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� <br /> �he L•vergreen � �0 N ST R U CT I 0 l� �" <br /> CiTv OF �.��' <br /> eve�ett PERMIT PeRMirNo. 15795 <br /> CITY HALL 259�8745 <br /> r- EVERETT,WA98201 � COMBINATION ❑ BUILDING � MECHANICAL � PLUMBING <br /> I <br /> OV�NER MAIL AD�RE55 CITY ZIP PMONE <br /> Seattle Toy Co. Inc. <br /> ARCHITECT OR DESIGNEF MAIL AD�RE55 CITY 21V CNONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CIiY 21P FMONE LICENSE� <br /> MEGMNNICAL CONTRACTOR IdAIL AODRESS GTY ZIP PHONE L'CENSE� <br /> PLUMBING GONTflACTOH MqIL AODRESS GiY ZIP PMONE LICENSE/ <br /> Same <br /> GLASS OP WORK <br /> ❑ NEW ❑ ADOITION ❑ ALTERATION ❑FiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WUOD STOVE/FIP.EPLACE INSER7 <br /> VALUPTION OF WOflK <br /> f <br /> DESCRIBE WOPN <br /> PROPOSEO USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND zo <br /> LEGALDESCHIPTIONOFPROPEflTY�SH0IYBELOWOPATfACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> �OT_BLOCK__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A m <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE " <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> L�L LAW REGULATING CONSTRUCTION OR THE =� � <br /> P R RMANC OF CONSTRUCTION. ., � <br /> JOB A��RE55 SI NAT RE OF CON R CTO R UTHOFIZED AGENT DATE N 2 <br /> 12/9/85 o m <br /> 5329 Evergreen Way X � � e o <br /> mo <br /> PLUMBING MECHANICA �� <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE o m <br /> 1 WATERCLOSET�T�JILET� 2 00 A�R COND. UNITS - H.P. EA. _ � <br /> BATF{NB REFRIGERATION UNITS - hP.EA. m <br /> LAVATORY(WASH BASIN) BOILERS - H.P.EA. C = <br /> SMOWER GAS FIRED A.C.UNITS-TONNAGE Eti. r = <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. � N <br /> DISHWASHER 3 WALL HEATERS- B.T.U. M � .� <br /> LAUNDFY TRAY UNI7 HEATERS- B.T.I!. M � D <br /> CLOTHES WASHER EVAPORATIVE COOLERS ,� m <br /> j WATER HEATER Z Q� CLO7HE5 DRYERS m N , <br /> URINAL VEN7ILATION FAN p <br /> DRINKIIJG FOUNTAIN RANGE HOOD n�j <br /> I�LOOR DRAIN AIH HANDLING UNIT- C.F.M. 3 N <br /> VACUUM BPEANERS STOVE -WOOD Z n <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY � m <br /> 1 SINK(SERVICE- BAR, ETC.) 2 00 FIREPLACE INSERT a <br /> A <br /> HEAT PUMP .� <br /> x <br /> a <br /> z <br /> -i <br /> x <br /> SUB TOTAL S 8 OO SUB TOTAL S 00 N <br /> PEHMI7 5 3 00 PERMIT S ], Z <br /> TOTAL FEE S 11 00 70TA1 FEE S � <br /> -i <br /> SIDE YARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE 30 00 �j <br /> FEE RECEIPT NO. m <br /> USE ZONE LOT AREA VACANT SI7E �— <br /> _:YES ;-:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCGUFANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING S $� �� <br /> SIZE OF BIDG. NO.OF STORIES MA%.OCQ LOAU <br /> PLUM6ING Il OO <br /> FIFiE ZONE BASEMEN7 FIRE SPRINNLERS MECHANICAL $S 00 <br /> REOUIRED <br /> .:�.YES ;��NO 00 <br /> APPHOVALS 9Y OATE OTHER <br /> 1.ENVIRONMENTAL CHF�C�(LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS r <br /> 3.FIRc HYDRFNT TOTAL 41 00 <br /> 4.HRE PROTE4TION SYSTEM PEHMIT V4LIDATION q C_(1�b � -- <br /> � 5.GRADING � �_ WHEN PROPERLV VALIDATED pN THIS�dAGE�HIS IS�ro ERM I� <br /> �6.OFAINpGE.-.., ` � <br /> �; 7.ENVIflONMEMTALIM A�fTSTA7EMENT ",. � � �? ^-�' �� �' � <br /> �� B.HEALTHDISTRICT o . �i. �.�._�•�..II-I_7 <br /> �;APPUCATON?CC.DY PLANS CHECKED BY APPR. FOR ISSUANCE BY � �' � �• ;" ,. \� `-� ��' , <br /> f f I <br /> � - ' I <br /> _.� r� <br /> ' - �� C�,.�� Q � <br /> � <br /> ADDP.ES� FILE <br />