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EVERETT,WA 9szo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUM ING <br /> OIYNEA MAILApDP.E55 GITY ZIP PNONE <br /> Glen Watson 6608 Gateway Terrace Everett 98203 35'�-4460 <br /> ARCMITCCT OR UESIGNEF MAIL ADDRE55 CITY ZIP PNONE � <br /> Mini Barns Znc. P.O. 186 Monroe WA 98272 794-57�7 - <br /> GENPA4lCONTRPCTOR N4ILADDRE55 QTY LC PHOM1E LIGENSE� <br /> Mini Barns Inc P O Rox 186 Idonro� WA 98272 794-5737 MI NI B222 OT _ <br /> MECHANICALCANTRRCTOR MAILA��RE55 CITY 21P PNONE LICENSE� <br /> PLUMBINGCONTRACTOR MAILADDFE55 CITY 21P PHONE LIGENSEI <br /> CLASS OF WOFK <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOL"ION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATI@�OF WOPK <br /> 5 896. 25 <br /> DESGRIBE WORK <br /> New Bx16 Detached Storage Buildina (P <br /> PROPOSEO USE OF BUILOING <br /> StOYd E I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LWALDESCRIPiIONOFPROPERTY�SNOW BELOWORATTACHFOURGOPIES� PLICATION AND KNOW THE SAME TO 6E TRUE AND WRRFC? <br /> ALL PROVI S OF LAWS AND ORDINANCES GOVERNING TF'S <br /> wr e�a�oF TYP . WOR BE COMPLIED WITH WHETHER SPECIFIED <br /> H EIN OR T. T E GRANTING OF A PERMIT DOES NO' <br /> WeStWOOd Pldt Of Blk. 000 D-00 ESUMET IVEA HORITV� VIOLATEORCANCELTHEPRO• <br /> ISIONS O ANY R.S7 OR LOCAL IAW REGULATING <br /> TLdCt 41 ONSTRU 10 TH ORMANCE OF CONSTRUCTION. <br /> 'IGNATURE .� 'ON A IZE�AGENT OATE <br /> J00 ADDRESS <br /> PLUMBINO ME IC L <br /> NO. TYPE OF FIXTURE OR 17EM FEE NO. TYF PMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATIOII UNITS—H.P.EA <br /> LAVATOflY(WASH BASIN) BOILERS—H F. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8�ISP. FORCE�AIR SYSTEMS—8 T.U. �A EA. <br /> DISHWASHEF WALL HEATERS—B.T.U. M <br /> Lf+UNDHY TRAY UNIT HEATERS--�.T.U. M <br /> CLOTHES WASHER EVAPOPATIVE COOLERS _ <br /> WATEF HEATER CLOIHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN AIfl HANDLING UNIi— C.F.M. <br /> VACUUM BPEAKERS STOVE <br /> ROOF DRAINS—F7AINLEADEFS METAL FIREPLACE&CNIMNEY <br /> SINK(SEflVICE—BAR,ETC.) <br /> SUB TOTAL SI1B TOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE 3 <br /> SIDE YARD SE7BACK STFEE7 SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VAIUATION FEE <br /> ❑YES �'NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 896 .25 9 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS �qECHANICAL <br /> 3 �esR�o <br /> APPHOVALS BY OATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST pENALTY U B C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIREHYDRANT TOTAL 9 �� <br /> a. FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> WHEN PROPERIY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � <br /> 6. DRAINAGE 7 5 I 3 � Q O /. a � �� � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT <br /> � <br /> P. HEALTH�ISTRICT ff �j <br /> APPUCATION ACC.BV PLANS CHECKED BY APPR.FOR ISSUANCE BY y�'_,' J R 7���C E I PT <br /> v.c. ';�-1AtdK 1'OU <br /> ADDRE55FILE �'�" I � ;•:P YO <br />