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�heE^ergreen � CrlNSTRUCTION � ��-���� <br />�iTY OF <br />everett P�RMIT pERM1T NO.O-T959 <br />CITY HALL 259�8745 <br />eveaerr. wn �ozo� � COMBINATION Ix� BUILDING �XI MECHANICAL • PLUMBING <br />OWNEN MPIL AOOAE55 <br />CIiY ZIP PNONE <br />Everett 98203 252-0655 <br />Thomas W. Staudacher 325 Elm Street ZiP PHONE <br />PRCHiTEGT O:i �ESiGOER <br />MAII AO�RE55 ���� <br />��iy Z�p PHONE LILENSE / <br />GENEPALGONtRAGiOR MAILRDORE55 <br />Puget Sound Properties Inc., Const. 6916 Evergreen Way 98203 355-9100 <br />MECHANICALLONiP1CTON MAILA�DRE55 <br />QTY iiP PHONE IiCENSE I <br />��Jy Z�p � PHONE I�GENSE / <br />PtUMBING GONTRACiOP M41L AD�RE55 <br />$S OF WORK <br />�EW ❑AODITION ❑ALTERATION ❑REPAIR ❑DEMOLIiION ❑FENCE ❑SIGN GARAGE <br />.VATIDN OF WOIM <br />5 64,500.00 <br />iCRIBE WORN <br />Construct Duplex <br />Two Family 1 <br />tEGAL �ESCPIPtION OF PROPERi <br />LOT 2 BLOGI(__OF <br />723 A E B 5 <br />�� <br />PLUMBING <br />NO. TYPE <br />8 <br />r <br />� <br />5' <br />_2 <br />V-N <br />SIZE OF BLDG. <br />24'x64' <br />partment <br />�SHOW BELOW OP ATfACM FOUP COPIES) <br />Seahurst Estates <br />5th Street 5. <br />iTREET SETBACK <br />zo� <br />LOT AREA <br />7500 Sq. <br />OCCUPANCY GROUP <br />R-2 <br />NO. OF STCRIES <br />2 <br />BASEMENT <br />none <br />C 1-28-4 <br />1. ENVIRONMENTAL CHECK IIST <br />2, BNLDIN � <br />3. FIRE HYDRP.NT o <br />d. FIREPROi[CTIONSYSTEM __ <br />1 5. GRADING � � . ��_ <br />c� 6. DFAINAGE�-- p _ <br />� 7. ENVIRONM�NTAL IMPJ�9f STATEMENT <br />a� e. NEALTH DI6fRl6f ' <br />c' qPPLICAiIOR . CC. BY � PLNNS CHLCKE� BY <br />L .0 $ V.C. <br />� � <br />� <br />RD SETBACK <br />io� <br />SITE <br />[7N0 <br />I HEREBY CERTIfYYHAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NO1 <br />PRESUMETOGI\ :AUTHORITYTOVIOLATEORCANCELTHEPRO� <br />VISIONS OF AN OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIONj(�JR THE PERFO (�%�,N�CE OF CON TRUCTION. <br />SIGNALV.AE OF GONTRA7fOR OR NU^HOP�f�'1 = � DAiE <br />—� /. . � /I IT/ <br />MECHANICAL <br />.��• <br />urvi�o— <br />STEMS — <br />— B T.U. <br />— B T.U. <br />80/7959 <br />MECHANICAL <br />OTHEfl <br />FEE 108.5 <br />s64,500. <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />zii o0 <br />36 QO <br />2Q 00 <br />273 I 00 <br />y�{�j�R���L1Y^MtID�D1INTHIS�'ifM.�)r7HISIS�Oj��P��TO `� i <br />V b [ �� <br />� <br />/�p p p[pT � <br />��.-�� n n�-lil�1� \I�.'i)I\ I�LCL�fI �`.� <br />..�, �{l_•U ;.�r.,r.�` ��C�U O <br />APPP FOR ISSUANCE BV <br />J S ;:us o U <br />ADDRESS FILE <br />