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�he Evergreen <br />CITY OF <br />everett <br />- CO�STRUCTION <br />P�RMIT <br />PERMIT N0. 07483 <br />CITY HALL 259�8745 <br />EV[RETT, WA 98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRE55 CITY ZIP PNONE <br />W. R. Morasse 1018 - 56th St. Everett 9�2�3 353-6495 <br />AflGHITECi OR DESIGNER MAII A��flESS CIiY 21P PHONE <br />Spectrum Draftin4 Service 6514 Foster Rd Snohomish _ <br />GENERALCONTRACiOfl MAILAOORESS CITY 21V PNONE LICENSE� <br />Self <br />MECHANICAL GONTRALTOR MAI� nD�RE55 CITV 21P PNONE LIC[NSE I <br />PLUMBINGCONTRAC70R MFILAOORESS CITY ZIP PMONE �iGENSEI <br />WOPK <br />LYNEW <br />s 9600.00 <br />OESCRIBE WORK <br />Garage <br />❑ADDITION ❑ALTERPTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN G�ARAGE <br />Garage <br />LEGAL �ESCFIPTION OF PRJFERTY (SNOW BELOW OR ! <br />�o, 15 BLOG�OF Fairview <br />JOB ADORE55 <br />1018 - 56th St. <br />PLUMBING <br />NO. TYPE OF F <br />CLOTHES W�SHER <br />WATER HEATEfi <br />URINAL <br />DRINKINf; FOUNT/ <br />FLOOR DRAIN <br />VACUUM BREAKEF <br />flOOF DRAINS — i <br />ciuw iccavirF — i <br />SIDE YARD SETBACK <br />[ � <br />TYPE OF CONST. <br />30'x40' <br />FIRE ZONE <br />OR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />i PLICATION .1ND KNOW THE SNME 10 BE TRUE AND CORRECT. <br />Div 2 ALL PROVISIONS UF LAWS AND ORDINANCES GOVERNING THIS <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 70 VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCT}��OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUPE OF j!qIGTjA�CTOR OF AU7MORIZED AGENT oatE <br />STFtET SETBACK REAR YARI <br />70 � 1 <br />LC'i AREA VACANT 51 <br />❑YES ❑ <br />OCCUPANCY GROUP NO.OFDV <br />B—�. <br />NO. OF STORIES MA%.00C. <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PIANS <br />3. FIRF HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING _ <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY � PLANS CHECKED BY <br />v.c. <br />APPR.FORISSUANCEBY <br />NO. TYPE OF E�UIPMENT <br />AIR COND. UIJiTS — H P. EA. <br />REFRIGERATION UNI75 — H.P. EA <br />BOILEFS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORC[D AIR SVSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOiHES DRYERS <br />AIR <br />MEiAL <br />CHECK <br />JUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />0.F M. <br />PLAN <br />FEE <br />$ <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIi'T NO. <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACF) THIS IS �OUR PERMIT <br />$10.00 due on PZan ChQc,�c��n O_�+�q, <br />Structure not i�� � ut�i�! 8 00 <br />for business or commercial '� <br />purposes. ti <br />YG!►R RECEIPT� <br />IF�l`,NK YOU <br />