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_ .� <br /> rheErc',�rreov � �jr�l \V�IlVV�I�,r�� ! <br /> everet�: PERMIT PERMIT NO. 1�522 <br /> CITY HALL'1`9�B745 <br /> EVERETT,WA�aza� ❑ COMBINATIO�d � BUILDING ❑ MFCHANICAL ❑ PLUMBING <br /> OYINEfl MAIL ADDRESS CITY ZIP PNONL <br /> Cit}• Bar.k 5615 Evergreen Way Everett <br /> ARCH17ELT QR DESIGNER IdAIL ADDRE55 CITV ZIP PHONE <br /> • Be��yEflAL CONTqACTOR MAIL FDORE55 QTY ZIP Ph10NE LIGENSE• <br /> �;NAon c;o. Inc. P,O, Box 5269 Lyrnwood 980�}6 776;8935 <br /> MECMANICFL CONTRACTOR MAIL AOCFE55 dTY ZIP PHONE LICENSE� <br /> BERRYN247LD <br /> PLUMBIIiG CONTHACTOfi MAiI AOOfiESS CITY ZIP iHONL I.ICENSE N <br /> CLlSS OF WORK �y� <br /> O NEW ❑ ADDI710N ❑ ALTLFiATION ❑REPAIR O DEMOLITION ❑ FENCE XEL SIGN ❑ WOO�STOVFJFIfiEPLhCE INSERT <br /> VALUATION OF WOflK <br /> 5 150�.�� <br /> �ESGPIBE WOPK <br /> install illuminated sign <br /> PROPOSED USE OF BUILUING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATIO� AND KNOW THE SAME l0 BE TRUE AND <br /> LEGAL�ESCRIPf10NOFPROPcFTY�SMOWBELOWORATfALMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINA�CES <br /> �oT_ewcK_o= GOVERNIN3 THIS"fYPE OF WORK WILL BE COMPLIED WITH <br /> WIiETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMF TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE °ROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAN/ HEGULATING CONS7RUCTION OR THE <br /> _ PERFORMANC'E OF CONSTRUCTION. <br /> ' JOB A�ORE55 SIGNAi11RE�N'IBPCTOP�0 +411TMOgIZED AGENT �ATE <br /> 5615 Evergreen Way X `✓�1Q��/���t� <br /> PLUMBING MECHANICAL � <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TY?E OF EOUIPMENT FEE <br /> WA7ERCLOSET(701LETJ FIF Cp'1D. UIdTS— H.P. EA. <br /> BATHTUB REFRIGERA7tJN UNITS — H.P. EA. <br /> LAVATORY(WASM BASIN) BOILERS — F�.P,EA. <br /> SHOWEF GAS FIRED A.i:. UNI75 —TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SF'STE�7S — B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.7.U. !A <br /> LAUNDRY7FAY UNIT HEATERS— 9.T.U. M <br /> CL07HES WASHEF EVAPORATIVE COOL�RS <br /> WATER HEA7ER CLOTHES DRYERS <br /> URINAL VENrILA710N FAN <br /> DRINKING FOUNTARJ RANGE HOOD <br /> FLOOR ORAIN AIFi HAN�LING UNIT— C.F.h:. <br /> VACUUM BFiEAKERS STOVE— WOOD <br /> ROOF ORAII:S — RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SEH\'ICE:— OAP, ETC.) ' FIREPLACE INSEflT <br /> HEAT PUMP <br /> SUB TOTAL 3 SUD TOTAL 5 <br /> PEfiM1T 5 PERMIT S <br /> TOTAL FEE f TOTAL FEE 5 <br /> SIDE YAR�SE7BACK STREETSETBACK REAR YARD S'cTBACK �� PLAN CMFCK NUMB[R PLAN CHECK FEf: <br /> FEE RECEIPT NO. <br /> USE ZONE �OT AREA VACANT SITE <br /> !:YES �...NO FEES VALUATION FEE <br /> T'/PE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STORIES MAX.OGC. LOAD BUILDING g],SOO.00 �J OO <br /> PLUMBiNG <br /> FIFEZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> ��:YES �.--�NO <br /> APPROVALS BY DATE OTHER <br /> � 1.EDNIRONMENTAL CHECK LIST U.B C. �' <br /> PFNALTY SEC 303(a� <br /> 2.PUILDIMG PLANS — - <br /> 3.rIRE HYDRANT TO7AL 9 00 <br /> a.FIREPROTEC710N5VSTEM ! PERMITVALIDA710N —` � <br /> 5.GRADING � WHEH PROPERLY VALIDATED QN 7HIS$PAGE��,7HI5 15 YOII�R PERMIT �'�j i <br /> fi.ORAINAGE $1 n to be dl�. Ori rivate ��` <br /> g p.. ' property. ��� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> � 8.HEALTH DISTRIC7 � - �. ,;�1� <br /> t'-i <br /> APPUCAiiON ACC.BY PLANS CHECKED BY APPR. FJR ISSUANCE DY . . . <br /> RF NV/LNC <br /> � <br /> � i <br /> ADDRESS FILE <br />