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` Evergr O CT C( NSTRUCTiON <br />everett PERMIT <br />259-8745 <br />PERMIT NO. 20378 <br />❑ DEMOLITION ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Everett School District No. 2 4730 Colby Ave Everett, WA 98203 339-4350 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEF <br />CLASS OF WORK <br />U NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ;3 BUILDING RELOCATION <br />VALUATION OF WORK <br />s 4,000 <br />DESCRIBE WORK 1I�� <br />Move 2 portable Assrooms from gocation to another <br />U ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Classrooms <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVER14ING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF C NSTRUCTION. <br />SIGNATURE CONTRACTOR. AI IT IZEDA ENT. OR OWNER DATE <br />J( / 6/23/88 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ CLOCK _ of <br />EVERGREEN MIDDLE SCHOOL <br />JOBADDRESS <br />7621 Beverly Lane <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 (TOILET) <br />_ <br />A/C — A/HNDLG UNITS — H.P <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA <br />LAVATORY I WASH BASIN) <br />BOILERS — B.T.UIH P. <br />SHOWER <br />GAS FIRED A C. UNITS — B T.0 <br />KITCHEN SINK S DISP <br />FORCED AIR SYSTEMS — B T.0 M EA <br />DISHWASHER <br />WALL HEATERS —8T.0 M <br />LAUNDRY TRA a <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE r,OnLEnS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE I IOOD <br />BACKFLOW PREVENTEnS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />_ <br />• <br />EXHAUSTFAN <br />SUBTOTAL <br />t <br />SUIT TOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />f <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK <br />510E SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />❑rESes ❑No <br />EI <br />FEES <br />BUILDING <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />ELDG $ <br />3.00 <br />SIZE OF BLDG <br />NO OF STORIES <br />MAk OCC LOAD <br />MECHANICAL <br />P,RCH <br />3.50 <br />FIRE SPRINKLERS REQUIRED ❑ YES CI NO <br />INVESTIGATION FEE <br />ELIM. 304(e) VIM <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M. M. <br />PLANSCHECKEDBY <br />APPR FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />rj 3 <br />RPRUIT VJUIPIATIDN <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />CXD <br />E�— <br />M <br />O <br />CV <br />