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\I <br />1 <br />. <br />the Evergreen rO N ST R U CTI O N <br />CITY OF F <br />everett PERMIT PERMIT N0. 11656 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION IIBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWN_R MAIL ADDRESS 6m Ins PHONE <br />.LAMES HEATH 508 - 72nd St Everett IVA 98203 <br />ARCHITECT OR DESIGNER MAIL ADDLIESS CITY ZIP MIONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY HANSO4B271R0 PONE LICENSEE <br />Hanson Home Building 13924 Manor Way Lynnwood WA 98036 745-8099 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />CLASS OF WORK <br />❑NEW MADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />' 14,000. <br />DESCRIBE WORK <br />Add 8' x 10' dining room and 12' x 15' deck <br />PROPOSED USE OF BUILDING <br />Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE 1RUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT BLOCK -OF AttnrbPEI TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />7 - 2 8 - 5 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />072805-2-033-0003 CO RUCTIONORTHE PERFORMANCE OFCONSTRUCTION. <br />.JOB ADDRESS IGNATURE U NTRACTOR OR AUTHORIZED AGENT DATE <br />Street G tz 4 / 6 / 8 3 <br />PLUMBING MECHANICAL <br />NO. 1 TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE _ <br />WATER CLOSET (TOILET) AIR COND. UNITS — H.P EA <br />SIDE YARD SETBACK <br />USE ZONE <br />STREET FETBACK <br />REAR Y <br />LOT AREA <br />VACAN <br />LTYES <br />OCCUPANCY GROUP <br />NO. OF <br />-N I Addn R- <br />I fin of ad,; <br />FIRE ZONE <br />1. ENVIRONMENTAL CHECK LMT <br />2. BUILDING PLANS <br />3. PRE HYDRANT <br />4. FIRE PROTECTION S\STEM <br />5 GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />EB I HWM LC <br />4.A . <br />AIR <br />83/11656 <br />FIE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />—B.T.U. M <br />—BTU M <br />PLAN CHECK FEE <br />FE67.93 I ' c'IP rvo <br />'14.000. I 104 150 <br />104150 <br />PROPERLY VALIDATED IIN THIS SPACE) TIIIS 15 YOUR PERMIT <br />5471 5104.50 -s„ 'It I <br />CD <br />YOUR RECEIPV <br />THANK YOU <br />- R m 8 3 <br />