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the Evergrcen <br /> everett �� ���STRUCTION� ` <br /> PERMIT PERMIT NO. 133C9 <br /> CITY HALL 259�8745 <br /> EV'cRETT,WA 98201 � CUMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMSING <br /> OWNER MAILI�OOflE55 GfY ZIP PHONE <br /> Arlie Phelps 1108 Lombard Everett 98201 334-4621 <br /> ARCMITECT OR DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br /> GENEflALCONTRACTOR MPILAODRE55 CITY LP PHONE LIClNSEI <br /> Perma Bilt 3416 Everett Avenue Everett 98201 258-4171 <br /> MECHANILFL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LILENSE J <br /> PE R[d AB I179JR <br /> PWM9ING CONTflFGTOR MAIL AOORESS GiV ZIP PMONE 4CENSE N <br /> CLA55 OF WOflN <br /> ❑ NEW ❑ A�DITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ 6YOOD STOVE/FIREPLACE INSERT <br /> VAWATION OF WORK � <br /> S 6s�5.00 <br /> DESCfIBE WORK <br /> Construct 24'x30' Garaoe <br /> PROPOSED USE OF BUIL�ING <br /> Sinyle Family Garagr_ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> AFPLICATION AND KNOW THE SANiE TO BE TRUE AND <br /> LEf3A: DESCPIPTIOfJ OF PROPERTY�SMOW BELOW OP ATTACM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCM__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 72905 2 076 0008 PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO VIOLATE <br /> OR CANCEL THE PROViSIONS OF ANY OfHER STATE Oi-i <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RESS SIGNATUR O�F CO �CTOA OR AUiMO��R12�Ef"GENT UAT <br /> 1108 Lombard X ��4�C-u� GLCGG� J �O <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILE� AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERA710N UNI7S— H.P. =A. <br /> LAVATORY(WASH BASIN) BOILERS — H.P. EA. <br /> SHOWER GAS FIRF.D A.C. UNITS —TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCFD AIR SYSTEMS— B.T.U. M EA. <br /> �ISHWASHER �NALL HEATERS— B.T.U. M <br /> LAUNIIRY TFAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WA7ER HEATER CLOTHES ORVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF DRAINS— RAINLEAOERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE — BAR,ETG) FIREPLAGEINSERT <br /> HEAT PUMP <br /> SUE 70TA1 S SUB TOTAL S <br /> PEHMIT 5 PEqM1T S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACK STNEET SE7BACK REAR YARD SETBACK PLAN CHECK NUAIBER PLAN CHECK PEE <br /> 5� 84/i3309 FEE 40.63 RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SI7E I 69523 <br /> R_z �-YES x�0 FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO. OF OWELLING UNI7S <br /> V-N M BUILDING $6895. 62 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> 720 Stj. Ft. 1 PLUMBING <br /> FIREZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES : O <br /> APPROVALS BY DA7E O7HER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.k3UIL�ING PLANS <br /> 3.FIREHYDRANT TaTA� 62 SO <br /> 4.FIRE PROTECTION SYSTEM PEHMI'I'VALIDATION <br /> S.GRADING 'NHEN PROPERLY VqLIDATED(IN THI�9PACfi)THISQS��YpUWPEN�IT_ (3'} <br /> b L J � <br /> 6.DRAINAGE - <br /> i r <br /> 7.ENVIRONMfNTALIMPAC7STATcMENT � <br /> .f <br /> B.HEALTHDIS7RICT ' � �--, � �_:�'i: �r��i � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY // <br /> . , r r �•l �I A� U <br /> ..' �\ <br /> LB HWM LC <br /> — f � �� <br /> i ; .. <br /> ADDRESS FILE <br />