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� <br />-n <br />Ure Evergreen - C�� S II R��� �� I' <br />CITY OF _ <br />everett P�RMiT pERMIT N0. ZOH62 <br />GIiY HAL1259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLIiMBING <br />OV/NER dC MAILADOPE55 CIiY Zlf' PHONE <br />Walt Leavitt ��� 6504 Evergreen Way Everett 355-�.731 <br />ARCNITECTOPDESIGNER M4ILADDRE55 CITY ZIP PMONE <br />GENERALCONiRAGiOR MAILADDRESS CITV 21P PHONE LICENS[� <br />�lon General Contracting 261 South Hiqhway 101 Solana Beach Ca. <br />MECMANIGALCANiRACiOR MAILADDFE55 CITY ZIP PMONE LIGENSEI <br />PLUM�INGCONiPPCTOR MAILA�DRE55 CITY DP PNONE LICENSE/ <br />ClA$S OF WOFK <br />❑NEW ❑ADDITION XX4LTERATION <br />VALIIATION OF WORK <br />s 30,000.00 <br />oesr.aieE woaK <br />Install new ceiling and walls <br />PR7POSE0 USE OP BUILDIMG <br />retail sales <br />LEGAL OESGRIPTION OF PROPERiY �SHOW BELOW OR ATfACM FOUR COPI <br />ior 15 e�ocK_oF Beverly Hills <br />6502 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEiri <br />DISP. <br />I DRAIN <br />IM BREAKERS <br />DRAINS — RAINLEADERS <br />iERVICE — BAR, EfQI <br />SUB TOTAL <br />Y4RD SET6ACK <br />N/A <br />�ONE <br />B-2 <br />v-1 xr. <br />SI2E OF BLDG. <br />5450 Sq. Ft. <br />FIRE ZONE <br />STREET SEfBACK <br />LOT APEA <br />GROUP <br />B-2 <br />� 1. EN\'IRONIdf.IJTAL CHECK LIST <br />� 2. BUIIDING PLANS li� <br />' 3. FIRE NY�NNT N <br />� 4. FIRyP ECTION SYSTEM <br />� 5. GRbDllai��,„ <br />�6. D N� ,��� Q <br />7. E13WRCR�.IEMTAL CT STATEMENT <br />�r <br />g, Fif•QLT ISTRICT�,y <br />�`� qp I qiIRJ ACC. �P PLANS CHECKED BY <br />�.� �H � � HWM <br />�� <br />❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />I HEREBY CCRTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF !A\NS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIF.D WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFOF3jv1ANCE OF CONSTRUCTION. <br />.�6lcnrrnu�anf�evTa�i.uiMORIZF1f�eNr onTE� / <br />MECHANICAL <br />FEE N0. TYPE OF EOUI <br />2 AIR COND. UNITS — H.P. EA. <br />oFFOIl:FI]GTIf1N IINITF — H. <br />tlVI�tH.I — n.l'. [M. <br />GAS FIRED A.C. UNITS — TONNA6E EA <br />FORCED AIR SYSTEh1S — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />11NlT NEATERS — O.T.II. M <br />FVAPORATIVE COOLERS <br />CLOTH[S DRYERS <br />VEIJTII.l�TION FAN <br />RANGEHOOD <br />AIR HAIJDLING UNIT — �� <br />METAL FIREPLACE 8 CHIlANEV <br />REAR YARD SETBACK PLNN GHt <br />N A <br />VACANT SITE <br />OYES �XNP <br />NO.OF DWELLING UNITS <br />BUILDING <br />APPR. FOR ISSUANCE BY <br />r.c <br />PENAITY <br />TOTAL <br />TOTAL FEE <br />:K NUMBER PLAN CI <br />82/10862 FEE 125.4 <br />530�000. <br />U.B C. <br />SEC.3031a) <br />RECEIPT NO. <br />[� <br />WHEN Y AiE9{IN ISSpAC 7rI515v� EE I <br />B�A�"6. a �p 7, y :c� � <br />If 4 or more p� �p13� are t�" 6 a � <br />employed, two toilet rooms shall ;�• <br />YC�'� �'�Cc�k#'t �(�IJ.�i: �'�EtPI� <br />T,�r,��1K YOU �F1�t�K YOU <br />� � $ pUG :82 � $ 'I�C $Z . ,;" .• <br />, �::� <br />ADDRESS FILE _ . ._.._ <br />�� <br />J <br />. � <br />r <br />