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the GcCITY <br />"O <br />aTY oP <br />OF <br />ICI ST R U CT I O f�' <br />everett <br />A <br />PERMIT PERMIT NO. 13299 <br />CITY HALL 2598745 <br />EVERETT, WA 98201 ❑ COMBINATION <br />}x. BUILDING l.� MECHANICAL ❑PLUMBING <br />OWNER <br />MAIL A00RESS CITY ZIP PHONE <br />Terry Chism 619 61st Street Everett 353-4157 _ <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Mark Goode 5832 9111M <br />119th Avenue N.E. Lake Stevens 98258 334-9262 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />GOODEC208L4 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />CLASS OF WORK <br />❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑ SIGN ❑ W000 STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f 6,000.00 <br />DESCRIBE WORK <br />Construct Single Family Garage <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />e FamilyGarage <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL OESCR'PTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />1 OF Snohomish Land <br />Co's let <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />1,0�1-17 BLOCK <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />_ <br />JOB ADDRESS <br />SIGN C NTRA i0R OR AUTHOR) D AGENT DATE <br />619 61st Street <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <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 />BOILERS - H.P. EA, <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK b DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />_ <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />HATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M <br />VACUUM BREAKERS <br />STOVE - WOOD <br />RIDGE DRAINS - RAINLEADERS <br />METAL FIREPLACE b CHIMNEY <br />I*1 <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />SUB TOTAL <br />PERMIT <br />f <br />PERMIT f <br />F <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />S' <br />SIDE YARD SETBACK <br />PUN CHECK FEE <br />STREET S51 RACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />5' <br />20' <br />20' <br />84/13299 <br />FEE 36.73 RECEIPT NO. <br />USE ZONE <br />VALUATION <br />LOT AREA <br />VACANT SITE <br />FEES <br />R-2 <br />.YES )eW <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />V-N <br />M <br />$6,000. 56 50 <br />r <br />BUILDING <br />SIZE OF BLDG. <br />V <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />576 Sq. Ft. <br />1 1 <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE. SPRINKLERS <br />MECHANICAL <br />REOUIIRED <br />F•1 <br />APPROVALS <br />OTHER <br />LI <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />U.B.C. <br />PENALTY SEC. 303(AI <br />1' <br />2. BUILDING PLANS <br />_ <br />56 50 <br />E <br />J. FIRE HYDRANT <br />TOTAL <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />5. GRADING <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS jS YOUR <br />ffLL 5 6P 5 O T_ cn <br />_- <br />B. DRAINAGE <br />N <br />7,ENVIRONMENTAL IMPACT STATEMENT <br />M <br />S. HEALTH DISTRICT <br />�, II � <br />r <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPEL FOR ISSUANCE BY II <br />STG HNM <br />LC '..1',( Y C. U <br />- 11 !UIY b 4 <br />ADDRESS FILE <br />