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"PE"cTY OF rONSTRUCTION <br />everett PERMIT PERMITNO. �7921 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION UBUILDING IJ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS u1P I", PHONE <br />Everett School Dist, N2 4730 Colby Everett 342-7400 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GcNFRAL CCNTRACTOR <br />MAIL ADDRESS <br />Gtt <br />:�V <br />PHONE <br />LICENSE I <br />Same <br />MECHANICAL WNTRACTOR <br />MWLADDRESS <br />GTY <br />ZIP <br />PHONE <br />LICENSE I <br />PLUMBING CONTRACT9R MAIL ADDRESS Gtt ZIP PHONE LICENSE IF <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE relocation <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 OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIOTIS OF AN OTHER `�R LOCAL LAW REGULATING <br />CJxSTRUCTION R T € PERFOR ANCE OF CONSTRUCTION. <br />'NATURE OF CON T AUTHORIZ ENT DATE7/10/80 <br />X( yy„s gygXS1[y <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT RLOCK__OF <br />JOB ADDRESS <br />7621 Beverly Lane <br />PLUMBING <br />MECHANI AL <br />NO. <br />_ TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET OIL <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />I REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS —H.P. EA. <br />_ <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SIP;K 8 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 />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />I <br />AIR HANDLING UNIT — L' <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK ISEAVICE — BAR, ETC.) <br />SUBTOTAL <br />SUB TOTAL f <br />PERMIT i <br />PERMIT f <br />TOTAL FEE f <br />TOTAL <br />FEE f <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 CONST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />100 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />OYES <br />SPRINKLERS <br />ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />00 <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />100 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />4 5 8 5 a 100.00 <br />Q <br />YOUR RECEIPT <br />T LJA F.IV vim.. <br />S. GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PUNS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />L.C. <br />I "AIMM 1lJU <br />ADDRESS FILE <br />