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the Evergreen <br />C^)NSTRUCTION <br />20083 <br />everett <br />PERMIT PERMIT <br />NO_: , <br />259-8745 <br />❑ DEMOLITION ❑ <br />COMBINATION) BUILDING ❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY <br />Everett 98203 <br />ZIP <br />353-7770 <br />PHONE <br />Ramona Boylan <br />6917 Evergreen Way <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />GENERAL CONTRACTOR <br />MAILADDRESS CITY <br />ZIP <br />PHONE LICENSE0 <br />'Aye"- -A-11 I CITY PHONE LICENSE• <br />MECHANICAL CONTRACTOR MAIL ADDRESS ZIP <br />��a15 ^nloL�r'ait���Ct+ <br />PHONE LICENSEN <br />CLASS OF WORK <br />[I NEW Q ADDITION gALTERATION El REPAIR El DEMOLITION ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 62,000.00 <br />DESCRIBE WORK <br />Repair falling ceilings on entry and front area, add on to square off back + 884 small Add. <br />HEAT SOURCE 1-1 .. nnernue I -I OTHER <br />U CLCG I HIIHIT"'- --- <br />PROPOSEDUSEOFBUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Office <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />12 5 Beverly Hill Div 1 <br />BLOCK OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />LOT _ <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THJP� FORMAN F CONST CTION.JOB <br />SIG1O COMA QF. UTHORIZE A NT. GROWN OAT <br />AOORE55 <br />Myy T <br />6917 Evergreen WayX <br />MECHAN CAL <br />LUMBING <br />- - <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I MENT <br />TYPM <br />FEE <br />A/C—A/HNDLG UP. <br />WATER CLOSET (TOILETI <br />BATHTUB <br />REFRIGERATION .P. EA.LAVATORY <br />--"" <br />(WASH BASIN) <br />BOILERS —B.T.U.GAS <br />FIRED A.C. U.U.SHOWERKITCHEN <br />SINK 8 DISP. <br />FORCED AIR SYS.U. M EA.DISK <br />WALL HEATERS —MLAUNDRYTRAY <br />YASHER <br />UNITHEATERS—M <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />RANGE HOOD <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />HOOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />p, <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN L <br />SUBTOTAL <br />$ <br />SUBT <br />PERMIT <br />S1 <br />PERM OM <br />TOTALFEE <br />$ <br />TOTAL <br />Ito <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FE6 CLt, J <br />E PT NO. <br />-' <br />-- <br />88 20083 <br />304.53 <br />97677 <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑YES INNO <br />B-2 <br />TYPEOFCONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />562 <br />4 <br />PLUMBING <br />V-N <br />B-2 <br />0 <br />SIZEOFBLDG. <br />NO.OFSTORIES <br />1 <br />MAX. OCC. LOAD <br />26 <br />MECHANICAL <br />2531 <br />INVESTIGATION FEE <br />Sec. 304(c) <br />FIRE SPRINKLERS REOUIRED QYES 6d NO <br />STATE BUILDING SURCHARGE <br />3 <br />0 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />AM —ISSUANCE BY <br />DRIVEWAY PERMIT <br />472 <br />0 <br />S.H. <br />B.E. <br />B.E. <br />TOTAL <br />PERMIT VALIDATION <br />n� to ceouir <br />_ <br />WHEN PHUPGHLY VHLIM,UCV Pn Irno.+..—, .. __._-_- r"7 <br />Seperate permits required for plbg., mech., <br />and elec. O <br />O <br />CV <br />K <br />ADDRESS FILE <br />