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, , <br /> 1/IPei�CTYOP � �0.•-,STRUCTION r � <br /> �ver��� PERMIT PERMIT N0. OH5O1 _ <br /> GTV HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION �CBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYlNER MAILAODRE55 GIiY ZIP PHONE <br /> NorY.hwood Homes Inc. 6520 212th S .W. Lynnwood 98036 775-0657 <br /> AFCNITEGT OR OESIGNER MAILADOflEuS CITY ZIP PHONE e <br /> GENEML COHTFAC70R IAAIL A�ORE55 QTY 21P PHONE LIGENSE I <br /> Same <br /> h1ECHANICAL CONTflACTOP MAIL ADDPESS CITV ZIP PHONE LICENSE I <br /> PLUTABINGfANTRACTOR MAILAOOFE55 qTY ZIP PNONE UCENSE� <br /> CLA55 OP WORN <br /> ❑NLW ❑AODI710N �'i1LTEPAT10N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> E 3 ��00. �0 <br /> DESCRIBE WORK <br /> interior remode� for reta� � ' � <br /> - PROPOSED OSE OF BUILOING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGPL�ESCRIPTIONOFPROPERTYUMOW BELOWOFATTFCHFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND C9RRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT e�an_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PAESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONST UCTI�N OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRESS SIGNAT ii OF CONTRACTOF B AUTHORIZED A�G/Ey/� DATE <br /> 4826 Evergreen Way X � 10/29/80 <br /> PLUMBING CHANICAL <br /> NO. TYPF OF FIXTU��F OR iTEM fEE NO. TYPE OF EOUIPMENT FEE <br /> N'ATER CLOSET�TOILEp AIR COND.UNITS—H.P.[A. <br /> BA7HTU8 REFRIGERATION UMTS—H.P.EA <br /> LP.VATORY(WASH BASIN) 801LERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.uNlTS—TONNAGE EA. <br /> KITCHEN SINK&DiSP. FORCED AIR SYSTEh15—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. �d <br /> LAUNDRY TRAV Ui:IT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAR:RATIVE COOLERS _ <br /> WATER HEATER CLOTHES DFYEPS <br /> URINAL VENTILATION FAN <br /> DRINKING fOUNiAIN RANGE HOl7D __ <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> \'ACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS _ METAL fIREPLACE 8 CHIMNEY <br /> SINK(SERV':E—BAR,EfQ) <br /> SUBTOTAL � SUBTOTAL S <br />� PEHMlT S PEHMIT S <br /> 70TA�FEE S TOTALFEE S <br /> SIDE YARD SETBAf.K STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEH PLAN CHECK PEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZEOFBLDG. NO.OFSTORIES MA;t.V'G.LOAD BUILDING 5 3000.00 38 SO <br /> i <br /> ( PLUMBING <br /> FIRE ZONE BASEIdENT FIRE SPRINFLERS <br /> REOUIRED MhCHA.NICAL <br /> ul'ES ❑NO <br /> APPpOVALS BY DATE OTHER - <br /> 1. ENVIRONMENTALCHECKLIST pENA�TY U.B.C. �.� <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIREHYDRANT TOTAL � 38 SO <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIOATEC(1N TIiIS SPACE)T'!�S IS YOUR PERMIT <br /> 5. GRADING 9 E 0 0 $ O 3 �j. 5 O -- � <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTAL IMPACT STATEMENT L17 � <br /> � <br /> 0. HEALTH DISTRICT �i���.,.' U 1\ P.;C C:I PT O <br /> � APPLICATION ACC.BV PLAN3 CHECKED BV APPR.FOR ISSUANCE BY _ : � � <br /> i ;;h�'•I�. i�C U <br /> DB <br /> �� 9 ocr 8 0 <br /> QDDRESS FILE <br />