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the Evergreen CITY OF CO I N ST R U IC"TI O N <br />everett PERMIT PEP.MIT No. 09144 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION Cj BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS CITY 21P I'MOrIL <br />Wash Garrett 1017 84th Street Everett 98203 355-9214 <br />GENE MAIL <br />Bldrs. Inc. 5606E Evergreen Way ADDRESS yIIT Everett 353-7161 <br />MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP BONE LICENSE <br />EV ER EB *301PH <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY r ZIP HONE LICENSE 1 <br />CLASS OF WORK y-y <br />❑NEW ❑AODIiION Lf11LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑61GN OGARAGE <br />r <br />3744.00 <br />Beg SE Corner SE% SW% thence N 88* <br />14 min. 40 see. W along S Line 99.71E <br />TPB thence continue N 88014 min 40 sec <br />W 851 thence N 0 1*45 min 20 see E 98.231 <br />to Southerly right a way State Highway <br />thence S 81.35 min 46 sec E along said <br />right of way 85.57E thence S 0 1 45 min <br />20 8ec W 88.311 TPB <br />THAT 1 HAVE READ AND EXAMINED THIS AP. <br />NOW THE SAME TO BE TRUE AND CORRECT. <br />IF LAWS AND ORDINANCES GOVERNING THIS <br />ILL BE COMPLIED WITH WHETHER SPFCIFHED <br />THE GRANTING OF A PERMIT DOES NOT <br />AUTHORITY TO VIOLATE OR CANCEL THE PRO - <br />OTHER STATE OR LOCAL LAW REGULATING <br />Ryi� PERFORMANCE OF CONSTRUCTION. <br />)RDR THORREO AG T CATE <br />01 <br />IF OF OUIP—ME NT FEE <br />6 — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />BOILERS H P. EA <br />LAVATORY (WASH BASIN) <br />OAS FIRED P : UNITS — TONNAGE EA. <br />D <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />KITCHEN SINK 6 DISP. <br />_ <br />WALL HEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U, M <br />DISHWASHER <br />LAUNDRY TRAY __ <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />CLOTHES WASHER <br />— <br />WATER HEATER <br />VENTILATION FAN <br />.- <br />_ <br />URINAL <br />RANGE HOOD <br />_ <br />DRINKING FOUNTAIN <br />AI R HANDLING UNIT — CF.M . <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE 6 CHIMNEY <br />.. <br />, <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE _BAR, ETC.) <br />SUBTOTAL <br />SUB TOTAL <br />_ <br />PERMIT <br />PERMIT S <br />TOTAL FEE <br />B <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />RECEIPT NO. <br />FEE <br />USE ZONE <br />LOT AREA <br />DYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUT' <br />NO. OF DWELLING UNITS <br />BUILDING <br />$3744 <br />44 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />SPRINKLERSREO <br />MECHANICAL <br />❑YES <br />C1NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />_ <br />PENALTY <br />SEC 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />44 <br />j5O <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />,. r G e O f '4r <br />I �• O _— <br />5. GRADING <br />6. DRAINAGE <br />° <br />I <br />cr) <br />If,T O <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />BY <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE <br />ADDRESS FILE <br />17 ,A a 1 <br />