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the Evergreen <br />CITY OF <br />�verett <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 <br />co���rRucT�oN <br />QERCVIIT <br />❑ COMBINATION <br />� BUILDING ❑ MECHANICAL <br />PERMIT NO. 07521 <br />❑ PLUMBING <br />OWNER hIqILApORE55 CiTY ZIP PMONE <br />Dr. Edward Diamond 3625 Rucker 98201 252-1414 <br />ARGNIiECTORDE51GNEfl MAILA�OPESS CITY ➢P PNONE <br />GENERALCONiPAGTOR MAILADDPE55 GITY ZIP PMONE LICENSEI <br />D& M Const 402 Lamar Drive Idukilteo 98275 355-�{}���X 4730 <br />MECNANICALCONTPFCTOP MFILADDFE55 CITV ZIP PHONE zZ6 LICENSEI <br />� DM CO N�$CP <br />PIUMBINGCONTRNCTOF MFILA�ORESS QTY ZIP PHONE UCENSEI <br />❑NEW �DDITION ❑ALTERATION ❑REPAIR ❑�EMOLITION ❑fENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORH <br />E rJ��00.�� <br />DESGFIpE WORK <br />Addition to existing building <br />FROPOSED USE OF BUILDIIIG <br />Veterinary Clinic I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />LEGALOESC8IPTIONOFPFO�ERiV�SMGVJ6ELOWOflAifACMFOIIRCAPlES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />�or 15 BLOGN_OF Beverl� <br />JOB AO�RE55 <br />6815 Evergreen Way <br />PLUMBING <br />N0. TYPE OF FIXTURE i <br />WATER CLOSET ITOILE� <br />9ATHTUB <br />L4VATORY (WASH BASIN) <br />SHpWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER H61TER <br />URINAL <br />ORINKING fOUNTAIN <br />FLOOR DRAIN <br />VACUUAIBREAKERS <br />ROOF DRAWS—RAINLEADERS <br />SINK �SERVICE — BAR, ETG.) <br />SUBTOTAL <br />SIDE YARD SETBACK <br />USE ZONE <br />TYPE OF C�NST. <br />SIZE OF BLOG. <br />FIRE ZONE <br />Hills Div, 1 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEC <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 LAVJ REGULATING <br />TRUCTION OR THE PERFORMANCE OF CONSTRUCi�ION. <br />SIGN�AT RE OF CpNiFNC70R OR �A,U�TH` R2�ED AGENi �ATE <br />/l ^ -- - - �i'�/:!�Fiis; ,�� /` 4/28/80 <br />STREET SETBACK <br />LOT AREA <br />OCCUPANCY GROUP <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT S7ATEh1CNT <br />0. HEALTH DISTRICT <br />hPPLICATION ACC. BY PLANS CHECKED BY <br />V.C. <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />nw�nNn iiNits-Hn Fn <br />REFRIGERATION UNITS — H.P. EA <br />BOILEflS — H.P. EA. <br />GAS FIRED �.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. A <br />WALL HEATERS — B.T.U. 6 <br />UNIT HEATERS — B.T.U. A <br />EVAPORATIVE COOLERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F <br />STOVE <br />METAL FIREPLACE 8 CHIh1NEY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REAR YARD SETBACK PLAN CFIECK N <br />7521 <br />VACANT SITE <br />❑YES GNO <br />NO. Of DWELLING UNITS <br />LlNO <br />APPR.FORISSUANCEBY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />FEE 2�.80 <br />VALUATION <br />� 5,000.00 <br />U.B.C. <br />SEC.303(a1 <br />RECEIPT N0. <br />PERMIT VALIOATION ' <br />WHPfJ PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />32 I 00 <br />32 I 00 <br />� <br />�l,25 5037.00--- �; <br />� <br />� <br />YOUR RECEIP�' <br />� t'�!\(��n i��U <br />