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Me EverlgYeeOF <br />Ir -) N ST R U CT I O N <br />everett <br />PERMIT <br />CITY HALL 259 8748 <br />PERMIT N0. <br />09922 <br />EVERETT, WA 98201 <br />❑ COMBINATION BUILDING I I MECHANICAL <br />LJ PLUMBING <br />OWNER <br />MAIL AODRLS CITY <br />Dean Erickson <br />1524 Virgin a <br />ZIP <br />PNDNE <br />�— ARCNITFCi DESIGrrtq <br />OR <br />MAIL ADDRESS Ever.S'tt <br />CITY <br />QR9M <br />258-1 F.g <br />21P <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS �. <br />Same <br />ZIP <br />PHONE LICENSEI <br />MECHANICALCONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBINGCONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE IF <br />cftASs OF WORK <br />❑NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE <br />❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 8'000.CO <br />DESCRIBE WORK <br />Construct garaae <br />PROPOSED USE OF BUILOING <br />storage and work shop <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />LEGAL OLSCHIFT[ON OF PROPERTY ISHow BELOW OR ATTACH FOUR COPIES) <br />L7oT4'25 BLOCK 31`IF Remington's 1st <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />— <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 OTHER STATE OR LOCAL LAW REGULATING <br />UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />'IGNATURE F CONTPAC- , OR HORIZLD AGENT <br />DATE <br />__ <br />JOB ADDRESS <br />1524 Virginia <br />10/26/81 <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />N0. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />FEE <br />AIR COND. UNITS —H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASINI <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 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 />U. <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <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 FM. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT <br />TOTAL <br />It <br />FEE f <br />TOTAL FEE <br />f <br />".EAR YARD SETBACK <br />SIDE YARD SETBACK <br />STREET SETBACK <br />PLAN CHECK NUMBER <br />LP. HECK FEE <br />61/9922 <br />55 SS dd 77 <br />FEE 44.53 RECE00WT <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />55475 <br />OYES 7N0 <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROLP <br />NO. OF DWELLING UNITS <br />a _ T <br />BUILDING <br />' <br />X8KHHR.B <br />HH <br />$$ <br />SIZE OF BLDG. <br />NO. OF STORIEF <br />MAX. OCC. LOAD <br />36' x40' <br />1 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REOUSIREIl_0 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />UB0. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SRACE)'THIS IS YOUR PC IT' <br />CV <br />6. GRADING <br />6. DRAINAGE <br />� <br />7. ENVIRONMENTALIMPACTSFATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY I PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />