sq. <br />ZONE <br />3 <br />OR <br />STREET SET�ACK <br />20' <br />OCCUPANCYGROUP <br />R-3 <br />NO.OF STORIES <br />none <br />� L ENVIRONMENTAL CHECK LISi ' <br />i �s <br />2. OUILDINGPLPVS w <br />9. F�REHyj�RANT V� <br />' � n. fIFH PQQ�ECTION SYSTEM <br />-^� 5. GRADIFfB �yq <br />� 6 OHA�N� <br />� 7. �N I MENTAL�I,�'! <br />� " 8. ry L(F�IDISTRICD <br />AP C N ACC. <br />- � I� <br />-� <br />STATEM[NT <br />PtP.NS CHECKED B� <br />v.c. <br />family residence _ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />,�s� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />�. #6 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHE�HER SPECIFIED <br />HEREIN OR NOT. THF GRANTING OF A FERMIT 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 />SIGNNUR[OPGONI CiORORPUL�ORIZ�AGtNi UAiE <br />X� d'�/ 6/3/80 <br />MECHANICAL r <br />FEE NO. TYPE OF E�UIPMENT FEE <br />Z OO �IH CJIJD. UNITS — M.P. EA. <br />9 (1!1 f]CCRIf.FRAtI(1N IINITS — HP EA <br />REAR YARD 5[7�4CK <br />20' <br />VACANT SIiE <br />L]YES �O <br />NO.OF DWELLING UP <br />1 <br />MAX.00C.LOAD <br />uv���no — <br />GAS FlREU A.C. UNITS — TONNAGE EA. <br />FORCGD AIR SYSTEMS — B T.U. M EA. <br />\VALL HEAIEPS — � T.U. M <br />UNITHEATERS—�T.0 h1 <br />LVAPORnTIVE COOLEPS <br />CLOTMES DRYERS <br />], VENTILAiION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C P.67. <br />STOVE <br />METAL FlRLPLACE 8 CN'MNEY <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />AN CHECK NUM�ER PLAN C <br />80/7533 FEF46.O0 <br />FEES VALUATION <br />euaoiNc <br />PLUM�ING <br />5 20,000 <br />u a c. <br />� SE0. 303 (n) <br />RECEIPT NO. <br />98332-48917 <br />FEE <br />107 I 00 <br />PEqMIT VALEID(�ATION'� <br />O INO� O u LY VALID�P�M THIS SPACE) THIS IS YOUR PENMIT <br />M <br />� ` 2975 � <br />1'��; R REC�IPT �_ �09Z.00— o <br />APPR FOR ISSUANCC-BY � �; !�\� :i 1 � U . _ � � <br />� YOUR RECEIP' <br />-� iE1AIdK YO' <br />-3,�y 80 <br />