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the Evergreen CONSTRUCTION <br /> CITY OF <br /> everett PERMIT PERMIT NO. 07414 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 0 COMBINATION ®C BUILDING IJ MECHANICAL EIPLUMBING <br /> OWNER <br /> HAIL AD IRE55 CITY ZIP aIIll <br /> William Clark 213 80th Street S.E. 9820 — <br /> ARCHITECT OR DESIGNER <br /> TWLADDRESS CITY I'b <br /> ZIP [VE <br /> GENERAL CONTRACTOR MAIL ADDREES CITY ZIP PHONE LK.ENSE F <br /> Silver Homes, Inc. 221 South Broadway 98204 353-5080 <br /> LKENSE MECHANICAL CONTRACTOR MARADDRESS —_-- CITY EI%' SI C350F <br /> SI LV EH C3509 <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LY.ENSEI <br /> CLASS OF WORNp��� <br /> L]NEW [:]ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ,uunRAQE <br /> VALUATION OF WORK <br /> E 5,040.00 <br /> DESCRIBE WORK <br /> single family garage <br /> PROPOSED USC OF BUILDING <br /> garageI HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGAL DESCRIPTION OF%pPERTY ISHOW BELOW OR ATTACH FOUR COPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> SP 1202-25-79 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 3 <br /> LOT aLOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br /> IIT VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> .OB ADDRESS X 4/1/80 <br /> 213 80th Street S.E. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEl.1 FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) <br /> AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHCN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. MEA <br /> WALL HEATERS—8 T U. M <br /> DISHWASHER UNIT HEATERS—B.T.U. M <br /> _ LAUNDRY TRAY <br /> EVAPORATIVE COOLERS <br /> CLOTHES WASHER <br /> CLOWATER HEATER VENTHATIONFES N <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANC LING UNIT— C F M <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS <br /> METAL FIREPLACE B CHIMNEY <br /> SINK(SERVICE—BAR.ETC. <br /> BUB TOTAL _ SUBTOTAL f <br /> f PERMIT <br /> PERMIT f <br /> f TOTAL FEE f <br /> TOTALFEIF <br /> SIDE YARD SET CK STREET SETBASK REAR YARD SETBACK PLAN CHECK NUMBER P <br /> V IAN CHECK FEE <br /> 20 20' 80/7414 FEE 18.0 RECEIPT NO <br /> USE ZONE R-1 LOT AREA I)YLES T>E 10 FEES VALUATION F <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS 36 00 <br /> V-N M-1 0 BUILDING f <br /> SIZE OF BLDG NO.OF STORIES MAX OCC.LOAD <br /> 30'x34' 0 PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> 3 none K`OUIREDo <br /> nrR [ <br /> APPROVA.3 By DATE OTHER 1 <br /> I. ENVIRONMENTAL CHECK LIST PENALTY UEC C <br /> SEC 303(0 <br /> 2. BUILDING PLANS TOTAL 36 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR <br /> 2PERMIT <br /> 5. QMDr3 0799 5036. 00 <br /> B. DRAINAGE <br /> 7, ENVIRONMENTAL IMPACT STATEMENT1 r, <br /> 8. HEALTH DISTRICT YCPU R RECyE�IPT° <br /> APPLICATION ACC.BY PLANS V EC <br /> KED BY APPH FOR ISSUANCE BY THANK Y V U <br />