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T Me `'�TY`OF — CONSTRUCTION <br />everett PERMIT PERMIT NO- 09066 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION RkBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER ... vnµ ACD-ES6- .. - 'I. ! GIP PHONE -- <br />Michael Buchan 2116 State Street Everett 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GJ. WE. DCoWracting <br />719 Baird Snohomish, <br />Snohomish, <br />GIB 98290 ZIP <br />568-7702E LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />JW <br />PHONE LICENSE <br />SC 0222DS <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION El REPAIR El DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 3,000.00 <br />DESCRIBE WORK <br />construct car -port <br />Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION GFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />A.LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />Lar BLOCK_OF 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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS SIG U E OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />2116 State Street 4/1/81 <br />PLUMBING CHANICAL <br />WAItH ULUCtl (IUILLI I <br />BATHTUB <br />I <br />k <br />Inm UU.U. Mnlm — — v <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY IWASI I BASIN) <br />BOILERS - H.P. EA. <br />_ <br />SHOWER <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />KITCHEN SINK 8 DISP <br />_ <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-BT.U. M <br />I A. Fl.v T..v <br />UNIT HFATERS - B.T.U. M <br />FAN <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK MFRVICF - PAR. FTC I <br />i <br />I <br />I <br />I <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMUtH <br />V L N U t�P, <br />FEE <br />rLL <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />F?ES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$3,000. <br />38 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />[)YES ❑NO <br />MECHANICAL <br />-- <br />APPROVALS <br />DY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.0 <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />38 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PFAMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />!� p [ (n� <br />It,I. II E� ) S R, J 'J --CDC <br />C:) <br />�� . = ` I I FT TO <br />U <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />AFPR. FOR ISSUANCE BY <br />L.C. <br />ADDRESS FILE <br />