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the Evergreen CITY OF C' N ST R U CT I O N <br />everett PERMIT PERMIT NO.09690 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION UBUILDING Ll MECHANICAL U PLUMBING <br />OWNER MAIL ADDRESS CITY .i PHONE <br />Paul Murker 8014 Beverly Blvd. 353-4403 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ➢I PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />H & G Glass Co. <br />2931 Bond Street <br />Everett <br />98201 <br />353-8484 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP HG <br />CL 7rT04PE LICENSE <br />PLUMBING CONTRACTOR MAIL SAURESS CITY ZIP PHONE LICENSE) <br />-- ❑NEW ❑ADDITION ❑ALTERATION ❑IOEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 1400.00 <br />PROPOSED USE OF BUILDING <br />Re -roof --Composition <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 />HEREIN 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 PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OFp FACTORlO THORIZE AGENT DATE <br />C 8/24/81 <br />LEGAL DESCRIPTION OF PROPER" (SHOW BELOW OR ATTACH FOUR COPIES) <br />27 5 Beverly Park <br />LOT BLoac of y <br />JOB ADDRESS <br />8014 Beverly Blvd. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET OIL <br />AIR DOING. UNITS —H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY 'ASH BASIN <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK 5 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />_ <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 />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F III <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE d CHIMNEY <br />SINK SERVICE — BAR. ETC.) <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT <br />i <br />PERMIT i <br />TOTAL FEE <br />IT <br />TOTAL FEE 3 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLOST. <br />OCCUPANCY GOOUP <br />NO. OF DWELLING UNITS <br />e'JILDING <br />FL400.00 <br />23 <br />50 <br />— <br />SIZE OF BLDG. <br />FIRE ZONE <br />NO OF STORIES <br />BASEMENT <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ONO <br />PLUMBING <br />MECHANICAL <br />— <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC. <br />SEC. 303(9) <br />_ <br />Z. BUILDING PLANS <br />TOTAL <br />23 <br />5 0_ <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />I - - - O <br />0) <br />Q0 <br />4[D <br />J <br />5. GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />