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f/tPET CITY OF CONSTRUCTION <br />everett PERMIT PERMIT NO.07060 <br />CITY HALL 259 8745 <br />EVERETT, WA 90201 LA)COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Rose M. Loger <br />216 Marilyn Avenue Everett <br />98204 <br />353-7524 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEI <br />OF <br />CKNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑ FEN ;E ❑SIGN Cj RARAGE <br />VALUATION OF WORK <br />S 5,000.00 <br />DESCRIBE WORK )L/• ✓a <br />PROPOSED USE OF BUILDING <br />single family garage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PREE LIVE 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 />SIGNATU OF CONTRACC/T�95+OR AUTHORIZED AGENT DATE <br />X yc' <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />26 7 Intercity Div. I <br />LOT BLOCK-- y <br />JOB ADDRESS <br />216 Marilyn Avenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPN ENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P EA. <br />BATHTUB <br />REFRIGERATION UN175 -- N.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA <br />KITCHEN SINK & DISP <br />FORCED AIR SYSTEMS - B.T U. M EA <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />_ <br />SIN' SERVICE - BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL <br />FEE 5 <br />SIDE YARD SETBACK <br />61 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />7060 <br />PLAN CHECK <br />FEE 22.00 <br />FEE <br />RECEIPT No <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />DYES W <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />M-1 <br />NO. OF DWELLING UNITS <br />BUILDING <br />15,000.00 <br />32 <br />00 <br />SIZE OF TLOG. <br />301 X361 <br />NO. OF ST091ES <br />1 <br />MAX. OOC. LOAD <br />PLUMBING <br />FINE ZONE <br />3 <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />DYES <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 3U3 (a) <br />2. BUILDING PLANS <br />TOTAL <br />32 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHENPERLY VALIDATED N THIS SPACE) IT <br />Oresidentialuse l b � THIS IS YOoUR PERM <br />For O O !_ j <br />YYY ��' II 3 Z <br />No business Or commercial use permitted. � <br />. - C7 <br />YOUR RECEIPTo <br />i 1-1 FLU R YOU <br />I. <br />5, GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />6. HEALTH DISTRICT <br />APPLICATION ACC, BY <br />PLANS CHECKED BY <br />l.C. <br />APPR, FOR ISSUANCE BY <br />AD:7RESS FILE <br />