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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />r-ONSTRUCTI©N <br />PERMIT PERMIT NO. 07921 <br />❑ COMBINATION UBUILDING L" MECHANICAL. ❑ PLUMBING <br />OWNER MAIL ADDRESS city ZIP PHONE <br />Everett School Diet. #2 4730 Colby Everett 342-7400 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZP <br />PHONE <br />LICENSE/ <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />(in <br />ZIP <br />PHONE <br />UCENSEI <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UCANSE0 <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE relccation <br />VALUATION OF WORK <br />f <br />Relocate Two Portables From Cascade School to 7621 Beverly Lane <br />PROPOSED USE OF BUILDING <br />Class rooms <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 0r A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PRO. <br />VISIO t--ALN OTHE;_ 3P TE OR LOCAL LAW REGULATING <br />C STRUCTON / R TH _ PERFOR ANCE OF CONSTRUCTION. <br />IONANRE OF COjNAC/T�GR�R AUTHORIZi„ENT DATE7/10/80 <br />LEGAL DESCRIPTION OF PRDPERT'(SHOW BELOW OR ATTACH FOUR CORES) <br />LOT BLOCK OF <br />JOB ADDRESS -- <br />7F .1 Beverly Lane <br />PLUMBING <br />MECHANI AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGUIPMEIIT <br />FEE <br />WATER CLOSET ROIL <br />AIR COND. UNITS -- H P FA. <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 & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />— <br />LAUNDRY TRAY <br />UNIT HEATERS — BT.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 M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK (SERVICE — BAR, ETC. <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />i <br />PERMIT S <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />_ <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FF.E <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />E <br />100 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCG. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />OYES <br />SPRINKLERS <br />ONO <br />----- <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />6EC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />100100 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHET PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />r <br />4 5 8 5 f 0 0. 0 O Y- <br />I� <br />C <br />YOUR RECEIPT <br />THANk Y^tl <br />5. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />L.C. <br />