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�heEvergreen CrN�TRUCTION � Q <br />ciTv oF �-- <br />everett PERMIT PERMIT G3. o��� o <br />CI7Y HALL 259�8745 �, '"- � <br />E`JERETT. WA 98201 � COMBINA710N � BUILDING � MECHANICAL � PLUMBINQ� <br />t'1 <br />. .i <br />OVJNER <br />61PILA�DRE55 GiTY ZIP p PMONE -i N <br />Geor e Swi er 7110 w ' Everett 98203 �353-6'32b: �.n <br />IANILA��PE55 C17Y ZIP PHONE-" N <br />ARCHITECT OR OESIGNER l_ � j— <br />GlNERALCOHTflACTOH MFILADDRESS CITY ZIP T PMONE' UCENSE� <br />Robert Torkieson T Construction 5226 123rd N E Lake Stevens �34-7513 <br />MAIL AD�flE55 PHONE LICENSE <br />ueci�nHicn�cor+rnncTr,,�— crzv ZRC ON S*243QW <br />MNILADURE55 CITY ZIP FHONE �ICENS[1 <br />PLUMBiNG CONTRACTOR ' <br />CLA55CF WORK <br />❑NEW LXIlSDDITION ❑AI.TERATION ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN GARAGE <br />VALUATION OF WORN <br />E 35G0.00 <br />oescame vronK <br />12x12 a3dition <br />PROPOSEO USE OF BUiL01NG <br />single family resid•� :ce I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />�Ecn�oescaiPnoNOFPeoaearvesNowoe�ov. �anrrncNFouacoaies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />SFi�r� -37 eixK_oF Beverly Scre Tracts TY�EOF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />N15'�� HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRES! IME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW R[GULATING <br />rONST�RUCTION OR THE PERFOR�IANCE O CONSTRUCTION. <br />SIf,NFTIJRi UF CO1AflACTQR OR AUTHqfiIZED� �j, �A�F� �yC <br />7110 Lower Ridge Road <br />PLUMBING <br />NO. TYP[ OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILEi) <br />BATHi'UB <br />LAVATORY 6NASH BASINI <br />SNOWER <br />KiTCHFN SINti 8 DISP. . . <br />SINK <br />1'ARD SET�ACK <br />R-2 <br />OF CONS <br />V-N <br />JF BLDG. <br />ZONE <br />3 <br />� <br />e <br />MECHANICAL ��/� <br />NO. TYPE OF E:'iUIPM1 <br />AIR WND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. E <br />BOILERS — H.P. EA. <br />GAS FIRED A.G UNITS—TONN. <br />FORCED AIR SYSiEMS — B. i.U. <br />WALL HEATEPS — 6.T.U. <br />i INIT HFATEFS — B.T.U. <br />STREET SF.TBACK REAR VARD SET6ACK N�N ��t' <br />LOT AFEA VACANT SITE <br />L7YE5 '.�1�J <br />CCCUPANCY GROUP NO.OF DWELLING UNITS <br />R— 3 BUILDING <br />NO. OF STORIES MA%. OCC. LOAD <br />PLUMBW( <br />BASEMENT REOUIPEDJKLeRS MECHANIi <br />none �,,,« � �.,, — <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PIANS <br />3. FIRE HYDRANT m <br />n. FIRE PROTECTION SY5T2kl' <br />5. GRADING � <br />6. DRAINAGE � <br />� 7? ENVIRONM.ENT�L IMPA(1b8FATEMENT <br />� <br />���„gY .PJTNS CHECKED BY <br />�tl 0 <br />-= (� o v.c. <br />(� r�, <br />c -� <br />_; <br />(.� <br />PENALTY <br />TO7AL <br />PERMIT' <br />WHEN PF <br />APPR. FOR ISSUANCE BY <br />ADGRESS FILE <br />FAN <br />SUB <br />M <br />TOTALFEE <br />JHI�ER PLAN CF <br />d0/8334 FEE Zg.9 <br />� 3500. <br />u.e c. <br />SEC.303(a) <br />RECEIPT NO. <br />50539 <br />FEE <br />VALIDATEU (IN THIS SPACE) THIS IS YOUR PERMIT <br />54 I50 <br />� <br />8339 �044.50-� <br />� <br />0 <br />',' !;: R i: C f: I PT <br />�: �I;`�I��dK 1'O U <br />, r. or_ �. n <br />