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-! <br /> (I1eEvCgYP�F .�_ � .`".�1NSTRUGT101� -- . - -�. <br /> � everett PERM IT <br /> PERMIT NO. 0�243 <br /> CI7Y HALL 259�8745 <br /> EVE?:TT,WA 98201 L� COMBINATION �BUIL�ING ❑ MECHANICAL ❑ PLUMBING <br /> pYRIER MAiLADDREJS CITY 21P PMONE <br /> A1 Bolser 5530 Evergreen Way Everett 98203 <br /> FRCMITECT OR OESIGNEF MAILAppqE55 CITV 21P CMONE <br /> GENERALCqNTRACTOfl MAILADDRE55 CIiY ZIP PNONE LIGEN�F♦ <br /> Les White Const. 306 73rd S .W. Everett 98203 355-9680 <br /> MECHPHICFLCONTRACTOR MAILA��RE55 CIiV ZIP PMOtlE LICENSEI <br /> PLUMBINGCOI�TRACiOfl MAILADDRE55 diV ZIP PHONE �iCF.N5E1 <br /> GLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �FENCE ❑SIGN ❑GARnGE <br /> VALUATION OF WOflK <br /> § 10 � 0��. �� <br /> OESCFIBE WORK <br /> 2 <br /> E=ect free standing canopy o <br /> PROPOSED fISE OF�UILDING �-�i <br /> Commercial I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINEJ THIS�P- � <br /> m <br /> �ecn�oescaiarionoFaaoaearrtsr+owee�owoaanacHFouacoaies� —�" PLICATION AND KNOW THE SAME TO BE TRUG AND C07RECT. " <br /> d 25 3 Beverl Hilla Div. #4 ALL PROVISIONS OF LAVVS AND ORDINANCES GOVERtJING THIS <br /> �QT__BLOG�OF y TYPE OF WORK WiLL BE CUMPLIED WITH WHETHER �PECIFI[D � T <br /> HEREIN OR NOT. THE GIiANTING OF A PERMIT DOES NOT � � <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANi:EL'fHE PRO� cn x <br /> VISIOWS OF ANY OTHER STP.TE OR LOCAL IJ�,W RE�aIILATING o <br /> CONSTRUCTION OR THE PcRfORMANCE OF CONSTRUCfION. � � <br /> mo <br /> JOBADDRE55 SIGNFTURE NiPP OFOFAUiHOPl2 AGENT OATE n <br /> 5530 Evergreen Way k -� �� .��� � m <br /> -� z <br /> PLUMBING MECHANICAL r= '""� <br /> NO. TYPE OF FIXTUR�OR 11'EM FEE � NO. TYPE OF EQUIPMENT FEE � z <br /> YJATER CLOSET(701LET) AIR COND.UNITS—H.P.EA. � y -� � <br /> BATHTUB REFf;IGEFATION UNITS—H.P.EA r = <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. � � <br /> < <br /> SHOWER G�S FIRED n.C.UNIfS—TONNAGE EA. � p <br /> KITCHEN SINK 8�ISP. FORCED AIR SYSTEMS—B.T.U. M EA. TI 3 <br /> DISHWASHER WALI HEATERS—2.T.U. M --� (*7 <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M = <br /> m .. <br /> CLOTHES WASHER EVAPORATIVE�OOLERS U N <br /> WATER HEATER CLOTHES DRYERS O r <br /> c� m <br /> URINAL VENTILATION FAN C N <br /> -- 3 tn <br /> DRINKING fOUNTAIN RANGE HOOD Z � <br /> FLOOF DRAIN AIR HANDLINu UNIT— C.F.M. � m <br /> VACUUM BREAKERS STOVE . � y <br /> ROOF ORAINS—RAIWLEADERS METAL FIPEPLACE 8 CHIMNEY �' <br /> SINK 15ERVICE—BAR,E"C.1 � <br /> _ _ <br /> � <br /> z <br /> � <br /> s <br /> � <br /> SUBTOTAL SUBTOTAL S Z <br /> PERMIT S PEHMIT S . 0 <br /> � <br /> TOTALFEE S TOTALFEE S � <br /> n <br /> SIDE YARD SEfBACK STflEEf SETBACK REAR YARD JLTBACK PLAN CHECK NUM�ER PLAN CHECK FEE m <br /> N/A N/A N/A 9243 FE�2 , 33 RECEIPTN��. <br /> USE ZONE LOT AREA VACANT SITE 5 3 5 84 <br /> $_z ❑YES f� FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY,HOUP N0.�F DWELLING UNITS <br /> 22'N B'Z BUILDING $10 ,000. BD 50 <br /> SIZE OF BL�G NO.OF S70RIE5 MA%.OLC.LOAD <br /> 2356 SCj. Ft. I PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES [SQ�}D <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKUST PENAL7Y U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT <br /> TOTAL 8 0 S 0 <br /> 4. FIRE PPO7ECTION SYSTEM PERMIT VALIOATIGN <br /> WHEN PROPERLY VALIDATEO(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING i � ; �I �, � � �. � C �� � ,. <br /> fl DRAINAGE '� �� <br /> 7. ENVIRONMENTAL IMPACT STATEMENT - N <br /> 8. HEALTH DISTRICT � � . � <br /> APPLICATION ACC.DY PLANS CHECKED BY APPR.FOR ISSUANCE BY ' � �:� r O <br /> x�aM '. , li <br /> •�� .� . �,� n I <br /> , I p <br /> � ADDRESS FILE <br />