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nc� Evergrcen �O NST R U CTIO N <br /> CITY OF <br /> everett PERMIT PERMIT N0. O9�G42 <br /> GTV HALL 259�8745 <br /> EVEREiT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ Fl.UMBING <br /> OWNtR MALL ADDNE55 GTY ZiP �H�i�E <br /> �mile Webber 202u�i Colby Avenu.= Everett 98201 <br /> AfiCMRECi OR DLSIGNOi MAIL ADDRESS CRy ZIP PNONE <br /> GEN[RAL CONiRAG�OR MAIL ADDRESS GiY ZIP PHONE LM,LYSE I <br /> MfU�ANIG/•LCANiPPGiOP MAILAOf`vE55 G'Y ZIP VHONE UCENSE� <br /> Natural Gas Equipment 1611 L'ast Grand Everett 98201 258—'L441 <br /> PLUMBINGCONiRACTOR IdAILADDRE55 GITY ZIP PNONC UCErvSEt <br /> CIASS OF WOFH <br /> ❑NLW ❑ADOITION ❑ALTERATION ❑REPAIR ❑DEMOLIT104 ❑FENCE ❑SIGN ❑GARAGE <br /> VFl0At10N OF WORN <br /> S <br /> D[SCR��E WORK <br /> PROPOSEO USE Of BUILDINO , <br /> ' I HEREBY CERTIFY THAT I HAVE REAG AND EXAMINED THIS AP- <br /> LEGALUCSCNIPTIONOFPHOPERTY�SHOWB[IOWORAITALNFOIIRCOPIlS) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVIF!C"�S OF LAN'3 AND ORDINANCES�aOVERNING THIS <br /> ieT e�ocK_oF TYPE OF 1'JOFK VJILL BE COMPLIED �NITH WHETHER SPEGFIED <br /> HEREIN CR NOT. THE CRANTItJG OF A FERMIT DOES NOT <br /> PRESUME TO GIVE AU?HORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIOIJS 0° ANY OTHER STATE OR LOCAL LA'N REGULATING <br /> CONSTRUCI��ON OR THE PERFORMANCE OF CONSTRUCTION. <br /> ,ioa nooRcsc, sicrv io�.z oF co�+lw.cr �nu���onizeo ne�.rvi onre <br /> I 6/30/81 <br /> 2020�i Colby Avenue X l.Lt �� <br /> PLUMBING MECH NICAL _ <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOS[T(TOILET) AIR CGND.UNRS—HP.EA. _ <br /> UATHTUD REFRIGERATION UNITS—N.P.EA <br /> LAVATORV fWASH BASIN) 80ILER5—HP.LA. <br /> SHOWER GAS FIRED AC UNITS—TONNAGE EA. <br /> HITCH-N SINK d DISR FORCED AIR SVSTEMS—B'f.0 M EA. <br /> Di5HWA5HER WALL HLATERS—B TL. M <br /> LAUNDRY TRAV ' UNIT HEATERS—6.T.U, M <br /> CLOTHES WASHER EVAPORATNECAOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILAI 10N FAN <br /> DRINKIIJG FOUNTAIN RANGE HOJG <br /> FLOOP DRAIN AIP HANDIING UNIT— QF.M. <br /> VACl1UAA BF7EAKERS STOVE <br /> ROO! DRAINS—�AINIEADERu METAL FIREPLACE 8 CHIMNEY <br /> suuK�seawce—eaa.�rc.1 1 Water Heater - <br /> SUB TOTAL SUB TOTAL S 4 S 0 <br /> PERMIT S PERMI7 = <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE YARD SETBACK STP.�LI SEi[i4C�K REAR VAFD SEfBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> f[E RECEIPT NO. <br /> USE ZONE LOT AREA VA;AN7 SITE FEES VALUATION FEE <br /> L:VES GNO <br /> IYPF OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZG OF BLDG N0.OF STORIES MA%.OCC.LOAD — <br /> PLUMUING <br /> PIRC:ZONE BASEMENT R[OUIRED KIERS MECHANICAL � S O <br /> I1VES ONO <br /> APPROYALS BY DA7E OTHEH _ _ <br /> L ENVIROtJMEIJTAL CHECK LIST FENALTY U BC. <br /> SEC.303(a) <br /> 2. �UILDING PL4N5 <br /> TO7AL 7 5 0 <br /> 3. FlRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEFMIT VALIOATION <br /> � WHEN Pf70PERLY VALIDATED pN THIS SPACE)TMIS IS YOUR PERMIT <br /> 5. GRADING N <br /> G. DRNINAGE , � I � � '�' �� �. F t� — � <br /> 7. ENVIRONMf:NTALIMPACTSTATEMENT <br /> � <br /> 8. HEALTH DISTflICT � <br /> APPLICATION ACC.�Y PLANS GHECKED BV APPR,FOR ISSUANCE BY ' � �'�� �'I�`� <br /> : , U <br />