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rheEvergreen � , �NSTRUCTiON •, � • <br /> CITY OF <br /> everett PERMIT pERMIT N0. O6L8Z <br /> CITY HAIL 259�8745 � - <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFILADDFE55 CITY ZIP F40NE <br /> Michael E. Goetz 8118 Florida 98203 353-1860 <br /> AqCHIT[CT OR DESIGIIEF MAIL ADDRE55 CITY LIP PIIONE <br /> GENERPLCONTRACT09 MAILADDRE55 GITY 21P PHONE UCENSEI <br /> Same <br /> MECWINICAI CONiRFCTOR lAAIL AOOFESS CIiY 21P PHONE IICENEE� <br /> PLUI'BINGCONTRACTOF MFILADORE55 qTY ZIP PHONE LICF.NSE� <br /> ClASS OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑UEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VnLUATION OF WORK <br /> $ 600. 00 <br /> OESCRIBE WCPK <br /> 12 ' x14 storage shed <br /> PPOPOSED USE OF BUIIDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAP- <br /> LEGALDESCRIPiIONOFPROPEPtt(SHOW BELOWOR�TTACHFOURCOPIES� PLICATION AND KP10N' THE SAME TO BE TRUE AND CORRECT. <br /> 24 7 Beverly Park ALL PROb'ISIONS OF LAWS AND ORDINANCES GOVE9NINC THIS <br /> ioT eiceK_oF TYPE OF INORK WILL �E COMPLIED WITH WH[THER SPEGFIED <br /> HEREW UR NOT. THE GFANTING OF A PERA4IT DOES NOT <br /> PRESUME TO�IVf AUTHORI fY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS Or ANY OTHER SiATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFCRMANCE OF CONSTRUCTION. <br /> aoenooaEss sicr�nr�o�c✓r+ ncro nyiyc�a¢E' .�cEN 6/2°6Tg79 <br /> S� <br /> 8118 Florida Drive � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE t,F EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIF CONU.UN11S—H.P. EA. <br /> BATHTUB REPRIGER,ITION UNITS—HP. EA <br /> LAVATOFY�VlASH�ASIN) BOILE(iS--H.P. EA. <br /> SHOWER GAS FIPED A C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSiEh95—BS.U. M EA, <br /> DISHWASHER WALL HEATERS—�.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATEP HEATER CLOTHES DF'lERC� <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN PAtdGE HOOD <br /> FlOC1F DRAIN AIR HANDLING CNIT— CF M. <br /> VACUUM EREAKERS STOVE <br /> ROOF DRAINS—RAMLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR ETC.) <br /> SUB TOTAL SUBTOTAL S <br /> PERMIT S PERMIT f <br /> - TOTALFEE S TOTALFEE S <br /> SIDE Vi\FD SETBACK SiREET SE7BACK REAR YARD SETBACIt PLAN CHECK NUMBER PLF,N CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE I.OT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY Gi70UP NO.OF OWELLING UNITS <br /> BUILDING $ $OO. B OO <br /> SIZE OF 6L'JG. NO.OF STORIES MA%.OJC. LOAD <br /> PLUM�RlG <br /> FIRE ZONL BASLMENT FIRE SPRINKLEFlS <br /> FEOUIRED MECHANICAL <br /> LiYES ❑NO <br /> APPROVALS BY DATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST PENALN U B.C. <br /> 2. DUILDING PLANS SEC.303(a) <br /> 3. FIREHYDRANT TOTAL B OO <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPEflLY VALIDATED(IN THIS SPACE)THI515 YOUR PERMIT <br /> 5. GRADING •L�� ;f.O n��'Q �V I I . <br /> 0 ) <br /> 6. DRAINAGE a �r • <br /> 7. ENVIHONMENTAL IMPACT STATEMENT , � � ' (V ; y <br /> 8. HEALTH DISTRICT YO�U'R .RE�CEIP� . <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOP ISSUANCE BY � <br /> � <br /> rHA�v� Y;o u , <br /> :'f�f � I9 . <br /> ADDRESS FILE <br />