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lheGrergreen C�l,�STRUC��O� � <br />CITY OF �A <br />'� s�i Ra.l.i. ����Y''� PEFiMIT N0. 07521 <br />CIT'! N4LL 259�8745 <br />EVERETT, WA 9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAILAD�PESS CITY ZIP PMOHE <br />Dr. Edward Diamond 3625 Rucker 98201 252-1414 _ <br />ARCHITECTOROESIGNER MAILhpOflE55 CIiY ZIP PNONE <br />GENERALCANiR�CTOP MAILADDRE55 QTY ZIP PMONE LIGENSEY <br />D s M Const 402 Lamar Drive Mukilteo 98275 355-}�y���X 4730 <br />MECHANIGNLC01lTRACiOR IAAILAD�FE55 CITY 21P PHONE Zz6 IICENSEI <br />DM CO N��kCP <br />PLUMBINGCONTPAC70F MAILADORESS QN ZIP PHONE LICENSEI <br />GIA55 OF WOFK <br />❑NEW �DDITION ❑ALTERATION ❑f7EPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />5 5,000.00 <br />Addition to existing building <br />PROPOSED USE OF BUILOING <br />Veterinary Clinic <br />LEGAL DESCPIPTION OF PFIOPEPTV ISHOV/ BEIOW OR ATfAC11 FOUP COPIES� <br />io, 15 B�aK_aF Beverly Hills Div. 1 <br />6815 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />KITCHEN SINK E D <br />DISHWASHER <br />IAUNDRYTRAY <br />CLOTHES WASMER <br />VlATER HEATER <br />URINNL <br />DRINKWG FOUNTF <br />FLOOR DRAIN <br />VACUUM BREAKEF <br />ROOF CRAIRS — F <br />SINK ISERVICE — I <br />SIDE YAflD SETBAGK � STREET <br />SIZE OF <br />OF STORIES <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />A. FIRE PROT[CTION SYSTEM <br />5. GRADING <br />6. DRAINAGE __ <br />7. ENVINONMEN7AL 161PACT STl.TEtdENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. 8Y PLANS CHECKED BY <br />V.C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION A�ID KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYFE 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 OF LOCAL LAW REGULATING <br />TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT EOFGONiRAGTORORFUTH RIZE�AGENT DATE <br />�.�1 � � ����Q�;�� r 4/28/80 <br />MECHANICAI <br />FEE NO. TYPE OF EQUIPCAENT FEE_� <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERPTION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />\'JALL HEATEfiS — 8 T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLEf7S <br />CLOTHES GRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — GF.M. <br />STOVE <br />REAR YARD SETBACK PLAN CHECVC N <br />7521 <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF DWELLIIJG UNI1J <br />BUILDING <br />MA%.00C.LOAD <br />DATE <br />APPR.FORISSUANCEBV <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />FEE ZO. BO <br />VALUATION <br />5 5.000.00 <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT N0. <br />ION <br />VALIDATED (IN THIS SPACE) THI515 YOUR PERMIT <br />32 I 00 <br />� �� <br />["i <br />IG25 s03i.0�-- � <br />h <br />O <br />YOU R P,ECEIPT <br />�l�1!'\f'�R I�U <br />ACDRESS PILE 9 Q APR RO <br />