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the Evergreen <br />CITYOFF CC ASTRUCTION <br />CITY <br />everett PERMIT <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑COMBINATION 0BUILDING El MECHANICAL <br />PERMIT NO. 07844 <br />PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />lip <br />PHONE <br />Kenton Assoc. <br />955 - 106th Ave. <br />NE RP11PUlIP <br />98009 <br />6 4-1597 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE , <br />Kenton Assoc. <br />MECHANICAL CONTRACTOR <br />MAIL ADDR"'S <br />CITY <br />ZIP <br />PHONE <br />LICENSE, <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE, <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR QD DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E 1,000 <br />DESCRIBE WORK <br />House demolition <br />PROPOSED USE OF BUILDING <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 />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />51GNAT OF CON RACTOR OR AUTHORIZED AGENT (� DATE <br />X 7` 6/30/80 <br />LEGAL DESCRIPTION OF FROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />East 330' of W 495' Of NE 1/4 Of NW <br />LOT_k1e QF <br />�'� ' <br />East, W.M.j EXCEPT N 30' for road <br />JOB ADDRESS <br />708 West Casino Road, Everett <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 />AIR COND. UNITS — H P EA <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA <br />LAVATORY WASH BASIN) <br />SHOWER <br />BOILERS — H.P. EA. <br />GAS FIRED AC UNITS — TONNAGE EA <br />KITCHEN SINK S DISP. <br />FORCED AIR SYSTEMS — B.T U. M EA <br />DISHWASHER <br />WALL HEATERS — S T U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — BE 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 />_ <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 />f <br />PERMIT f <br />TOTAL FEE <br />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 61TE <br />t )YES (]NO_ <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />DUELLING <br />f <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCG. LOAD <br />PTUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />[]YES [1N0 <br />MECHANICALREOUIRED <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />T. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC <br />6EC. 303(a) <br />2 BUILDING PLANS <br />TOTAL <br />OO <br />3. FIRE HYDRANT <br />4, F'9E PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPAC jj115 IS.�VIi �E Lljl n �� <br />(U a u u u u V <br />1 t �p <br />YOUR REC/ E1�.7� <br />� H' N K YOU U O <br />5. GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAI IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />