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theEvergreen � C�STRUCTION , • <br />CITY Of <br />everett PER��� PERMIT N��. O��3S <br />CITV HALL 259�8745 <br />EVERETT. WA 98201. ❑ C.OINB�NATION G[icBU1LDING ❑ MECHANICAL PIUMBING <br />OWNER ��_� MPILApDPL55 CITY ZIP PnONE . <br />98203 355-3243 <br />Daniel William� 5610 Lowell Road _ <br />APCIIREGT OR DESiuNER MAIL ADDRE55 GT� Z�P PMONE <br />GENERAL CONTFI.CTON MAIL ADORE55 CITV ]IP �HONE LICENSE I <br />F�rman Construction 19210 15 N.E. <br />Seattle 98155 365-0752 <br />MECMAP'�CPL CONT 1CTOR AIAIL ADOFF55 CIiY ZIP PNCNE LICENSE 1 <br />Fo �un oL zooJn <br />PLUMBINGCANTBALTOR MAIIAD�PESS CITY ZIP �MONE LICENSEI <br />❑NEW <br />s 365a.00 <br />20'x22' Garage <br />PROTOSED USE OF BUILDING <br />residential <br />C2GAL DESCRIPTION Oi PROPERT' <br />LOi 7 �1LOCK_ 4 OF <br />❑ADDITION ❑ALTERATION ❑RtPAIR ❑DEMOLITI(1N ❑FENCE ❑SIGN C]�BARAGE <br />OR <br />Otl HUUN[JS <br />5810 Lowe].1 Road <br />PLUMC.ING <br />NO. 7YPE OF FIXTURE OR <br />WATER CLOSET QOILET) <br />BATNTUB <br />�VATORY �N'ASH BASINI <br />SHOWI:R <br />KITCHI:N SINK & DISP. <br />DISHWASHER <br />LAUN�RY TRAY <br />CLOTHES NlASHEfl <br />\NATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />PLOOR DRAIN <br />VACUUM BHEAKEPS <br />FOOF DRAINS — RAINLEADERS <br />SINK (SERVICE -- BAR, ETG) <br />SUBTOTAL <br />SIOE VARD SETB� <br />6' <br />USE ZONE <br />R-1 <br />NPE OF CANST. <br />V-N <br />SIZE OF BLDG. <br />22'X20' <br />FIflE ZONE <br />3 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND iCNOW TIiE SAME TO BE TRUE A�D CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYf'E OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANG. L THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTriUCTION. <br />SIGNATUR CONTRACTOPORAUTNOPIZEDNGEfIT UATE <br />s _F�1� 80 <br />x ✓ --�.`%�-- - - � <br />NO. TYPE OF E�UIPMEN7 <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />t301LER5 — H.P. EA. <br />GAS FIPED A.C. UIJITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.O. M <br />WALL HEATERS — B.T.U. M <br />I IItlIT HLATERJ — �.T.U. M <br />FAN <br />STREET SETPACK REAR VARD SETBACI< PLAN CHEGK NUMtftr <br />80/7638 <br />LOT APEA 4. vYESN' 1}{�(O FEE: <br />8850 S Ft. <br />OCCUPANCY GROUP NO. OF �WELLING UNITS <br />M-1 OUILDING <br />NO. OF STORIES MA%.00C, LOAD <br />APPflOVALS BY <br />1. ENVIRONMENT�LCHECKLIST <br />2. BUILDINGPLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIRONMENTAL IMPACT STATEMENI' <br />8. HEALTH UISTRICT I <br />APPLICATION ACC. BY PU1NS CHECKED BY A7PR FOR ISSUANCE PY <br />v.c. <br />f'LUMBIN a <br />MECHANICAL <br />OTHER <br />8 <br />FEE 14.0� <br />VALUA710N <br />$ 3650.00 <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />Za <br />28 <br />VALIDATBD (IN THIS SPACE) THIS IS YOUR PERMIIT <br />5241 �018.�►0 --�I <br />� <br />� <br />Y�'�UR REGEIPT�' <br />Ti-I�N� YOU <br />ApDRESS FILE _ 1 Q �� i�O <br />