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. , <br /> y � <br /> fheEvergreen -- CC l�TRUCTION � � � <br /> CI7Y OF <br /> everett PERMIT pERMIT NO. O8ZT6 <br /> CITY HALL 259�0745 <br /> EVERETT,WA 98zoi ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br /> OWNER M�IULDRESS CITY 21P pHONE <br /> enohomieh Cnunty Mueeum Aeeociation 195 Alvereon Blvd. <br /> ARCHIiECi OP DESIGNEP MMl qUDRESS f.ITY . PHONE <br /> GENEMI CANifUCipR M�II ADDRE65 CITY 11P YNONE LICENSE� <br /> $dill@ <br /> MECH�NICAL CONLIUCLOR MAII�OORESS GTY IIP PMONE LICENSE 1 <br /> VIOMBIN6fAN1f1ACTOR MMLA�ORE55 GTY ZIP pNONE IICENSE� <br /> CLA680F WpRK <br /> ❑NEW ❑ADDITION ❑ALTERATION �EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑(3ARAGE <br /> V�LUATION Of WORN <br /> y SUG.�U <br /> OESCRIBE WOfiN <br /> enclose back porch area <br /> PPOPOS�ED USE OF BUILDINO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEO�LUE6GRIPTIONOFPR0VC9.Y�6HOWBEIOWOPATT�CN�OURCOPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eia�_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEFEIN 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 OF LOCAL LAW FEGUTATING <br /> CONSTRUCTION OR TIiF PERFORMA E OF CONSTRUCTION. <br /> JOB AOORE66 SIGNAtUPi F CpryTRACTOP 0 U7 �ZED AG D.1TE <br /> 145 Alvereon &lvd. 9/12/60 <br /> PLUM�INO MECXANICAL <br /> NO. riPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIpMENT FEE <br /> WATER CLOSET OILET AIR fANU.UN175—HP. EA. <br /> BATHTUB qEFRIGERAiION UNITS—H.P.EA <br /> UVATORY ASH BASIN BOILERS—H.P.EA. <br /> SHOWER GAS FIRCD AC. UNITS—TONNAGE EA <br /> K�TCNEN SINK 8 DISR fORCED AIR SYSTEMS—B.7.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T U M <br /> LAUNDNV TPAY UNIT HEA7ERS—B i U. M <br /> CLOTMES WASHEF EVAPORATIVE COOLERS <br /> WATER NEATER CLOTHES DNYERS <br /> URINAL VENTIUTION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> FlOOR DMIN AIR HANDUNG UNI�— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DMINS—MINLEADERS ME7AL FIREPLACE 6 CNIMNEv <br /> SINK ISERVICE—BAR,ETC. <br /> SU�TOTAL 8UlTOTAL 3 <br /> PEIIMR 1 PERMIi { <br /> T iAL F'EE TOTAL FEE <br /> SIDE VMD SETBACK STHEE7 SETBACK REAR YARD SETBACK PLAN ChECK NUMBEF PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> � USE ZONE LOT AREA VACANT SITE <br /> L7YES ❑NO FEEB VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLIN�UNITS <br /> BUILDING f 00 00 <br /> 512E OF BLD�. NO.OF S10RIES MN(.OCC.LOAD <br /> PLUMBINQ <br /> FIRE ZONE BPSEMENT FIRE SPHINNLERS <br /> flEOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> M�IIOVALA !Y DATE OTHEN <br /> 1. ENVIRONMENTALCHECKLIST PENAL7V U.B.C. <br /> 2. BUILDINO PLANS SEC.303(e� <br /> 7. FIRE MYORANT TOTAL OO OO <br /> 0. FIRE PPOTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERIV VALIDATED pN THIS SPACE)TMIS IS VOUR PERMIT <br /> 5. GRADIN� 16 8 6 S 0 0 0. 0 0 —ca <br /> 6. DRAINAGE � <br /> 7. ENVIRONMEN7ALIMPACTSTATEMENT ' N <br /> B. HFALTM OISiRICT "��� '.i R R�C E I PT00 <br /> , .� � o <br /> APPLICATION ACC.BY PUNS CHECKED BY API'R.FOR ISSUANCE BY <br /> , ; I/�,tJK Y� U <br />