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- �1 <br /> . rhe Erergreen , <br /> everett � CONST�UCTIO�� <br /> CIiYHALL259-B7a5 PERMIT PEHMIT �i0. 121�8 <br /> EVERETT,Wp 98201 � COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBIkG <br /> OWNEB M41L R�DRE55 C�ry <br /> Rex Hankins Sr. 5317 Ever reen Wa Z1P PMOIIE <br /> 9 Y Everett 98203 774-6259 <br /> . ARCHRECiOFDE5IGNEH MqILA00FE55 GITY ZIP PMONE <br /> GENERALCONTPqpiOR MqIlA00RE55 CITY ZIP PHONE 4GENSE• <br /> Same <br /> MECHRNIWLCONTRAGTOR MqILA0DRE55 CITV ZIP PHONE UCENSEI <br /> PLUMBING LONiRqCiOH MFIL pD�RESS CITY ZIP PMONE LICENSE 1 <br /> , C1A55 OF WORK "'7 <br /> � <br /> • O NEW ❑pDDITION }(,I� pLTERATION ❑qEPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> : 300. 00 <br /> DESCRIBE WOHI( <br /> Construct dividing wall <br /> GROPOSED IISE OF tlUIL01NG <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> LEGFl0E5GHiPT10110FPqOPEflTY�SMOWBEl01VORATTFGHFJURLOPIES� APPLICATION AND KNOIN THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS UF LAWS AND ORDINANCES <br /> LO7 Z_3 BLOCK 1 oF Beverly Hills Div. #4 GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING GF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVI�IONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CON RUCTION OR THE <br /> JOB ADDFE55 PERFOR CE O CO STRUCTION.� <br /> SIGNATU OFCO CT OR iMOflIZEDAGEN pATE <br /> 5317 Evergreen Way X / - 7/7/83 <br /> PLUMBING MECHANICAI <br /> N�• TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> YlATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATOqY�WASH 6ASIN� BOILERS—M.P.EA. — <br /> SHOWER GAS FIREO A.C.UNITS— <br /> TONNAGE EA. <br /> KITCMEN SINN d OISP. FORCED AIR SYSTEMS— <br /> B.T.U. M EA. <br /> DISHWASHER <br /> WALL XEATERS—B.T.U. M <br /> LAl1NORV 7Rpy � ' <br /> UNIT HEATERS— BS.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES ORYERS <br /> UflINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RAN�E HO'J� <br /> FLOOR DRAIN <br /> VACUUM BREANERS AIR HANDLING UKIT— C.F.M. <br /> STOVE—WOOD <br /> ROOF DRAINS— RAINLEADEqS METAL FIREPLAC[8 CHIMNEY <br /> SINK(SERVICE— BAR,ETQ) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i 5118 TOTAL f <br /> PEflM�T S <br /> PEflM1T = <br /> TOTAL FEE f iOTALFEE f <br /> SIUE YARO SETBACK STREET SETBACK REAR YAflO SETBACK PIAN CHECK NUMBER PLAN CHECK FEE <br /> 83/12168 FEE (.$� RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> [:YES i�:NO FEES VALOATION � <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING S LO 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIPE SPRINI(LERS � <br /> REOUIRED MECHANICAL <br /> -:YES �:NO � <br /> . APPflCVALS BY UATE OTHeR <br /> 1.ENVIRONMENTAL CMECK LIST - � PENALTY U.B.C. <br /> 2.BUILOING PLANS SEC.303(a) <br /> 3.FIREHYDRANT TOTAL ].O OO � <br /> 4.FIRE PROTECTION SYSTEM PEflM�T VALIUATION C S <br /> 5.GHADING WHEN PROPEPLY VALIDATED(IN THIS SP�(Q)T�S IG YO F. MIT � <br /> 6.OHAINAGE � , <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � ' <br /> B.HEALTMDISTRICT 11QU � RECE� <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOfl ISSUANCE BY ��-�ANK Y� <br /> STG DAB DAB <br /> .. � .nn. 83 <br /> ADDRE55 FILE ' � <br /> ! � <br />