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.. <br /> theEvergreen �ONSTRUCTION � � � <br /> CITY OF <br /> everett PERMIT pERMIT NO. 09062 <br /> CIN HALL 259�8745 <br /> EVERETf,WA eazoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF IARILADDRE55 Cltt 21P PHONE <br /> Everett Builders Inc. 5606 Evercrreen Wa�� Everett 355-7161 <br /> ARGIIITECT Ofl DESIGNEF MAIL ADORESS CITV ZIP PHONE <br /> GENERALCANTRACtOfl MAIIAD�FE55 QT1' ZIP PMONE ULENSEI <br /> Same <br /> MEGHAIlICALCANTRPCi�F MAILAO�RE55 QTY ZIP PNOHE LICENSEI <br /> PWMBIYGCONTRACiOA MAILAODRESS CITY ZIP PHOt1E LICENSEI <br /> CL4550F WOFK <br /> � CNEW �ADDITION ❑ALTERA710N �EPAIR ❑DEMOLRION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION Of WORK <br /> s 25�. 0� <br /> OESCRIBE WORK <br /> 1 wood exterio <br /> - PFOPOSED USE Oi BUILDING <br /> commercial-office I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL�ESCRIPiIONOFPPOPERTV�SNOW BELOWORATfACHFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 23 3 Beverly Hills Div 4 ALLPROVISIONSOFLAWSAIJDORDINANCESGOVERNINGTHIS <br /> io� o�ocK—oF TYPE 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 /> CONST�CTION OFl TFfE'�IERPORM CE OF CONSTRUCTION. <br /> JOB AOf1FE55 SIGNl�TU F WNTRAGi fi OR NORIZED A _ DATE <br /> 5606 Evergreen Way X � � 3 31 81 <br /> PLUMBING ME � ANICAL / <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATLR CLOSET(TOILEn AIR COND.UNITS—H.P.EA. <br /> 9ATHTUB REFRIGERATION UNITS—H.P.EA <br /> I LHYATORI'IWASH BASIN! �OILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—D.T.U. M EA. <br /> � DISITYJASHER WALL HEATERS—�T.U. M <br /> LAUNDRY TRAY UNIT HEATLHS—B,T.U. M <br /> � CLOTHES WASHER EVAPOPATIVE COOLERS <br /> ' WAiER HEA7ER CLOTHES DRYERS <br /> URINAL VENTIIATION FAN <br /> �flINKING FOUNTAIN RANGE HOOD <br /> , FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> � VACUUM 9REAKERS STOVE <br /> POOF DRAINS—fiAINLEADERS METAL FIFEPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETCJ <br /> �� SUBTOTAL SUBTOTAL S <br /> PEqMIT t PEHMIT S <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARD S.TBACK STREET SET�ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIaT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> GYES ❑NO FEES VALUATION F0E <br /> � TYPE OP CANST. OCCUPANCY GROl1P NO.OF DWELLING UNITS <br /> BUILOING S2S0 . 00 10 00 <br /> 5¢E OF BLDG. N0.OF STORIES MA%.OCC.IOAD <br /> PLUMBING <br /> FIfiE ZONE BASEMENT FIRE EPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OiHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILUING PLANS <br /> TOTAL 10 00 <br /> 3. FIRE HYDRANT � <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIUATION <br /> 5. GRADING I WHEN PROPERLY VALIDATED(IN THIS SPACE)THI515 YOUR PEf1MIT <br /> E: CtS � OIO. 00 -�1 <br /> G. f1RAINAGE (j� <br /> 7. ENVIRONMENTAL IMPACT STAT[ME4T � <br /> 8_HE;ALTH DISTRIGT � ^. ���. I F I � <br /> � . � �.. <br /> APF'.iCATION ACC.BY PtANS CHECKED BY APPR.FOR ISSUANCE BY , <br /> . � 'i `I•�. . U <br /> ' ' '1 �;�:1 O I <br /> � , <br /> ADDRESS FILE <br />