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the Evergreen <br />rVO N ST R U CT I O N <br />CITY OF <br />everei t <br />PERMIT <br />PERMItINO. <br />Cr%71 <br />CITY ;HALL 259-0745 <br />ElCOMBINATION R C BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />— <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS Cltt <br />Snohomish We. <br />LIP rHRryE . ♦ M <br />98290 c334-8659 '. <br />John Bitto <br />9302 44th Place S.E. <br />ARCHIi GR DESIGNER <br />TEO <br />MAIL AGGRESS CITY <br />ZIP !." <br />PHONE T� <br />GENERAL. CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE. LICENSES <br />m <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS Gtt <br />nP <br />PRO, LICENSE/ <br />•L <br />PLUMBING CONTRACT011 <br />MAIL ADDRESS Cltt <br />ZIP <br />F—F LICENSE/ <br />CLASS OF WORK <br />❑NEW ❑ADDItION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN OGARAGE <br />VALUATION OF WORK <br />s 1300.00 <br />interior a4 rnra sv=+a <br />PROPOSED USE OF BUILDING <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />COMMERCIAL <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELCW ORATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK —OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />Tract A, Beverly Park <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 />�lD— <br />SIGNATURE OF CONTRACTOR OR AU IZEDA T DATE <br />—PY <br />JOB ADDRESS /// <br />264a7-/5Q5 Beverly Blvd. <br />MECHANICAL <br />PLUMBING <br />_ <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />OR ITEM <br />NO. <br />TYPE OF FIXTURE <br />AIR CORD UNITS — H.P. EA. <br />WATER CLOSET TOIL <br />_ <br />on1 <br />REFRIGERATION UNITS—H.P. A <br />BATHTUB <br />EA <br />LAVATORY ASH BSIN <br />GAS FIRED A.G. UNITS —TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS —B.T.U. M EA <br />KITCHEN SINK 8 DISP. <br />WALL HEATERS — B.T.U. M <br />DISHWASHER <br />UNIT HEATERS — 8?.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />— <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE d CHIMNEY <br />_ <br />ROOF DRAINS — RAMLEADERS <br />GINK UAR. <br />(SERVICE <br />4 <br />00 <br />SUBTOTAL S on <br />SUBTOTAL <br />PERMIT : <br />PERMIT <br />PERM <br />TOTAL FEE S <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />t <br />FEAR YARD SETBACK <br />PLAN CHECK NUMBER 71 FEE RECEIPT NO. <br />81 � PLAN CHECK FEE <br />15.28 53113 <br />USE ZONE <br />LOT AREA <br />VACANT <br />DYES NT SITE <br />VALUATION <br />FEE <br />_FEES <br />TYPE OF CONST. <br />OCCUPANCYBGROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$1300. <br />23 <br />F-0 <br />V—N <br />22 <br />S1ZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC LOAD <br />6 <br />00 <br />1 <br />13 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />pEOUIflEID SPRINKLERS <br />MECHANICAL <br />6 <br />00 <br />OYES O <br />OTHER <br />APPROVALS <br />BY <br />DA:c <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />— <br />2. BUILDING PLANS <br />TOTAL <br />35 <br />50 <br />3. FIRE HYDRANT ro <br />4. FIRE PROTECTION SYS�1 <br />PERMIT VALIDATION_ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS I6 YOURPERMIT <br />6E59 So23.5n -- <br />L <br />Q <br />', ° : C F I PT c <br />. ,`I t� <br />5. GRADING <br />---8. DRAINAGE <br />`i7. ENVIRONMENTAL IMPACTWATEMENT <br />B. HEALTH PIS 91CT <br />pCIUPPLICATION ACG. BY <br />CANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />_ I <br />V.C. <br />L.C. <br />w <br />ADDRESS FILE <br />