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the EUErgreen <br />CITY OF C INSTRUCTION - q <br />everett PERMIT PERMITNQ:_ f ��� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION [N BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS- <br />CITY <br />ZIP <br />PHONE <br />Greg Kuper <br />1820 72nd P1 SE Everett, WA 98203 <br />355-7866 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Jim Drake <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE LICENSE F <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />® NEW 30 ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 4,000. <br />DESCRIBE WORK <br />20' x 14' garage, new construction <br />❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />garage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P RFORMANCE OF CONSTRUCTION. <br />SIGNAT E OF CONTRALTO AU ORIZED AGENT. OR OWNER DATE <br />X S P <br />- [GAL DESCRIPTICNOFPROPERTY ISHOWBELOW ORATTACH FOUR COPIES) <br />3 Lot 3 less beg BE Cor SO Lot <br />LOT _ BLOCK _ OF <br />th 5.88* 03 COW Alg S Ln thL f for 52d ft Th N <br />14. 17 32E 66.85 ft to Slyi,W of 72n P, Th E <br />Alg SO Sly R/W 41.06 Ft to NE Cor SD Lot th S <br />Alg E Ln SO Lot THP <br />JOB ADDRESS <br />1820 72nd PI SE <br />PLUMBING <br />MECHANIC <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />A,C —A, HNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS — H P EA <br />LAVATORY I WASH BASIN) <br />BOILERS — 8 T U /H P <br />SHOWER <br />GAS FIRED A C UNITS — B T U <br />KITCHEN SINK S DISP <br />FORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />WALL HEATERS —B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CI OTHES 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 />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />S <br />TOTAL FEE <br />FRONT SETBACK <br />20' <br />REAR SE TRACK <br />20' <br />SIDE SETBACK <br />6' <br />PLAN CHECK NUMBER <br />87/18317 <br />FEE <br />40.95 <br />RECEIPT NO <br />86823 <br />USEZONE <br />R-1 <br />LOT AREA <br />VACANT SIZE <br />OYES [jVO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ 4000.00 <br />63 <br />00 <br />TYPE OF CONST <br />V—N <br />OCCUPANCY GROUP <br />M-1 <br />NO OF DWELLING UNITS <br />0 <br />PLUMBING <br />SRE OF m UG <br />gar. 280 sf <br />NO OF STONES <br />1 <br />MAX OCC LOAD <br />NA <br />MECHANICAL <br />FIRE 1 K RS REQUIRED EIYEs UkNO <br />INVESTIGATION FEE <br />E,j_�7., 3011e) i <br />-,.00 <br />STATE BUILDING SURCHARGE <br />11.50 <br />1 <br />SO <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M. M. <br />PLANS CHECKED BY <br />Be <br />nPPn FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />20 <br />00 <br />TOTAL <br />84 <br />50 <br />PFRYIT VAL.IOATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />M <br />co <br />q— <br />ADDRESS FILE <br />