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�heEvergreen �"` �ONSTRUCTI(�N�� �- <br />GiY GF � <br />everett P�RMIT PERMIT N0. 09095 <br />CITY NALL 259�8745 <br />EVEPETi, WA 98201 ❑ COMBINATION �C CBUILDING ❑ MECHANICAL ❑ PLUMBING <br />QyyryEq MAILADDRE55 CIiY 21P PHONE <br />Gary W. Ward 4831 Dogwood 98203 252-3299 <br />APCHRECT OH DESIGNER MAIL AODRE55 CITY 21P PHONE <br />GENEPALCANTPACTOP MAILAD�RE55 CITY ZIP PMONE LIGENSE� <br />Same <br />M[CNANICALCONTRALTOR MAILADDRE55 GITY ZIP �'NONE IIGEN5E1 <br />PLUMBINGCANTRALiOR MAILAUDRE55 LITY ZIP PMONE LIC[NSEI <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENLE ❑SIGN �GARAGE <br />E 6,000.00 <br />DESCRIDE \VORK <br />Construct single family gara <br />single family garage <br />LEGAL DESCRIPTION OF PROPER7Y �SMOW BELOW OR ATTACHlOUR GOPIES) <br />Al1 that portion of <br />��—&�4�;� o�rest ar i ion o ver <br />Division "A", lying Southerly of a <br />Southerly of and parallel to the North <br />eoanooaess o rac s an <br />4831 Dogwood Drive <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OR ITEM -FEE � <br />1 WATEP CLOSET (iOILET) I � I � <br />WASH[R <br />WATER <br />nv�r vnnino — <br />SINK (SERVICE — <br />SIDE VARD SEi�ACK � STREET SGTBACK <br />ZONE <br />V-N I M-I <br />SIZE OF BLDG. N0. OF STORII <br />22'x29' I <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHEC". LIST <br />2. �UILDING PLANS � <br />3. FIRE HYDRANT "' <br />4. FIRE PROTECTION SYSTEM <br />- 5. GRADING <br />6. ORAINAGE <br />�; � 7. ENVIRONMENTAL IMPACT S7ATEMENT <br />� � B. HEALTN DISTRICT � <br />� APPLICATION ACC. P - PLANS CHECKED BY <br />_ I V.C.. <br />� �J <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />,P,J.J.�ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />YVP OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />H[REIN 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 />��1STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURFOF ONiRAGTORORAUT P12EDAGE DATE <br />X �L/(�(.� � , l <br />MECHANICAL � <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNIiS — H.R EA. <br />RFFRIf.Fi]ATION lIN1T5 — H.R EA <br />�OILERS — HP. EA. <br />GAS FIRED A.G UNITS — TONNAGE <br />PORCEO AIR SYSTEMS — B TL. <br />WALL HEATLRS — O.T.U. <br />UNIT HEATERS — 0 T.U. <br />EVAPORATIV[ COOLERS <br />CLOiHES DRVERS <br />VENTILATION FAN <br />RANG[HOOD <br />AIR HANDLING UNIT — <br />STOVE <br />MfTAL FIREPLACE 8 CHIMNEY <br />REAR YARD SETRACK PLAN CHECK NUMBI <br />81/9095 <br />YACANT SIiE <br />❑YES X'�10 FE <br />NO. OF �WELLING UNITS <br />L�J:�:f <br />APPR. FOR ISSUANCE BY <br />PLUMBING <br />MECHANICAL <br />PENALTY <br />TOTAL <br />M <br />M <br />PLAN C <br />FEE 32.83 <br />$6000.00 <br />U.B.C. <br />SEC.3031a) <br />R SE3134 <br />FEE <br />�i�+XX �� <br />6 00 <br />3 00 <br />�S1�X J�XX <br />PERMIT VAL1uNI1Vn '� <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEf�M1T <br />� I I': ;r. - � <br />' � <br />� � <br />`� � <br />:ii '. � t� ' . ' <br />�� � <br />.J_ • , , 1r . .. . . <br />�4l I_. J <br />� �i ? i:��l� U I <br />ADDRESS FILE <br />