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tr <br />the Ei�ergreen %� ^� C� Q��� I O� <br />CITY OF � � V � A <br />everett PERMIT PERMIT N0. 10459 <br />CITY HALL 259�8745 <br />EVERET7.YlA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />0'NNEB MAILA�ORE$$ CITY ZIP F141NE <br />Jess Holland 1917 19th Street Everett 9820� �5�-�R�4 <br />ARCM. =CT OR DESIGNER MAIL ADOPE55 CIiY 21P PHONE <br />GEKEPRL CONTFACTOP MAIL AU�NE55 GITY ZIP PNON[ II.ENSE � <br />Same <br />MEC!IaNICALCONiRACi09 MAILPO�PE53 dTY ZIP PNONE LICENSE� <br />PLUMBINGCA4TRAC�ON MAILAODR[5.; CITY ZIP PMONE IICENSE/ <br />C1A55 OF VlORN <br />❑NEW L�kC101TION ❑ALTERATION ❑REPAIR ❑DEA'OLITION ❑FENCE GSIGN ❑GP.RAGE <br />WLUATION OF WORK <br />� ; �.��.�� <br />DESCRIBE��IORN <br />extend existing oatio <br />PROPOSED USE OF BUILOING <br />single family residence <br />LEGAL DE9:NIPTI�N OF PROPERTV ISHOW BELOIY Ofl i <br />LOi BLOCK_Of <br />JOB ADORE55 <br />1917 19th Street <br />•PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOiHES'NASHER <br />WATER HEATER <br />� <br />e <br />SIDE VARD SETBACK <br />USE ZONE <br />OF CONS <br />OF BLDG. <br />STREET SETBACK <br />LOT AREA <br />�UPANCV GROUP <br />OF STORIES <br />1. ENVIRONMENTAL CHCCK UST <br />2. BUILDING PU1NS <br />3. FIRE HVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIPONMENTALIMPAC75TA7EMENT <br />d. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED DY <br />REAR YARD 5 <br />VACANT SITE <br />❑YES ❑NO <br />UNITS <br />APPR.FOP,ISSUANCE BY <br />L.C. <br />I HFREBY CEHTIFY THAT 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 WGF.�( WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF F PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL7HE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW �l�GULATING <br />C �STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNP OFGONiRAG � J RI nGE� � DATE <br />„ A_. lrj %% 4/19/82 <br />NO. <br />41R COND. UNITS — H.P. EA. <br />REPPIGERATIO� UNITS — H.P.EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.G UNITS — TONNAGE EA_ <br />FORCE� >IR SYSiEMS -� B.T.U. M EA. <br />\VAIL HF:ATERS — 8 T.U. M <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLINu UP <br />STOVE <br />METAL FIREPUICE <br />PLAN CHECK <br />PLUMBING <br />MECMANICAL <br />OiHER <br />PENALTV <br />TOTAL <br />ADDRESS FIIE <br />C.F.h1. <br />SUB707AL <br />PERMIT <br />TOTALFEE <br />FEE <br />$00.00 <br />U.B.C. <br />SEC.303(a) <br />u <br />FEE <br />RECEIPT NO. <br />10 <br />1� <br />VALIDATED (IN THIS SPPCE) THIS IS YOUF PE6IAIT <br />1�,5i �010.00=-� <br />� <br />�.;•�� i: R�C��F� � <br />�: <br />' ','�.'��:': '(O U <br />,� ,� a'�_ �� •7 <br />.. �i i.���{ UL <br />. � � <br />� <br />