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U�e C•vergme�� C 0 N ST RU CTI O N� ��� <br />Giv OF <br />everett PERMIT PERMIT NO.O946H <br />GTY HALL'[59�B7d5 <br />EVERETf. WA 98201 ❑ COMBINATION x� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OV/NER MARROORESS GiiY ZIP PM@lE <br />Fern Russos 2510 - 19th Everett WA 98201 259-4529 <br />RPIMIiEGtORDE5IGH[P MNLADDRE55 CIiY ZiP GHONE <br />GRIEPA' CONTPALiOB MP��_ q�DFE55 CIiY ZIP PHONE LICENSE � <br />Quil Ceda Const 9805 Hwy 99 N Marysville 98270 659-8050 QU-IL-CC 20627 <br />M1IECHANICLLCONLRACTOR MAILAODPE55 CIiY ZIP PMONE LICENSEI <br />PWlAOINGCf1NiRACiOR MAILAODRE55 CIiY TIP PHONE UCENSEI <br />55 aF wurm V <br />❑NEW ❑AODITION KryALTERATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />UAiION OF WOPK <br />, 2250.00 _ <br />ESCBIBE WOFK <br />Foundation under existing residence <br />ROPOSED USE OF pVILDING <br />Single family residence <br />EG4L �ESCPIPfION OF PROPERrv �SHON' BELOW OF ATTNCN FOUP LOPIES� <br />0,5 & 6 B��K 001 oQOG Read_v Land Co's <br />oenoZ5�0 - 19th St. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM _ F <br />� <br />A <br />SIDE YARD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />V-N <br />SIZE OF BLDG. <br />FIRE ZONE <br />SUBTOTAL � <br />PENMIT 5 <br />TOTALFEE S <br />STREET SETBACY. REAR VAflD SETBACK <br />LOT qqEA VACANT $JTE <br />❑YES Ir,NO <br />OCCUPANCY GROUP NO.Of DWE_LING U� <br />BASEMENT <br />1. ENVIRONldENTAL CNECK LIST <br />2. BUILDING PLANS <br />3. FIFE HVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENViRONMENTALIMPACTSTATEMENT <br />B. HEALiH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED BV <br />V� <br />APPR.FORISiUANCE BY <br />I HEREBY CERTIFY 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 ORDIIJANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COIJ�PLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOiiITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL� LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUFLOFCANiRRGiOFORAURiORIZEDAGENi �AiE <br />vii � _ � � �\,v.. 7/10/81 <br />MECHANICAL <br />N0. TYPE <br />AIR COND. UNITS - <br />REFRIGERATION UI <br />�OII.EFS — H.P. E/ <br />GAS FlRED A.G U� <br />FORCED AIR SVSTi <br />WALL HEATERS — <br />I IIJIT HFATFRi — <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />OiHER <br />PENALTY <br />0. EA. <br />— H.P. EA <br />— TONNAGE EA. <br />—BT.U. M <br />U. M <br />1 M <br />UNIT — <br />FEE <br />FEE <br />s <br />U.B C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEfl1AlT <br />ADDRESS r;L[ <br />fi] <br />� <br />r � � �� �� —S�' <br />� � _ ., . . . . � <br />� <br />� <br />. �1 -I <br />� � <br />I <br />