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FheF.l e <br />CITY OF �� <br />CITYOF <br />C" INSTRUCTION - - <br />everett <br />PERMIT PERMITNO. 19947 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION 1W BUILDING ❑ MECHANICAL ❑ PLUMBING P SIGN <br />OWNER <br />MALL ADDRESS CITY : il' PHONE <br />Jeffrey A. Gehrig <br />1329 63rd St. Everett 98203 353-9728 <br />ARCHITECT OR DESIGNER <br />HAIL ADDRESS CITY ZIP PHONE <br />GENYRAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Owner <br />MECHANICAL CONTRACTOR <br />NAIL ACRAESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR <br />-TAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />51 NEW [I ADDITION <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION Of WORK <br />t 23,544.00 <br />DESCRIBE WORK <br />_ <br />Garage <br />HEAT SOURCE <br />O ELECTRICITY ❑ GAS <br />❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />era a store a <br />AI-PLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOWOR ATTACH FOUR COMESI <br />5 2 Beverly <br />Hills <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT BLOCK OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />Division M2 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT RE OF CONVIACTTM AUTHORIZED AGENT. OR OWNER GAT <br />JOB ADDRESS <br />_ <br />X C� ":c 1 <br />1329-63rd Street <br />t <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 (TOILETI <br />k/C -- A/HNDLG UNITS - 14 P <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASINI <br />BOILERS - B T U /H P <br />SHOWER <br />GAS FIRED AC UNITS- 117U <br />KITCHEN SINK A OISO <br />FORCED AIR SYOTEA• S - B T U M EA <br />DISHWASHER <br />WALL HEATERS - B I M <br />LAUNDRY TRAY <br />_V <br />UNIT HEATERS - B .0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />_ <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE A CH' 'NEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />OAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />PERMIT <br />T OTAL FEE <br />f <br />TOTA <br />` ** <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />F I <br />20' <br />20' <br />5' <br />88/19947 <br />M099947 97850 <br />LOT AREA <br />17,000 <br />sf <br />VACANT I8�TE <br />❑YEB FpNo <br />FEES <br />VKMTION$243.00 <br />FEE <br />USE ZONE <br />R-2 <br />BUILDING <br />S H .D6 <br />.30 243 <br />_ <br />00 <br />TYPE OF COAST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />V-N <br />M-1 <br />0 <br />PLUMBING <br />CHEM $351.80 <br />512E Of ELM <br />NO OF STORIES <br />MAX OCC LOAD <br />1.296 sf - garl <br />NA <br />MECHANICAL <br />11t1k§(c�r}Icj[l,� Pl CJc �,�(e) 105 30 <br />d9&�55dt(g�p]`� �y�7-�}} <br />FIRE fONKLEITSS RLLJUIRED ❑ YES QN0 <br />STATE BUILDING SURCHARGE 3 50 <br />STATE ENERGY SURCHARGE <br />APPIICATIONACC BY MANS CHECKED BY <br />Amp Fop ISSUANCE BY <br />DRIVEWAY PERMIT <br />BE <br />BE TOTAL 351.8 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L` <br />ff-:j' <br />rn <br />cm <br />ADDRESS FILE <br />