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��cEr;rArcen �CONST�I��TlO� . <br />( ut, �� �� � <br />� �������1. �Ell� �� !'ERMIT I�O. _�J7 .`� b 4f�R <br /> CITY HALL 259�8745 ���"y <br /> FVERETT.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUNIHING '"' <br /> OV;NER MAILA�DRESS CI1Y ZIP PMONE <br /> '?ARRELL HULTZ 3322 OAKES EVERETT WA 98201 252-8260 <br /> AflGMITE'T 03 OESIGNER MAIL A�ORESS CRY ZIP P/:ONE <br /> GENERAL CONTRACTOR MFIL ACDRE55 CITV ZIP PMONE LICENSE a <br /> PERMABILT 16521 H41Y 99 LYNNWOOD VJA 98036 743-1555 PERFIABI179JR <br /> MECMANICiL GONIRACTOR MAIL A�DRESS GTY ZIP PHONE LICENSE N <br /> PLUMBING GONTRAGTOR MAIL ADGRES: CITY 21P PNONE LICFUSE x <br /> CLF55 OF WOflK <br /> C`�NEW O ADDITION ❑ ALTERATION ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSLRT <br /> VqLUATION OF WORK <br /> s5500.00 <br /> �ESGRIBE WOfiH <br /> Construct 30' x 30' pole garage <br /> PNOPOSED VSE OF BUILOING <br /> Garage I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iecn�oeswivrioNOFPaoaeaTr,sHowee�owoannncnFouaeaaies� CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES <br /> �cT 9LOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 31-29-5 El/2 S41 1/4 PlE 1/4 Govt Lot 3 PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> 312905-3-079-0005 LOCAL GAW REGU ATING CONSTRUCTION OR THc <br /> PERFORJv1iANCE OF C�NSTRUCTION. <br /> JOE.AO�i1E5S SIGN ryTURF���O�k CONTPACT�i.OR AUTHORI2Ey FGFS�IT DATE <br /> 417 - 47th St X �,='��. � : ; ,n."�(�"�,ra-� 1/21/86 <br /> PlUM01NG MECHANICAL // <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS - H.P. EA. <br /> BATHTUB REFRIGERATION UNITS- H.P.EA. <br /> LAVATORY(WASHBASINI BOILERS - H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS -TONNAGE EA. <br /> KiTCHEN SINK 8 DISP. FORCED AIR SVSTEMS- B.T.U. tA EA. � <br /> DISHWASHEH WALL HEATERS- B.T.U. M �V <br /> f <br /> LAUNDRY TRAY UNI7 HEA7ER5- B.T.U. M �- <br /> CLOTHES WASHER EVAPORATIVE COOLERS <i <br /> WATER HEATER CLOTHES DRYERS �� <br /> URINAL VENTILA710N FAN �I,-_ <br /> ORINKING FC�rv'AIN RANGE HOOD _ f„ <br /> FLOOR DRAIN AIR HANDLING UNIT- QF.M. i . <br /> �VACUUM 6REAKERt� STOVE - WOOD � <br /> RO�F DRAINS- P.AINLEAOERS METAL FIREPLACE 8 CHIMNEV <br /> SINK ISERVICE -� BAR, ETQ) FIREPLACE INSERT _ <br /> HEA7 PUMP _ <br /> SUB TOTAL a SUB TOTAL S <br /> PERMIT S PERMIT 5 <br /> TOTALFCE S 'O�AL FEE S <br /> SIDE YARD SETBACK STREET SETPACK REAR YARD SETBACK 'LAN CHECK NUMBER PLAN CHECK FEE <br /> SX;( 5' 20' B�XXX9X 6' 85/15758 FEE �( 73 430�Pr No. <br /> USE ZOIJE LO7 AREA VACANT SITE <br /> R- I : .YES xN0 FEES VAIUATION FEE <br /> TYPE 0=CONST. OCCUPANGY GROUP NO. OF DWELLING UNITS <br /> V-N M BUILDING 55500.00 56 5 <br /> SI2F Of BLOG. NO. OF STOfiIES MAX.OCC. LOAD <br /> 3���X30� � PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL � <br /> REOUIRED <br /> YES : NO <br /> APPROVALS BY OATE aTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.3D3 1a) <br /> 2.BUILDIRG PLANS 56 5� <br /> 70TAL <br /> 3.FIRE HYDRANT <br /> 4.FIRE PRO7ECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALICATED QN TH`S�PI;'E�7HIS�IS VfUp PERMIT �� <br /> � t � ) 6. 5 � — i.� <br /> 6.DRAINAGE , <br /> 7.ENVIRONMENTqLIMPACTSTA7EMENT �.'� <br /> 8.HEALTH DISTRICT • - �� n�-� r �'��' . ; <br /> APPLICATION ACC. BV PLANS CHECKED BV APPR.FOR ISSl1ANCE BY �' '`- �� � <br /> . , . ) <br /> st <br /> �_ � .',�.��,I u �� <br /> ADDRESS r'ILE <br />