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IT <br />fheEYO CITYOFF C"INSTRUCTION - <br />CITY <br />everett PERMIT PERMIT N0. 07229 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRESS LITY ZIP PHONE <br />Bassen 2119 74th 98203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Damage Repair Service 98203 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PH(+NE LICENSE IF <br />CLASS OF <br />❑NEW ❑ADDITION ❑ALTERATION �bEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S 1,000.00 <br />;CRIBE WORK <br />Repair water damage to ceiling <br />)POSED USE Of BUILDING <br />single family residence <br />LOi BLOCK -OF <br />J "Ifil "74th Street <br />PLUMBING <br />NO. <br />OR <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 ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT 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 PFRFpgMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AU19U'IZ D AO NIT DATE <br />V S -yw, , . ,_ , 2/11/80 <br />MECHANICAL <br />YARD SETBACK I STREET SETBACK I REAR YARD CET64CK PI AN CHECK <br />USE ZONE <br />OYES <br />OF CONST. OCCUPANCY GROUP NO. OF <br />T. <br />ENVIRONMENTAL CHECK LIST <br />2. <br />BUILDING PLANS <br />3. <br />FIRE HYDRANT <br />4. <br />FIRE PROTECTION SYSTEM <br />5. GRADING <br />8, <br />DRAINAGE <br />7. <br />ENVIRONMENTAL IMPACT STATEMENT <br />S. <br />HEALTH DISTRICT <br />APPLICATION ACC BY I PLANS CHECKED BY <br />-- HP I <br />NITS — <br />FEE <br />I V1.1V.VL CI1. <br />'STEMS — 8 T. U. M <br />—BT.0 M <br />— 81.U. M <br />UNIT — <br />TOTAL <br />FEE I RECEIPT NO <br />LOAD BUILDING I $1,000.00 I 10 100 <br />PENALTY BE <br />6EC. 303 (a) <br />TOTAL id 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT <br />Q� <br />8223 SO10.00 <br />APPR FOR ISSUANCE BY O <br />YOUR RECEIPT <br />-__--_-- -- TL-IANL. YnEE <br />