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rhe Evergreen <br /> CITYOP '• C�VSTRUCTION -�_ �� . . � � � <br /> everett� PERMIT pERM1T N0. 06309 <br /> ciTv Hnu zss e�as <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINQ � <br /> OWNER MAIL ADDRE55 CITV ZIP PHONE <br /> Gene Waid 215 Gold Street <br /> ARCMITECT OR p651GNER MAIL AO�BE55 QiV ZIP PHONE <br /> GENEPALGONTRAGTOF MAILA�DRE55 CITY ZiP PMONE LICENSEI <br /> Gary Waid 4411 Forest Drive 259-1342 <br /> MECHANICAL CONTPACIOR MAIL ADDRE55 CITY ZIP PMONE LICENSE� <br /> PLUMBINGCONTRACTOR MAI�ADDFESS qiV ZIP PHONE LILENSEI <br /> CLASS OF WORK yy <br /> ❑NEW 1:.7ADDITION ❑ALTERATION ❑R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF\VORK <br /> E Z0�0. 0� <br /> DESCRIBE WOPK <br /> Garage Addition <br /> PROPOSED USE OF BUILO�NG <br /> single family residence IHEFEBYCERTIFYTHATIHAVEREADANDEXAMINEDTHISAP• <br /> ie�n�oescnivnor�oF aaoaearr�sHow ee�ow oa nrrncH wua cories PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 5 oix�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> 4494 001 005 0107 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 PERFORMANCE OF CONSTRUCTION. <br /> JOBAODPE55 SiGN�TUFF.O�ONTRACTORORAUTMGRI DAGENT pATE <br /> 4411 Forest Drive X _'jr.� � ,-�� � � 6/z9/�9 <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY�WASH BASIN) 801LERS—H.P.EA. <br /> SHOWER GAS FIRED A.G UNITS—TONNAGE EA. <br /> NITCHEN SINK 8 DISP. PORCED AIR SYSTEtdS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TH„i UNIT HEAiERS—B.T.U. M <br /> CLCfHES WASHER EVAPORATIVE COOLERS <br /> WATEq HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> F�pOR DRAIN AIR HANDLING UNI7— QF.M. <br /> VACUUM AREAKEFS STOVE <br /> flOOF ORAINS—FAWLEADERS fdETAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—UAR,ETQ) <br /> SUBTOTAL SUBTOTAL S <br /> PEHMIT f PEHMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIOE YARD$ETBACK SfREET SETBACK REAR YARD SET04CK PIAN CHECK NUM�ER PLAN CHECK FEE <br /> 6 � 20 � 20 ' �9�4Z5 FEE 10. 0 RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE 40810 <br /> R-1 ❑YES OAI(� FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DYlELLING UNITS <br /> V-N R-3 1 BUILDINe 5 2000. 20 00 <br /> SIZ[OF 6LDG. NO.OF STORIES MAX.OCC.LOAD <br /> ], PLUMBING <br /> FIRE ZONE BFSEMENT FIRE SPRINKLERS <br /> 3 none AEOUIRFA, MECHANICAL <br /> �YES 47fi0 <br /> APPHOVAlS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK UST <br /> PENALTY U.8 C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIfiE HVDRANT T�TA� 2 0 0 0 <br /> 4. FIHE PROTECTION SVSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING p <br /> 6. DRAINAGE _ ���•1� s�?g-�.O � � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT _ � M � <br /> 8. HEALTH DISTRICT ^ � • )p� (� <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY� �y�R RECE/{"� � <br /> v. c. � THANK YOd <br /> .. <br /> ADDRESSFIL � 19 '�.7:9, :�`. , <br />