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v <br /> •he Evergreen <br /> clrr of CO"I ST R U CT I O N <br /> everett PERMIT PERMIT NO. 06531 <br /> CITY TIAL.2590745 <br /> EVERETT WA 98201 ❑ COM13INAIION �_] BUILDING I I MECHANICAL I PLUMBING <br /> OWNER MAIL AUUIR by /W PHONE <br /> Loren J Sand 2107 -61st Everett 98203 35.5-0252 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> Same <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY 'IP RHONE LICENSE F <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE F <br /> PLUMBING CONTRAC70R MAIL ADDRESS GTI ZIP RHONE LICENSE IF <br /> CLASS OF WORK <br /> ❑NEW MADDITION ❑ALTEMTION ❑REPAIR El DEMOLITION ❑FENCE []SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f 4600. 00 <br /> DESCRIBE WORK F <br /> 24 x 24 garage addition <br /> PROPOSED USE OF BUILDING <br /> garage I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION <br /> LEGAL OESCRIP•TION OF PROPERLY ISHOW BELOW OR ATTACH FOUR COPIESI AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 11 1 Pinehurst Addition ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT eLDCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> Division A PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONST CT ON OR THE ERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE H �TOR OR ORIZE <br /> COJIMO AGENT DALE <br /> JOB ADDRESS / �. <br /> 2107- /�(/ / <br /> PLUMBING MECH ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ASH BASIN BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—BTU MEA <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT-HEATERS—BT.0 M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR GRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE A CHIMNEY <br /> SINK(SERVICE—BAR.ETC I <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT ! PERMIT f <br /> _ TOTAL FEE TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE �VALUATION <br /> ALu <br /> ❑YES LINO FEES E <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING s4600.00 32 00 <br /> SIZE OF BLDG, NO.OF STORIES MAX. .LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT RSPRINKLERS <br /> EOUIRCD MECHANICAL <br /> 3 No 1-)YES I IND <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B C <br /> SEC 903(a) <br /> Z. BUILDING PUNS <br /> 3 <br /> 3. FIRE HYDRANT TOTAL 2. DD <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATJ LIN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING K--1 <br /> B. DRAINAGE 0311 `O31 00 marA <br /> 7. ENVIRONMENTAL IMPACT STATEMENT <br /> 8, HEALTH DISTRICT CD <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR,FOR ISSUANCE BY YOUR R EC E I PT <br /> THANK YOU <br /> ADDRESS FILE .__ I A lie 7.9 <br />