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�hrEvergreen ... /'��w1ST����ION � �. f -.,. <br /> arv oF �r� <br /> e�erett PERMIT pERMIT NO: 09463 <br /> CITV HALL 259�8745 <br /> Eveaerr.wn 98201 ❑ COMBINATION �SBUILDING ❑ MECHANICAL PLUMBING <br /> OWNLR MAILADOHE55 WTY ZIP I,�ONE <br /> Ruth Hall 2222 Broadway <br /> Everett 98201 <br /> hRCMITfCi�9 DESIGNER <br /> MAIL ADDRESS CITY ZIP PIIDNE <br /> GCNEFALfANiRACTOR MAILADDPE55 LITY ZIP PNONE UCE1•.. � <br /> Everett 98206 252-8453 <br /> Sather and Newell P.O. Box 140 �rY ZiP pNONE ��ceNse. <br /> IACCHFNiChL WNTRAGiOP MAIL AD�RE55 <br /> SA TH EN C340RR <br /> PWMBING CONTPAGTOR <br /> MAILADDRESS :ITY ZIP PMONE LICEN3E/ <br /> GlA55OF WORK <br /> ❑NEW ❑ADDITION S}WLTEPATION ❑F7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN GAMGE <br /> VAWAiION OF WORK <br /> � Z10��. �� <br /> OESCRIBE WORK <br /> re-frame roof <br /> PROPOSW USE OF BUILD�NG <br /> garage and storage_single family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iew�oescaianoNo�rNoveArv�sNoweE�owoanrrncNFouawa¢s� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io,21-22e�aQ75 oc Everett TYPE OF WORK WILL BE COMPLIED WITH VJHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOIATE f'!7 CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> sicr��rur+eorcoNrancoRoanurNoaiaonov�r ��8�81 <br /> �oe nooaess X . /1, T � <br /> 2222 Broadway / / ' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> FEE <br /> WA1ER CLOSE?(TDILEn AIR COND.UNIT£—H.P.EA <br /> REFRIGERAiION UNIiS—HP.EA <br /> BATHTUB <br /> LAVATORY(WlSH BASIN) BOILERS—HY.EA <br /> GAS FlRED A C.UNITF—TONNAGE EA. <br /> ShIOWER <br /> FOI7CED AIR SYSTEMS—BT.U. M EA. <br /> KITCHEN 31NK 8 DISP. <br /> WALL HEAiERS—BT.U. M <br /> �ISHWASHER <br /> . UNI�HEATERS—B.iL. �A — <br /> LAUNDRYTRAY <br /> EVAPORATIVE CAOLEFS <br /> CLOiHES WASNER CLOTH[5 DF7YER5 <br /> WATER HEATER <br /> VENTILATION FAN <br /> URINAL <br /> RANG[Ii00D <br /> DRINKING FOUNiAIN . C F.M. <br /> AIR IIANDLING UNIT— <br /> FLOOR�RAIN STOVE <br /> VACUUM BREANERS <br /> ROOF DRAINS- -FFiNLEADERS <br /> MLTAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVIGE—BAR ETC.) <br /> - � � � SUBTOTAL s <br /> I SUB TOTAL PERMIT f <br /> PERMIT = TOiAL FEE f <br /> TOTAL FEE s pLAN CHECK FEE <br /> SIDE YARD SETBACK STRE[T SFTi9ACK REAfl YARD SETBACK PLAN CHECK NUMBER FLE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SITE FE� ""� VALUATION FEE <br /> ❑YES ❑NO <br /> 7YPE OF CONST. OCCUPANCY GFOUP N0.OF DWELLING UNITS �- <br /> BUILDING $ 2 �000. 32 5� <br /> S12E OK BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANIGAL <br /> R[OUIRED <br /> ('�VES ❑NO <br /> APPROVALS <br /> BY DATE OTHER <br /> L ENVIRONMENTALCHECKLIST PENALTV U.B.C. <br /> SEC.303(e) <br /> 2. BUILDINGPLANS TOTAL � 3Z SO <br /> J. FIRE HYDRANT <br /> PERMIT VALIDATION <br /> 4. FIRE PRO7ECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � ^ � r J. l 7 �• � rl -- � <br /> 6. DRAINAGE �- <br /> L ENVIRONMENTAL IMPACT 5'ATEMENT _ , , � Q7 <br /> e. HEALTH DISTRICi � � � � <br /> F APPLICATION ACC.DY PLANS CHECKED OY APPR.FOR ISSUANCE BY - � <br /> V.C. <br />