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the Erecrgreen �O N ST R U CTI O N <br />Y OF <br />everertt PERMIT <br />CITY HALL 259-8745 <br />PERMItjNO. M71 <br />EVERETT. WA 98201 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />ui r <br />ZIP <br />, <br />John Bitto <br />e <br />.302 49th Place S.E. <br />Snohomish Wa. <br />98290 <br />w <br />c334-865� <br />PHRRE � � <br />� <br />� <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CRY <br />ZIP <br />___ <br />PN7 • <br />n <br />GENERAL CONTRACTOR <br />Same <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONF <br />LICENSE <br />m <br />, <br />MECNANIGLCON'RACfOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />cw <br />PHONE <br />LICENSE <br />�D <br />I PLUMBING CONTRACTOR <br />I <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />CLASS OF WORK <br />ONEW <br />13ADDITION &LTERATION OREPAIR <br />❑DEMOLITION ❑FENCE <br />❑SIGN <br />OGARAGE <br />VALUATION OF WORK <br />s 1300.00 <br />interior alterations <br />PROPOSED USE OF BUILDING <br />COMMERCIAL <br />I HEREBY CERTIFY THAT I 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 />•1EREIN 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 OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERF RMANCE OF CONSTRUCTION. <br />SIGNAn)RF+OF CONTRACTOR OR AU IZED T DATE <br />_ _ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT RL°D�—°F <br />Tract A, Beverly Park <br />JOB A`DRES5 <br />Z60�n Beverly Blvd. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FOLTURE OMITEMFEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET OILAIR <br />LONG. UNITS — H.P. EA. <br />1 <br />BATHTUBREFRIGERATION <br />LAVATORY ASH SASINBOILERS <br />UrJliS — H.P. EA <br />-- H P. EA. <br />SHOWERGAS <br />FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 6 DISP.FORCED <br />_ <br />AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHERWALL <br />HEATERS — B.T.U. M <br />_ <br />LAUNDRY TRAYUNIT <br />HEATERS — B.T.U. M <br />CLOTHES WASHEREVAPORATIVE <br />COOLERS <br />- <br />WATER HEATERCLOTHES <br />DRYERS <br />URINALVENTILATION <br />FAN <br />DRINKING FOUNTAINRANGE <br />HOOD <br />_ <br />FLOOR DRAINAIR <br />HANDLING UNIT — C.F.M. <br />VACUUM BREAKERSSTOVE <br />ROOF DRAINS — RAINLEADERSMETAL <br />FIREPLACE 6 CHIMNEY <br />SINK SERVICE—BAR•ETC. <br />SUBTOTAL <br />PERMIT 8 <br />6 <br />SUBTOTAL <br />PERMIT <br />TOTAL <br />PLAN CHECK NUMBER <br />81/9071 <br />s <br />: <br />FEE <br />PLAN CHECK FEE <br />FEE 15.28 RECEIPT NO. <br />53113 <br />TOTAL FEE 1 A n n <br />SIDE VAR. SETBACK STREET SETBACK REAR YARD SETBACK <br />_ <br />USE ZONE <br />LOT AREA <br />VACANT @@I�T�E� <br />OYES fZiJO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONSN <br />SIZE OF BLDG. <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />1 <br />NO. OF DWELLING UNITS <br />0 OCC. LOAD <br />13 <br />BUILDING <br />s1300. <br />23 <br />50 <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />R E61RED <br />SPRINKLERS <br />O <br />MECHANICAL <br />6 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />PENALTY <br />U.B.C. <br />SEC. 303 (4) <br />3. FIRE HYDRANT ,.,. <br />TOTAL <br />3 S <br />5 0 <br />4. FIRE PROTECTION S <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6 S 5 9 $ 0 Z 3.5 0 --- <br />0IS <br />T � <br />• • i. l • I U <br />5. GRADING <br />—B. DRAINAGE <br />�7. ENVIRONMENTAL IMPACr-STATEMENT <br />u8. HEALTH UgICT ' <br />p�PPLICATIQN A,CC. BY <br />_ l) <br />C1 rn <br />C ... <br />L1NS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />L.C. <br />