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ihe Evergreen <br /> ` everet� r ���STRUCTIO��� <br /> ( �,TYH�«259�,6, PERM �T PERMIT N0. �.65H� <br /> EVERETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL AODPESS CITV ZIP PMONE <br /> Rex Hankins Sr. 5317 Evergreen Way Everett, WA 98203 774-6259 <br /> ARCMITECT OR�ESIGNEH MAIL AODflESS CITV ZIP PMONE <br /> GENERAL GONTflACTOR MAIL ADURE55 CITY ZIP PHONE LICENSE/ <br /> Same <br /> MECHANICAL CONTRRCT07 MAI�ADDRE55 CITV ZIP PHONE LICENSE I <br /> PLUMdING CONTRACTOfl N.AIL AOORESS CI1Y $IP VHONE UCENSE I <br /> Cl.AS°�OF WOflK <br /> ❑ NEW ❑ ADDITION � qLTERATION ❑FEPAIq ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALpATION OF WORK <br /> 52�0.0� <br /> DESCRIBE WOPK <br /> �onstruct dividina wa11 & nar+'+' <br /> PqOPOSEOIISE OF BUII.DING ` <br /> Commercial I HEREBY CEfiTIFY THAT I HAVE AEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCRIPTIONOFPpOPERTY�SNOWBELOWORAIiACNFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or z=3 e�ocK 1 oF Bevezlv Hills Div GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO NCE OF CONSTRU TION. <br /> JOB ADDflE55 SIG RE OF C TRA R AIITH ED AGENT DATE <br /> 5317 Evergreen Way X. T � S/20/86 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENi FEE <br /> WATEPCLOSET(TOILEn AIR COND.UNITS - H.P. EA. <br /> BATHTUB REFRI3ERATIUN UNITS- H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS- H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIP SYSTEMS- 9.T.U. h1 EA. <br /> �ISHWASHER WALL HEAiEflS- B.T.U. M <br /> LAUN�RY7RAY UNITHEAiERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES ORYEFS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DpAIN PIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOG <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- EAR, ETC.) F�REPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SU8 TOTAL S <br /> PERMIT t PEHMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SET6ACK STREETSETBAGK REAR YARD SETOACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> N.A. N.A. N.A, g6/16581 FEE 6.50 790A97N0. <br /> USE ZONE LOT AREA VACANT SITE -- <br /> N.A. N.A. :�YES KNO FEES VALUATION FEE <br /> 7YPE OF CONS7. OCCUPANCY GFlOUP NO.OF DWELLING UNI75 Suilding Code SUTCl dYCJB 1 50 <br /> V-N A-3 0 BUILDING s200.00 10 00 <br /> SIZE OF BLOG. NO.OF STOFIFS MAX.OCC. LOAD - <br /> N.A. N.A. N.A. ai�:n�eiNc O5/21/86 11: 3fkf OOOp110130 ## <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> -- ^- REOl11FED <br /> ❑YES XNO <br /> APPROVALS BY DATE OTHER B SRCH 1.SO <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY �'��I <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL I�� �S •OI) 1], SO <br /> 4.FIFiE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PFiOPERLY VALIDATED QN TiiIS SPACE)TNIS IS YOU9 PERMIT c-� <br /> 8.DRAINAGE � <br /> LC? <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �� <br /> B.HEALTH DISTRICT <br /> �--{ <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> JEF JEF L.C. <br /> A,DDRESS FILE <br />