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the Ever;Y OF <br />C I N ST R U CTI O N <br />JV OF <br />everett <br />PERMIT PERMIT NO.09606 <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 ❑ COMBINATION <br />BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AOORbS CiY ZIP PHONE <br />Jack Gobel 4919 33rd Avenue West <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑NEW 3IMADDITION ❑ALTERATION ❑REPAIR DDEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 4,000.00 <br />DESCRIBE WORK <br />Addition to existing garage <br />PROPOSED USE OF BWLDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />LEGA'. DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />5 2 Shore Acres <br />LOT eLocK_oF <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR T E"G ING OF A PERMIT DOES NOT <br />PRESU EAUTHO TO' LATE OR CANCEL THE PRO- <br />R <br />S O'_Jr ANY OTH - STAT OR LOCAL LAW REGULATING <br />ONST CTION OR E PERFO DA OF CONSTRUCTION. <br />JOB ADDRESS <br />4919 33rd Avenue West <br />SIGNA RE OF CONTRACTOR R A ihORIZED DATE <br />X 8/1 81 <br />PLUMBING <br />MECHANIC! <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIP". <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />_ <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 />_ <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />UHINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.N1. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAING — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />i <br />SUB TOTAL <br />SUB <br />TOTAL S _� <br />PERMIT <br />$ <br />PERMIT <br />f <br />$ <br />TOTAL <br />TOTAL FEE <br />FEE $ <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />81/960Q& <br />FEE 28.93 RECEIPT NO. <br />VACANT SITE <br />OYES Rf <br />USE ZONE LOT AREA <br />iran <br />VALUATION FEE <br />FEES <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />V—N M-1 <br />1 <br />BUILDING <br />5 4,000. 44 $ 0 <br />MAX. OCC. LOP i <br />SIZE OF BLDG. N0. OF STORIES <br />24' 6"x19' O" 2 <br />PLUMBING <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />FIRE ZONE BASEMENT <br />DYES VVO <br />BY <br />DATE <br />OTHER <br />APPROVPLS <br />_ <br />PENALTY <br />1. ENVIRONMENTAL CHECK LIST <br />U.BC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4 4 . 0 <br />I ,__ __ <br />TOTAL <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5. GRADING <br />I r r <br />S. DRAINAGE <br />L-7 <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />L0 <br />8. HEALTH DISTRICT <br />APPLICATION CHECKED BY <br />APPR. FOR ISSUANCE BY <br />:ACC. <br />V.C, <br />ADDRESS FILE <br />J <br />