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- . <br /> � � <br /> theEvergreen � �Or " STRUCTION � <br /> CITV OF <br /> everett PERMIT PERMIT NO. O717Z <br /> GTV HALI 259�87d5 <br /> EVERETf.WA 90201 ❑ COM6INATION � BUILDINO � MECHANICAL PLUMBIN(i <br /> OWNE9 M�IL�DUNE55 Glfv 21P FHONE <br /> Dr. V. A. Goforth 302 Alvereon Blvd. 259-0730 <br /> ARCNITECTOR�ESIGNER 4AILADOFE55 CIiY ZIP PNONE <br /> GENEPAL CANTNALTOR MAIL�DDNE55 CItY IIP iNONE LIGENSE� <br /> Clifton L. Stout 1819 3rd Street Maryaville 659-5369 <br /> NFCH�NN'Al CGNiWw':TOR MAIL�U�RE55 CITY 21P PMONE LICENSF 1 <br /> VLUMBING CQNTRACTOR MAIL AODRE65 CIiY 1iP FMONE IICENSE 1 <br /> ClAS50F WOPN <br /> ❑NEW I�'1DDITION ❑ALTERATION ❑REPAIR ❑DEMOlI710N ❑FENC! ❑SIGN GARNGE <br /> W W�TION OF WORK , <br /> f Br000.00 <br /> DE6LRIBE WORK <br /> 16'x14' Addition to exietin ein le £amil reeide <br /> PROPOSED U6E OF BUILOINO <br /> ELec Room I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS AP• <br /> IEdAL0E6LRIPTI0N0iPiq1'ERTY�SHOWBELOWOP�TT�CNfOURfAPIE51 PIICATION AND KNO'�V THE SAME TO BE TRUE AND CORRECT. <br /> Marine Park ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> i�30-s5�-S�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHEfi SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING � <br /> CONSTRUCTION OR THE PERFORMAPlCE OF CONSTRUCTION. <br /> SIGNATURE Of CA 0 O UTHOFRED�GENT 1�30�80 <br /> . JOB A��REfiS <br /> 302 111wrwn X <br /> KUMNNO MECHA ICAL � <br /> Np, TY�E OF FIXTUIIE 011 ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET OIL AIR COND.UNIT5—N P.EA. � <br /> BATMTUB REFRIGERATION UNIT5—H P.EA <br /> � UVATOHV ASH BASIN BOILERS—HP EA. <br /> � SHOWER (3AS FIRED AC.UN175—TONNAGE EA . <br /> KITCHEN SINK 6 DI6P. FOPCED AIP SVSTEMS—B.T.U. M EA . � <br /> DISMW�45HER WALL HEATERS—BSA. M <br /> � UUNDRY TMY UNIT HEATERS—B?A. M <br /> CLOTHE6 WASMER EVAPORA7IVECOOLERS <br /> WATER HEATER CLOiMES DRYERS <br /> URINAL VENTIIATION FAN <br /> DRINI(INO FOUN7AIN RANGE NOOD <br /> PLOON OMIN AIR HANDLINO UNIT — C F.M. _ <br /> YACUUM BREANERS STOVE <br /> ROOF DMIN6—RMNLEADERS METAL FIqEPIACE 8 CNIMNEV . <br /> SINK SERVICE—BAR,ETC. — <br /> W�TOTAL tU�TOTAL � <br /> rc�rrc � PEIIYIT � <br /> � F�� TOTAL FEE <br /> 61DE YARD SET9ACN STREET SETBACN REAR VARD SETBACK PLAN CMECK NUMBER PIAN CMECK iEE <br /> 80��,1�2 FEE22.�0 46900No. <br /> USE 10NE LO7 AREA �AGNT SI�TE FEE! VALUATION FEE <br /> TYPE OE_C9NST. OCCUPAR 3 AOUP N0.Of DWEiLINO UNITS <br /> � P eui�ou+o s8,000. 44 00 <br /> 612E G'BlDO. N0.OF STORIE6 MAIf.OCC.LOAD <br /> 1Q�x1U� A�a. 1 PLUMBING <br /> FIREZONE BASEMENT FIRE6PRINKLERS yECMANICAL 6 00 <br /> 3 none REOUIHED__ _ <br /> CJYES WIIO <br /> ��pyµ� �Y OATE OTHER <br /> 1. ENVIHONMENTAI CHECK�IST pENq�Ty U B C. <br /> SEC.9031a1 <br /> 2. BUILDINO PUN6 TOTAI SO 00 <br /> �,,. 7. FIRE HVDMNT � <br /> � � �. FIPE PROTECTION 6YSiiAI �EIIMIT VALICIITION � <br /> WHEN PROPENIY VAIIDATEU(IN THIS SPACE)TNIS I6 Y�UR PERMIT <br /> r^� �� '6. OMDINO —� (V <br /> : ° °�,� .€• 1711 �444.00 —� ' <br /> �7. ENVI� M ALIMP STATEMENT <br /> �8. MEA�L3$CDISTRICT � � ~ <br /> qpp�' LICATION .BY UNS CHECKEO BY APPR.FOR I&SUANCE BV � O � <br /> e :,� n v.c. �fO�U;R .(�E�GEIPt <br /> 0 m ` TbiAl�K �Yi�?U � <br />