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th Evergreen — CITY OF CONSTRUCTION <br />ver tt PERMIT PERMIT NO. O-1150 <br />CITY HALL 2 -8745 <br />EVERETT. WA T <br />ol ❑ COMBINATION ❑ BUILDING Ll MECHANICAL ❑ PLUMBING <br />ZIP <br />❑NEW EIADDITiIIIIN EkkLTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />$ <br />PHONE LICENSE I <br />PROPOSED USE OF BUIl01NG <br />Offirn <br />I HEREBY CERTIFY THAT 1 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 TOGIVE AUTHORITY TOVIOLATE ORCANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />-CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X 6-18-80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATT I OUR COPIES) <br />LOT BLOCK —OF <br />Tract T North Beverly Park Vp]__10 <br />— — <br />PTaEtS• <br />RESS a <br />ADD <br />' --, <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET(TOILET) <br />0 c <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN) <br />BOILERS —H.P. EA. <br />1 <br />SHOWER <br />00 \ <br />GASFIREDAC UNITS —TONNAGE EA. <br />KITCHEN SINK 6 DISP. <br />FORCED AIR SYSTEMS — B.T.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 />2 <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />% <br />VENTILATION FAN <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 6 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />C <br />SUBTOTAL <br />tiSUBTOTAL <br />1 <br />PERMIT <br />$1 <br />3 <br />100 <br />PERMIT S <br />TOTAL FEE <br />$1 <br />11 <br />IWQ <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES 13NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 6000.00 <br />36 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE USPRINKLERS <br />!YES FIND <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />T. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UB.C. <br />SEC. 303(B) <br />:F <br />- <br />- <br />2. BUILDING PLANS <br />TOTAL <br />47 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUPI PERMIT <br />CD <br />\ ~ <br />CD <br />5. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />