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theEvergreen � ""� C-�7NSTRUCTION -- ��� ���� <br />GTY OF <br />everett PERMIT pERMIT N0. O919Z <br />pTY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION C�78UILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILAD�RC55 CITY 21P PHONE <br />Gerald W. Berndt 1909 Pinehurst <br />ARCHITECT OR DESIGNER MAIL AODflE55 CITY 21P PHONE <br />GENERAL CON711AGTOR MAIL ADDRE55 CITV ZIP PNONE IICENSE I <br />Gerald W. Berndt 1909 Pinehurst Everett 98203 355-0846 <br />MECHANICAL CANTR4CTOR MAIL ADOPESS dTY 21P PNONE LICENSE � <br />PLUM9ING CONTRACTOA MAIL P�OPESS CITV ZIP PIION[ LICENSE � <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN �GARAG[ <br />s 2500.00 <br />construct attached garage to residence <br />PPOPOSED USE OF BWlOING <br />single family residence <br />LEGAL OEY.RIPTION OF PROPERiY �SNOW OEIOW OR hTTACN FOUR CAPIES� <br />lOTZ1�Z2BLOCK? OF p{^�'flLret <br />1909 Pinehurst <br />PLUMBIN6 <br />N0. TYPE OF FU <br />WATER CLOS[T QOILET) <br />OATHTUB <br />LAVATORY ryJASM BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />0 <br />� <br />SIDE YARD : <br />5' <br />R-2 <br />TYPE OF CAt <br />V-N <br />SI2E OF BLD <br />14'x24' <br />FIRE ZONE <br />STFEET SE <br />20' <br />LOT AREA <br />JCY GROUP <br />r�- z <br />1. ENVIRONMEN7AL CHECK LIST <br />2. DUILDING PLANS <br />3. FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STAiEMENT <br />p H[q�TH D�STRICT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDIIJANCES GOVERNING THIS <br />TYPE 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 CANCEL THE PRO- <br />VISIONS OF ANY OTH[R STATE OR LOCAL IAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAtURE F CANTRACiOR OR AViH iZED AGENT DATE <br />x9c�'.�-�Q �• �a.P-��__S-,��1� <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE � <br />AIR COND UNITS — H P EA <br />—�FRIf,FRATION 11NIT5 — H.P. EA I � <br />BOILERS — HP. EA. <br />GAS FIRED A.C. UNITS -- TONNAGE EA. <br />FORCED AIR SYSiEMS — B i.U. M <br />VJALI HEAlERS — 8 T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOHATIVE COOLERS <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR IIANDLING UNIT — � <br />S70VE <br />METAL FIREPLACE 8 CHIMNEY <br />SUBTOTAL <br />REAR YAHD SET�ACK PLAN CHECK NUMdEf <br />20' 81/9192 <br />VACANT SITE <br />�YES I� FEE <br />NO.OF DWELLING UNITS <br />BUILDING <br />MA%.00C.LOAD <br />PLUMBING <br />FIRE SPpINKLERS MECHANICAL <br />REOUIRED <br />❑YES '� <br />BY OATE OTHER <br />PENALTY <br />F�E25.03 <br />g 2$00.00 <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />Y VALIDATED QN THIS SPACE) THIS IS YOUR PERMIT <br />I . � � . ., 7 �'f.�!1 <br />�� <br />38 �50 <br />