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the nergrem <br />CITY OT <br />everett <br />259-8745 <br />CN,STRUCTION <br />PERMIT <br />PERMIT NQ: _ 20961 <br />❑ DEMOLITION ❑ COMBINATION IA BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OPMER MAIL ADDRESS CITY IIP PHONE <br />Robert L. Shatzka 703 90th Pl SE Everett, WA 98208 353-3620 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />PLUMBING CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENSE. <br />CLASS OF WORK <br />CT NEW ® ADDITION O ALTERATION 0 REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 8750.00 <br />DESCRIBE WORK <br />Construct garage, breezeway and driveway <br />HEAT SOURCE <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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF ONST UCTION. <br />SIGMA E CON A�Cyy'pR. A IZE ENT, OR OWNER DATE <br />X d <br />LEGAL DESCRIPTION Or PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />Sec 18 Twn 28 Rge 5 Th ptn <br />Lot B4 I NWor <br />NW * 0 <br />Ti SE y Ti DAF Beg NW cor SD Sub Th 500 <br />30 E Algw Ln 497.241 to N. Ln s � s� SL SD Sub <br />Th 588*49 18E Alg N. Ln 103.01' to PPOb the <br />more legal Secs on file <br />JOB ADDRESS <br />703 90th PI SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAT ER CLOSET (TOILET) <br />AIC - A/HNDLG UNITS - H P <br />BATHTUB <br />REFR GERATION UNITS - H.P. EA <br />LAVATORY (WASH BASIN) <br />BOIL RS-BT U/H P. <br />SHOWER <br />GASIIREDAC UNITS -BTU <br />KITCHEN SINK 6 DISP, <br />FORCE AIR SYSTEMS - B.T U. M EA. <br />DISHWASHER <br />WALL HEATERS -BT.U. M <br />LAUNDRY TRAY <br />I UNIT HEATERS - B T U. 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 />13ACKFLOW PREVENTCRS <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 />EKHAUSTFAN <br />SUBTOTAL <br />f <br />SUB TOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTALFEE <br />{ <br />TOTAL FEE <br />FRONT SETBACK <br />201 <br />REAR SETBACK <br />20' <br />SIDE SETBACK <br />6' <br />PLAN CHECK NUMBER <br />88/20961 <br />FEE <br />94.35 <br />RECEIPT NO <br />13430 <br />USE ZONE <br />R-1 <br />LOT AREA <br />7347 <br />VACANT SITE <br />OYES NNO <br />FEES <br />I <br />- it <br />108 00 <br />BUILDING <br />$ 8,7�0.00 <br />TYP[QNONST <br />VV <br />OCCUPANCY GROUP <br />M-1 <br />NOOi&WELLINGUNITS <br />0 <br />PLUMBING <br />SIZE OF FILM <br />675 of <br />NO OF STORIES <br />I 1 <br />MAX OCC LOAD <br />NA <br />MECHANICAL <br />PLN CH f <br />iM <br />FIRE SPRINKLERSREOUIRED FIVES ONO <br />NAt6Adl6iAFiLQ(*WWxPlan <br />h 4(R) <br />5 <br />85 <br />NQGKOSWiXACRR><OSYE <br />$uildinQ C <br />Surc are <br />de <br />3 <br />50 <br />ST ATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />SH <br />MANS CHECKED BY <br />Be <br />APPR FOR ISSUANCE BY <br />Be <br />DRIJEWAY PERMIT <br />TOTAL <br />117 <br />35 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />A[A)hUSS 111 L <br />