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� <br /> 1heEveCrgYce�F VONSTRUCTION � � <br /> everett PERMIT pERMIT NO. 09120 <br /> CITY HALL 259�87a5 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MALLAUpRE55 CItY ZIP PHONE <br /> Linda Ibsen 1815 Pine Steet Everett 98201 252-7250 <br /> ARCMIiECT OP OESIGNER MAIL ApDRE55 QTY ZIP PHONE <br /> GENERAL CONTRACTOR MRII AOORE55 CITY ZIP PIIONE IICENSE I <br /> Same <br /> MECHANICAL CONiPACTOR MAII AD�RE55 CITY 21P PHONE ULENSE� <br /> PWAIBINGGONTRACiOP MAILAODRE55 CRY ZIP PHONE LICENSEI <br /> ClA55OF WOPH <br /> ❑NEW ❑ADDITION ❑ALTEF4TION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> \'ALUATION OF WORK <br /> S 25��. 00 <br /> �ESCRIBE\40PN <br /> construct car-port <br /> PROPOSED USE OF BUIL�ING <br /> single family car-port I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF <br /> ie�nioescniPnor+oFFaoPearvisHowse�rnvoanrrncNrauacoPiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECI. <br /> 5 8 Victor Addition ALL PROVISIONS OF LAWS AND ORDINANC[S GOVERNING THIS <br /> ior o�a�oF y TYPE OF WORK WILL BE COtitPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES IJOT <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 OF CONSTRUCTION. <br /> SIGNNUPEOFCONiRRCTCROR.4UiNORIZEOAGENt DATE <br /> �oefo��c�s Pine street X j :� ; G <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CL03ET(TOILET) AIR COND.11NlT5—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATOFY�WASH BASIN) BOII.ERS—H.P.EA. <br /> SH0INER GAS FlRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR 51'STEh1S—B T.U. M EA. <br /> DISHWASHER IYALL HEATEFS—B.1.U. M <br /> LAUNDRY TRAY UNIT HEATERS—D.T.U. h1 <br /> CLOTHES WASHER EVAPORATIVECOOLEflS _ <br /> WATER H'rATER CIOTHES DRYERS <br /> UFINAI � VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> ROOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM�REAKERS STOVE <br /> � ROOF DRAIhS—RA�NLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.1 <br /> SUBTOTAL SU0 TO7AL S <br /> PEHMIT S PEIiMIT S <br /> 70TALFEE 5 TO7ALFEE t <br /> SIDE YARD SETO�LK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER LAN CHECK FEE <br /> 5 � Z�1 85.�91ZO FEE 2�kXaQ RECEIPTNO. <br /> USE ZONE LOT AflEA NACANT SITE <br /> ❑YES � FEES VALUA7i0N FEE <br /> R-2 5999 Sq. Ft. �C� <br /> IYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N M-I BUILOING s 25�0. 38 50 <br /> SI7F Of BLDG. NO.OF STORIES 61AX.OCC. LOAD <br /> 2 Q �X 3 Q � 2 PLUM�ING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> C7YES QC6(O <br /> APPHOVAlS BY DATF O7HER <br /> 1. ENVIRONMENTALCHECKUST pENALTY U.BC. <br /> — SEC.303�a) <br /> 2. BUILDING PLANS <br /> rora� 38 50 <br /> 3. FIflE HVDRANT <br /> 4. FIRE PRO7ECTION SYSTEM PERMIT VALIOATION <br /> WHEN PROPEFLY VAIICATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING p Z [ ^' <br /> 6. DRAINAGE � � �� j .) D J �. J 0 -- `�( <br /> 7. ENVIRONMENTAL IMPACT STATEMENT c-i <br /> � <br /> B. NEALTH DISTRICT 0 <br /> APPLICATION ACC.BY PU1N5 CHECKED BY APPR.fOR ISSUANCE BY �` ^ �. •I I P I <br /> V.C. .. . !:. �I :� � <br />