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L <br /> "t <br /> � <br /> �he E�'erRreen - �O N ST R U CT I C � � � � <br /> CITY OF � � ` <br /> everett PERMIT PERMIT N0. 13265 <br /> CITY HALL 259�8745 <br /> EVERET7,\NA982�1 ❑ COMBIkATION L� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> MAIL AUOPESS CITY 21P PMONE <br /> OWNER :q� <br /> United Schwimm Cycelry 5631 Evergreen Way Everett 353-9262 y <br /> ARCHRECT OR OESIGNEF MAIL ADOflE55 <br /> ��TY Z�p PMONE <br /> GENERAL GONTflAGTOfl MAIL ADDRE55 CIiY 21P PHONE LICENSE I <br /> Simco Sign Co. P.O. Sox 68 Everett 98201 252-0086 <br /> MECHANICPLLONTRACTOR <br /> MAILADDRESS CRV 21P PMONE LICENSEY <br /> PLUMBING WNTRAGTOR <br /> MAILADDRE55 CRY ZIP VHONE LICENSEI <br /> LLASS OF WORK <br /> ❑NEW ❑ :+ODITILN ❑ AI.TERATION O fiEPAIR ❑ DEMOLITION ❑ FENCE XY, SIGN ❑ WOO:S;OVFJFIREPLACE INSERT <br /> VALUATION OF WORK ` <br /> S 2���0.�0 <br /> DESCRIBE WORK <br /> 1RStd11 111 l. <br /> FROPOSEDUSEOFBUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAl0E5CRIPTION OF PROPEFTV�SMOW BELOW OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHEfi STPTE OR <br /> LOCAL LA GU G CONSTRUCTION OR THE <br /> PERFOR O ON RUCTION. A <br /> JOB AODRE55 SIGNATUR OF NTR Ofl O THORIZED AGENT � <br /> 5631 Evergreen Wa <br /> X � �� <br /> PLUMBING MECH CAL <br /> N0. TYPE OF FIXTURE OR ITEM <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND.UNITS — H.P.EA. <br /> tiEFRIGERATION UNITS— H.P. EA. <br /> BATHTUB <br /> LAVATORY(WASH BASIN) BOILERS— H.P.EA. <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN SINK 8 UISP. FCflCED AIR SYSTEMS— B.T.U. M E.4. <br /> WALL HEATERS— B.T•U• M <br /> DISHWASHEF <br /> UNI7 HEATEFn— B.T.U. �+1 <br /> LAUNDRYTRAY <br /> CLOTHES WASHER EVAPORATIVE COOLEFS <br /> WATER HEATER CLOTHES DRYERS <br /> VENTI�ATION FAN <br /> U(iINAL <br /> DRINKING FOU4TAIN RANGE HOOD — <br /> AIR HANDLING UNIT— C.F.1A. <br /> FLOOR DRAIN <br /> VACUUM 9REAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEAIIERS METAL FIREPLACE&CHIMNEY <br /> SINK(SEfiVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB 70TAL i SUB TOTAL S <br /> PEHMI7 S <br /> PEHMIT 5 <br /> TOTALFEE S <br /> TOTAL FEE S PLAN CHECK FEE <br /> SI�E YARD SETBACK STREET SETBACK REAR YARD SE78ACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALU.4TION FEE <br /> i-:YES GNO <br /> 7YPE OF GONST. OCCUPANCY GROUP ND.OF DWELLING UNITS <br /> BUILDING 5 2 000 <br /> SIZE OP BLOG. NO.OP STORIES MA%.OGC.LOAD pLUMBING <br /> FIREZONE BASEMEN7 q�EOUSRED KLERS MECHANICAI <br /> CYES CNO <br /> � APPflOVALS BY DATE �THER <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK LI57 PENALTY SEC.3031a) _ <br /> 2.BUILOINGPLANS TQTA� 9 0� _ <br /> 9.FIRE HYDRANT <br /> 4.PIRE PROTECTION SYSTEM PeRMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THI I IPG O)THIS�S�Y(�U�PF�Rp�11T ;� <br /> 5.GRADING � � � <br /> 6 6.DRAINAGE ��� 1 <br /> 7.ENVIRONMENTALIMPACTSTATEMENT ��� <br /> B.HEALTH�ISTRICT �, � 'j r �::C�:IFI �� <br /> APPLICATION ACC.BY PLANS CHECHED BY APPR.FOR ISSUANCE BY � 1�{., � <br /> RF NV <br /> �... u :� <br /> % �j i'�f i� u ti <br /> ADDRESS FILE <br />