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� <br /> t,heEvergree:_ � C'�NSTRUCTIQN -�� '� <br /> CITY OF <br /> �- eve�rett PERMIT PERMIT NO. 09369 <br /> CIl'YHALL259�8745 �gUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT,WA 98201 ❑ COMBINATION <br /> OY�NER MAILNODRESS GITV ZIP PHONE <br /> A1 Bolser Tire 5530 Evergreen Way <br /> AFCHITECiJR�E5IGNER MAILADDfiE55 CITY 21P PHONE <br /> � GENERALCONTflNCTOF AIAILApDRE55 CITY ZIP PNOHE UCENSEI <br /> Jerry Bolser <br /> IAECMANICALCONTRACTOR MAILAOORE55 GITY ZIP PHONE LICENSEI <br /> PLUMBINGCANTRACTOR MAILADDRE55 GIiV ZIP PNONE UGENOE� <br /> CIAbS OF YIORK <br /> ❑NEW �DDITION ❑ALTERATION ❑R[PAIR ❑OEMOlI710N ❑FENCE ❑SIGN ❑GARA9E <br /> VA!UA'ION OF WOFK <br /> y rJ � �0�. �0 <br /> DESCRIBE VJORK <br /> Storage <br /> z <br /> PFOPOSED USE OF BUIL�IHG � <br /> commercial I HEREBY CERTIFY THAT I HAVC READ AMD EXAMINED THIS AP• "� <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. � <br /> IEGAL DESCRIPTION OF PROPEFTV ISHOW DELON OP ARACM FOUFCAPIES� qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS m <br /> �or �LOCIC__OF T'iPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT �� <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> ' VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING �, _ <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. o m <br /> JOBA�DRESS SIGNAT}p[�Y��TRAC�iy}lTHORIZEDA3ENT� DAiE C � <br /> 5530 Evergreen Way X o�� C�"'C 6/17/81 �� <br /> O 3 <br /> PLUMBING MECHANIC r^ <br /> N0. TYPE OF FIXTURE OR 1'dEM F'eE NO. TYPE OF E�UIPMENT FEE _ � <br /> m <br /> .. <br /> WA7ER CLCSET(TOILEf) AIR COND.UNITS-H.P.EA. A Z <br /> BATHTUB REFRIGERATION 11N1T5-H.P.EA <br /> LAVATORY 1WASH BASIN) BOILERS-H.P.EA. r = <br /> SHOWER GAS FIRED AA.UNITS-TONNAGE EA. j � <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS-B.T.U. M EA. 'Tl <br /> DISHWASHER WALL HEATERS-B.T.U. M � 3 <br /> LAU!t'.`RY TRAY UNIT HEATERS-B.T.U. h1 � �r7 <br /> CLOTHES WASHER EVAPORATIVE COOLERS = <br /> fTl� <br /> CLOTHES OFVERS N <br /> WATER HEATER ^ O r <br /> URINAL VENTILATION FAN � m <br /> DRINKING FOUNTAIN RANGE HOOD 3 N <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. m <br /> VACUUM BREAKERS STOVE Z � <br /> .� m <br /> FOOF DRAINS-RAWL:ADERS �1ETAl FIREPLACE 8 CHIMNEY y <br /> A <br /> SINK ISERVICE-BAR,�7G.I <br /> --I <br /> S <br /> n <br /> z <br /> -� <br /> x <br /> SUBTOTAL SUBTO7AL E N <br /> PEHMIT f PENMI7 f Z <br /> TOTALFEE S TUTALFEE S o <br /> SIDE YARD SE7BACK STREET SEfBACK REAR VO.RD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE ( <br /> 81/9369 FEE 32 . 83 RECEIPTNO. m <br /> 54043 <br /> USEZONE LOTAR4A �EY SNTVN� FEES VALUATION FEE <br /> r#P�9���rn OCCUPANCY GfiOUP N0.OF DWELLING UNITS _ <br /> V-1 Hr. H_3 BUILDING $5 � 000. SO SO <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOPD <br /> Z PLUM6ING <br /> FIRE 7_ONE BASEMENT REOUIRED KLERS MECHANICAL <br /> ❑YES X%'0 _ <br /> APPROVALS BY DATE OTHER <br /> t. ENVIRONMENTALCHECKLIST pENALTY U.BC. <br /> SEC.303 la) <br /> 2. BUILDING PLANS 5 O S 0 <br /> TOTAL <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTLCTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS$PACE)THIS IS YOUR PERMIT <br /> h • 9 �' f C ,'1 � <br /> 5. GRADING ' ` ° •' � 1 O. ! (! — <br /> 6. DRAINAGE � <br /> 7. ENVIFONMENTAL IMPACT STATEMENT M <br /> . � <br /> 8. HEALTH DISTRICT � " � � �+� � O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � _ ''; ' ;I <br /> HWM <br /> , , , <br /> , . ._.I c I <br /> ADDRESS FILE <br />