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, <br /> th.eEverRreen ��� C(�STRUCTION � �� <br /> °'TY°F pERMIT <br /> everett PERMIT NO. 0?310 <br /> GITVHALL259�0745 � ��MBINATION ❑ BUILDING ❑ MECHANICAL G PI.UMBING <br /> X <br /> EVEPETT.WA 98201 PHJNE <br /> MRIL ADDRE55 <br /> CRY 21P <br /> ' owNer 1820 Rockefeller <br /> Lena Brink ��tY Z�P PHONE <br /> MAIL ADDPE55 <br /> ARCHITEGT OR DESIGNER -- <br /> Cltt ZIP PHONE I�CENlE� <br /> unanooaess 98223 652-634 <br /> GENERAI CONTRACTOF prlington — <br /> Henry Osborn 219 McRea Road N.E. � Z�P PNONE LICE'iSE� <br /> MAIL ADDRE55 <br /> MECNANILRlCAN1HAGTOR <br /> MpIL ADDRE55 <br /> Cltt 21P PNONE I�ENSE� <br /> PLUMBING(:ONTRACTOA <br /> CLA55OF WOPK <br /> ❑NEW ❑ADDI�ION ❑ALTERATION ❑REPAIR �DENOLITIO�� ❑FENCE ❑SIGN ARAGE <br /> VALUATION OF WORK <br /> s rJ�O��.�O <br /> OESCRIPE WORK <br /> construct 14'x24' single car garage <br /> PROPOSED USE OF PUtLDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> Sinqle Family pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAI DF-�F PRU�ERT� ISNOW BEIOW OR ARACN FOUt1CAPiES1 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �o, 23 e�a 3��oF Everet TYPE OF WORK WILL BE COMPIIED WITH WrIETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUMET GIVEAUTHORITY'fOV10LATE0RCANCELTHEPRO� <br /> VISIONS ANY O1�HER STATE OR LOCAL LAW REGUTATING <br /> C N CTION OR THE 'ERFORMANCE OF CONSTR�U ETION. <br /> OF CANTFA U1� RRED AGENT <br /> JOB�DDFES � X <br /> 1820 Rockefellar <br /> ECNANIC <br /> PLUMBING TYPE OF EUUIPMENT FEE <br /> � TYPE OF FIXTUNE OR ITEM FEE N0. <br /> �� � NO. AIR COND.UNITS—HR EA. <br /> WATER ClOSET ROIL qEFRIGERAT10�UNITS—H.P.EA <br /> BATHTUB BOILERS—H.P.EA. <br /> - . �AVATORY ASH BASIN GAS FIRBD A.0 UNITS—TONNAGE EA. <br /> ! SHUWER FORCED AIRdYS7EMS—B T.U. M EA. <br /> �, KITCHEN SINK 8 DISP. y�p�L MEATERS—B T.U. M <br /> � DISHWASHER UNIT HEATERS—8 T.U. M <br /> IAUNDRYTRAY EVAPORATIVE COOLERS <br /> � CLOTHES WASHER ��OTHES DRYERS <br /> � WATER HEATER VEH'�LAT�ON FAN <br /> URINAL RANGE HOOD <br /> ORINKING FOUNTAIN p�p MANULING UNIT— C P.M. <br /> FLOOR��IN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE&CHIMNEY <br /> ROOF ORAINS—RAINLFADERS <br /> SINK(SEFVICE—BAF,ETC.) <br /> � SUBTOTAL : <br /> SU!TOTAL PERMIT : <br /> PERMIT S TOTAL FEE _ <br /> TOTAL FEE f pLAN CHECK FEE <br /> SIOE�ARD SETS�CK STREET SETBACK REAR Y N/AETBACK PLAN CHECK NUMBER PEF16.00 R�����0. <br /> 80/7310 <br /> VACANT SITE FEES VALUIITION FEE <br /> USE ZONE ��T AREA ❑YES C� <br /> TYPEOFCONST. OCGUPANCYMRi P NO.OFDWEOLLINGUNITS BUILDING g5�000.00 32 00 <br /> V-N <br /> N0.OF S70RIES MA%.OCC.LOAD <br /> SIZE OF BLDG. 1 PLUMBING <br /> 14'X24' <br /> BASEMENT FIRESPRINKLERS MECHANICAL <br /> FIPE ZONE REOUIHFF�. _ <br /> 3 OYES h3/J0 <br /> BY �ATE OTHER <br /> APPROVALS U B.C. <br /> 1. ENVIRONMENTALCHECKLIST PENALTV SEC.303(e) <br /> 32 00 <br /> 2. 9UILOING PLANS '� TOTAL .. <br /> 3. :r�F HYDRANT pERMR VALIOATION <br /> l F� iE PROTECTION SYSTEM WHEN PROPERLV VPLIDA7ED(IIJ THIS SPACE)THIS IS YOUR PERMIT <br /> GR101NCa 9 3 I 7 s O 3 1.O O � � <br /> DRAINAGE � M <br /> �.NVIRONMENTAL IMPACT STATEMENT _ � � ~ <br /> FA�THo�STR��T YOU R RECEIp? o <br /> CATION ACC.BY PIANS CHECKED BY APPF.FON ISSUANCE BY THA N K YO U <br /> . v.c. <br />