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` . <br /> lheEvergreeri ^ONSTRUCTION � <br /> GTY OF P <br /> everett PERMIT pERMIT N0. 10279 <br /> CITY HAL:.259�8745 <br /> EVERETT.VJA �ezo� ❑ COMBINATION ❑ BUILDING Gt�[MECHANICAL ❑ PLUMBING <br /> OVl!!ER LIAILA�DRE55 GIiY ZIP GI10�lE <br /> Brien Medler 306 Heather Everett 98201 259-0706 <br /> AFCHITECTORpESiGNEP MAILADDPE55 CITY ZIP PHONE <br /> GENERALfANiPqGiCR 61FIL/+DORE55 CIiY 21P PHONE LiGENSEa <br /> L�CCHFMCALCOHTFACiOR IdAILA��RE55 CItY ZiP PNOt1E LICENSL� <br /> Gas Equipment Contractors 2221 120 N.E . Bellevue 98005 455-9320 <br /> PLUI.IpINGC01JiRFCTOR IAAILAODRESS QTY 21P PHONE LiCF.t�SE♦ <br /> GA SE QC 256NF <br /> CLA55 OF YlORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAW/TION OF WORK <br /> c <br /> �ESCRIpE 1VORN <br /> PROPOSED USE OF qUILDING <br /> I HEREBY CERTIFY THAT I HAVE REP.D AND E?(AMINED THIS AP� <br /> �ecn_oescaianor�oFrnovEan�snov+oe�owor+anncHvouacoriesi PLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVEPNING THIS <br /> �or a�ocK_oF TYPE OF WORK Wll L 2E COMFLIED WITH WHETHER SPECIFIED <br /> H[REiN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRU� <br /> VISIONS OF ANY OTHER STA�i E OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANC[ OF COIJSTRUCTION. <br /> �oo nooeess sicn�.rur�e oF coi�rr�neroa o nun�nu¢eu ncer+r �nrE <br /> 5200 Svergreen Way X Check �k7954 3/1/82 <br /> PLUMBIP!G MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EdUIPMENT FEE <br /> WATER CLOSET QOIl6T) AIR COND.UP:ITS—H.F.EA. <br /> �ATHTUB REFRIGERH�ION UNI i 5— H.P.EH <br /> IAVATORY(WASH BASIN� BOILERS—H.P.EA. <br /> SHOWF.R GAS PIRED A C.UNITS—TONNAGE EA. <br /> KITCHEIJ SINK R DISP. FUFCED AIR SYSTEtAS—B.T.U. Id EA. <br /> DISHVJASHER VJFLL I�IEATERS—B.T.U. �� <br /> LFUtJDRY TRAY UNIi H[FTLRS—B T.U. A1 <br /> CLOTHES WASHER EVAPO�7ATIVE COOLEPS <br /> WATER HE4TEP. CLOTHES DflYERS _ <br /> URINAL VEIJT'LATION FhN <br /> ORINKING FOUNTAIN F7�NGE HOOD <br /> FLOOR DRAIN AIR HFNDLING UNIT= C.EL1. <br /> VACUUM EiPEAKERS STOVE <br /> ROOP DRAINS—RAINLEADERS IdETAL FAii LACE 8 CHI�ANEV <br /> SINKISERVICE—BAR.ETC.) 1 Ol�. {a35tE Heater 4 5� <br /> SI19 TOTAL SUB TOTAL S 4 S O <br /> PERMIT S PERMIT S 3 <br /> TO7ALFEE 5 TOTALFEE 3 <br /> SI�E YARD SETBHCK STP[FT SLT�ACK REAR YARD SETBACK PLAN CHFCK NUM�L(7 PLAN CHECK FEE <br /> �[E RECEIPT N0. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑YES LNO FEES `�ALUATION FEE <br /> TYPE OF CONSL OCCUPAIJCY GROUP NO.OF OWELLGlG UNITS <br /> EU�LDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD — <br /> ?LUMBING <br /> I'IRE 20WE BASEMENT FIflE SPRINI<�EHS <br /> REOWRED MECHANICAL 7 SO <br /> C;VES ❑NO <br /> APPROVALS BY UATE O7HER <br /> L ENVIfiONMENTAL CH[CK LIST PENALTY U.B C. <br /> SEC.303(al <br /> 2. BUILOWG PLANS <br /> TOTAL 7 S O <br /> 3. FIRE HYDRANT <br /> c. PIRE PR07[.CTION SYSTEM PERMIT VALIOATION <br /> YJfIEN PROPERLY VALIDATED(IN THIS SPACE)THIS i5 YOUR PERMIT <br /> 5. GPADING -' ' i � U 0 7. 5 0 -- -�+� <br /> G �RAINAGE `r— <br /> 7. ENVIFiONMENTAI IMPACT STFTEIdENT N <br /> Q <br /> 8. HEALTH�ISTRICT ! �� f��;C. ; !f- I �� <br /> APPLICATION ACC.BY PLANS CFIEC!�ED BY APPR.FOR ISSUANCE BY <br /> ��� ;ni �•�� � � <br /> : � � _. <br /> -- - � 6!„R n 2 <br /> ,�,�..,� -i! <br />