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r <br />L <br />The Evergreen CITY OF C 1 N ST R U CT I O N <br />everett PERMIT PERMITN0.1O74H <br />CITY HALL 259B74E <br />EVERETT. WA 90201 C COMBINATION XX BUILDING L MECHANICAL ❑ PLUMBING <br />^ <br />SHIRLEY LOTH <br />MAIL ADDRESS <br />1010 - 84th St SE <br />i T , <br />Everett WA 98204 <br />ZIP <br />353-0667 <br />PHONI <br />AROnR(T OR ULSIGNVI-- <br />--- MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GE NERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Owner <br />MECHANICAL CONTRACTOu - <br />- - MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE / <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />CLASS OF WORK <br />MEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SION ❑GARAGE <br />VALUATION OF WORK <br />T 1742.00 <br />DESCRIBE WORK <br />Construct storage shed 14 x 16 <br />PROPOSED USE OF BUILDING <br />Storage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />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 />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OR OR AUTHORIZED AOE DATE <br />X 7/8/82 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />42 Cascade Mt. Vw <br />LOT BLOCK_OF <br />JOB ADDRESS <br />1010 - 84th St SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />ITYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET3 <br />AIR COND. UNITS — M.P. FA. <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 6 DI6P. <br />FORCED AIR SYSTEMS — 8T,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 />WATER HEATER <br />CLOTHES DRYERS <br />USNAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK SERVICE — BAR. ETC) <br />SUBTOTAL <br />SUBTOTAL t <br />PERMIT t <br />PERMIT t <br />TOTAL FEE i <br />TOTAL <br />FEE t <br />SIDE YARD SETBACK <br />6 ft <br />STREET SETBACK <br />20 ft <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />82/10748 <br />PLAN CHECK <br />FlIg.18 <br />FEE <br />582441PTNo <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />IJYE6 LINO <br />FEES <br />VALUATION <br />VEE <br />TYPE OF CONST. <br />V-W <br />OCCUPANCY GROUP <br />M <br />NO. OF DWELLING UNITS <br />BUILDING <br />t 1742.00 <br />29 <br />50 <br />SIZE OF BLDG. <br />224 sq ft <br />NO, OF STORIES <br />MAX. DOC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />ETYES <br />SPRINKLERS <br />LINO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC 303 (4) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />29 150 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />00 <br />019.5 0 ---�i <br />Q <br />RECEIPT <br />YOURSG <br />THANK YOU <br />. <br />6GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />HWM <br />APPR FOR ISSUANCE BY <br />LC <br />ADDRESS FII_E <br />- 7 JkIr. R 9 <br />