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Me Ecerxreen <br />o"Yc; <br />everett <br />CITY HALL 2598745 <br />4PONSTRUCTIOI* <br />PERMIT PERMIT NO. 15519 <br />EVERETT, WA 98201 <br />� <br />COMBINATION `XX BUILDING <br />L] MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Don Rogers <br />4511 Seahurst <br />Everett <br />98203 252-4701 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE A <br />Branson United <br />18023 Highway 99 Suite J <br />Lynnwood <br />98037 778-1116 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />IF PHONE LICENSE II <br />BRANSZ 214SK <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />CL.ib V1 WVnn <br />XB NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />.UATION OF VORK <br />s 5,000.00 <br />..b n_1- Ani 1 A 4 nn <br />PROPOSED USE OF BUILDING <br />THAT I HAVE READ AND EXAMINED THIS <br />Garage and storage -Single Family <br />I HEREBY CERTIFY <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT, ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT -BLOCK -OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />5058 000 018 <br />0000 <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PE AN OF O('JSTRUC ON. <br />SIGLA rrq NTRA TO O AUTMO j2E I AGENT DATE <br />/ <br />_ <br />JOB ADDRESS <br />4511 Seahurst <br />X /�r ;t'7 10/9/85 <br />PLUMBING <br />MECHANICAL <br />N0."RAINLEADEAS <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />CLOSET ITUiLM <br />AIR COND. UNITS — H.P. EA. <br />UB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY BASIN) <br />BOILERS — H.P. EA. <br />ER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />EN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />ASHER <br />WALL HEATERS — B.T.U. M <br />RY TRAY <br />UNIT HEATERS — B.T.U. M <br />ES WASHER <br />EVAPORATIVE COOLERS <br />R HEATER <br />CLOTHES DRYERS <br />L <br />VENTILATION FAIJ <br />ING FOUNTAIN <br />RANGE HOOD <br />DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />M BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />4 <br />SUB TOTAL <br />S <br />SUB TOTAL <br />PERMIT <br />$ <br />PERMIT S <br />_ <br />TOTAL FEE <br />S <br />TOTAL FEE $ <br />SIDE YARD SETBACK. <br />STREET SETBACK <br />REAR YARD ETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />G' <br />20' <br />G <br />85/15519 <br />FEE 32.83 <br />RECEIPT No, <br />80845 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />R-1 <br />19,500 Sq. Ft. <br />:,YES XgO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />$5,000. <br />50 <br />50 <br />V-N <br />M-1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />30' x36' <br />1 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />P I KLERS <br />FIRE SPRINKLERS <br />MECHANICAL <br />OTHER <br />YES NO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 IBI <br />2. BUILDING PLANS <br />TOTAL <br />50 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />' � _J <br />WHEN PROPERLY VALIDATED (IN THI; rlPA ) THIjSGY9�.I7� li-- <br />5.GRADING <br />I <br />r- <br />El � <br />RECEIPT <br />YOUR RECI-IrT <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />TF IANK YOU <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />IPR. FOR ISSUANCE BY <br />JEF <br />ADDPESS PILE <br />