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APPLICATION FOh <br />eYEre„ <br />IA. EY.r°'"" <br />CONSTRUCTION <br />CLIFF OF <br />everett <br />PERMIT <br />BUILDING <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />259-8810 <br />259.88 <br />SET-UP <br />❑ DEMOLITION ❑ COMBINATION <br />E] BIMMONiIGA ❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNED <br />MAIL ADDRESS CITY 111' <br />PHONE <br />EVERETT SCHOOL DISTRICT <br />N0. 2 4730 Colby Ave. Everett 98203 <br />339-4350 <br />ARCHITECT OR DESIGNED <br />MAIL AO011ES." city 711' <br />FRONT. <br />-------------------- <br />GENERALCOPOTIACIOD <br />MAIL APTNESS CRY III' <br />".ONE <br />IlCkIISE <br />MEC.IUN:GLCGIIIMCIOD----- <br />MAIL ADTRE55 fITr 15, <br />PNONC <br />LICENSE. <br />PLOMDING CONTRCTOR <br />MAIL ADDRESS CRY bP <br />PHONE <br />IICk RS[ <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLIIION ❑ WOODSIOVEA RPL. INSERT ® BUILDING RELOCATION <br />VALUATION Or WORK It USH OF MAT[RML$ 1L05 LABDIR <br />$4000.00 <br />Move '_' portable classro <br />USE OF OUROIN9 <br />Classrooms <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL Oti COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE Gh.4NTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TC. VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OFFAUTHORIZED AGENT HATE <br />APP6ANrSCNYRlI51NE. -LASE NO <br />LEGAL OESCRIPDON Or PROPERLY ISNOWN BELOW OR ATTACH FOUR COPIES' <br />Lol__BLOCK_—or <br />PROJECT ACDDESS Evergreen Middle School <br />7621 Beverly Lane Everett <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />CLOSET ITOILETI <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />A/C — AIHNDLG UNITS — H P <br />FEE <br />WATER <br />BATIITLIB <br />REFRIGERATION UNITS — H P. EA <br />LAVATORY I WASH BASING <br />BOILERS — B.T.0 IH P <br />SHOWER <br />GAS FIRED A C. UNITS — B T.0 <br />KITCHEN SINK Q DISP. <br />FORCED AIR SYSTEMS —BTU. M EA <br />DISHWASHER <br />WALL HEATERS—BT.U. M <br />LAUNDRY TRAY 1 <br />CLOTHES WASHER <br />UNIT HEATERS — B.T U M <br />EVAPORATIVE COOLERS <br />_ <br />--�� <br />URINAL <br />CLOTHES DRYERS <br />_ <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE 14000 <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEACERS <br />WOOD STOVE <br />SINK ISERVICE — BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />PEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />f <br />PERMIT <br />f <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE <br />RECEIPT NO. <br />PLAN CHECK NUMBER <br />FEE <br />FRONT SEIRACK <br />REAR SETBACK 510E <br />SE IBACK <br />USE LONE <br />LOT AREA <br />VACANT SITE <br />OYES ONE) <br />OF UV. ELLING UNITS <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONS' <br />OCCUPANCY GROUP JIG <br />PLUMBING <br />SNE Or BL DO <br />NO Or STORIES <br />MI A OCC LOAD <br />MECHANICAL <br />OTHER <br />FIRE SPRINKLERS REQUIRED El YES ❑ NO -- <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPIICANONACC BY <br />I'LANSCNECKEDDY <br />APPR rODISSUANG Br <br />PUBLICWORKS <br />TOTAL <br />_______.. .......�.... .nv RceonumRl R FOR nFTFRMINING ALL <br />PHUPL I I I Y LJVYHCJ.O nnc -.•........�_ __. _...__. <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />