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tlieEvergreen rONSTRUCTION � - <br /> CITY OF <br /> ever�tt PERMIT PERMIT NO. 09221. <br /> CITY HA�: 259�0745 <br /> EVERET�.WA 9fi207 ❑ COMBINATION � BUILD!iiG ❑ MECHANICAL ❑ PLUMBING <br /> OWNEP MAILADDR[55 CIiY 21P PHONE <br /> Joyce Seari 201 Magnolia Everett <br /> NRCHITECiOF�E5IGNER MAILADDRE55 C�TY ZIP PMONE <br /> GENEFAL CONiRACiOF UAIL ADURESS CITY ZIP PHONE LICENSE I <br /> J & E Const. 13109 28th N.E. Lake Stevens 982`�8 334-3975 <br /> MECNAMGdCONTRACiOR h1RILFDDRE55 QTV - ZIP PMCNE LICENSEI <br /> PLU61BIf:b:;ONiRACTOR MAtLApDRE55 QtY ZIP PHONE lIGE1lSER <br /> CIA55 OF WORK <br /> ❑NEW ❑P.DDITION ❑ALTERATI�N .�AEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUAT10N OF WORH <br /> § 8�0. �0 <br /> DESCRIBE WORK <br /> re–roof–composition <br /> PROPOSC�USE OF BUIIDWG <br /> sin le famil residence I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS AP� <br /> iecn�oesceianor+o�anoaennis�wweeiowoanrrncnFouaceaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 75 Airport Acre s ALL PRO'11SIONS OF LAWS AtJD ORDINANCES GOVERNING THIS <br /> �or e�ocK_a� TYPE OF WORK WILL BE COIv1PLIED WIiH 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 PERFORMANCE OP CONSTRUCTION. <br /> JOBAD�RESS SIGNATUREOFGONiRACiORORAUTH RE��GENi DAi% <br /> 201 Magnolia J ,� -„-✓ 5 6 81 <br /> PLUMBING �— ME HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYP OF EOUIPMENT � FEE <br /> WFiER CLOSET(TOILET) _ AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFPIGERATION UNITS—H.P.EA <br /> LAVATORY(V/ASH BASIN) BOILERS—HP.EA. <br /> SHOWEFl GA$FIREO A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK&DISR FORCED FIFl SYSTEMS—BT.U. M EA, <br /> DISHNASHER WALL MEATERS—B.T.U. 1d <br /> LAI�NDRYTRAY UNITHEATERS—B.T.U. M <br /> CLU7HE5 WASHER EVAPORATIVFCOOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> UFlINAL VENiILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— QF.M. <br /> VACUUM 6REAKERS STOVE _ <br /> ROUF DRAINS —RAINLEAOERS METAL FII7EPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETCJ <br /> SUBTOTAL SUBTOTAL 5 _ <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN f,HECK NUMBER P.AN CHECI:FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> f�7YE5 f�NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 800. 14 50 <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC.!OAO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEflS <br /> REOUIRED MECHANICAL <br /> ❑vES ❑NO <br /> APPROVALS BY DATE OTIIER <br /> 1. ENVIRONMENTAL CHCCK LIST pENALTY U.6.C. <br /> SEC.303(a) <br /> 2. BUILDWGPLANS <br /> 3. FI�E HYDRANT TOTAL 1 Q S O <br /> a. FIRE F30TECTION SYSTEN PERMIT 4ALIDATION <br /> . WHEN PROPERLY VALIDATED(W THIS SPACE�THIS IS YOUR PERMIT <br /> 5. GRADING � <br /> 6. DRAINAG'c <br /> i "; 0 `!� �� � u. j (1 - <br /> 7. ENVIRONMeNTALIMPACTSTATEMENT N <br /> — � <br /> 0. HEALTH DISTRICT . , „ ., � I(T � <br /> APPL'CATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY <br /> ' ' 'J <br /> , . - � <br />