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Ihr Evergreen <br />I C �' �V ST R U CT i O '�3 �• ►3t�G i°.�,N„,L.� N ° <br />everett PERMIT ���G Pw�7„r �ys9 <br />� 2oG <br />CITY HALL 259-87a5 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING 9 MECHANICAL ❑ PLUMBING <br />OWNLH MAIL AUUHLSS <br />UIII <br />III, <br />PHONE <br />L-VL12Q-'iT r.TiuT^w2 <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />I)-1KZMAw k OFntym7J '59_. \p - w1a mo(ZS h-4s. <br />tVILRG-T 7 <br />9310I <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PI"uR[ . LICENSE <br />AkYTiMSVN • L°A72[�'.IT1'FL^c(L5 �rAC. I3vSv•- NLit. 1LATH' <br />{y� <br />IJ••-L-L-•mv,/i <br />15piCV5 <br />NICL.IIANIL LGUNII IVH <br />JKcG•)_u, p G. OF w«+:� 1.+e. <br />.L nVVnc°° <br />Qc, �L.X'A3y <br />L;IIT <br />R..—�..wl,o <br />"I <br />SScb'1- <br />YIIVIIC <br />L11-CIQI- <br />&e1-1442-51vA1A.CN <br />PLUMBING CONIRACTOA <br />MAIL ADDRESS <br />Gil) <br />ZIP <br />PHONE <br />UCLNSEI <br />L%NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION 0FENCE ❑SIGN ❑GARAGE <br />VALUATION OFWORK <br />f I:a jb— "(J.A . <br />}TVA-t - , s w z-T M e-ret - <br />PROPOSED USE OF BUILDING <br />Sf Tmw-4..)-')- S-Toa s <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE 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 OR LOCAL LAW REGULATING <br />C TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />R,K NA IIL UP 1NTTIACIOR UR AUTHORIZED AGENT LATE <br />A+.1 � Z s 50 <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BIGCK_OF <br />�J <br />,?_A 3C.Pbm `�NUPt�1NC--Ic'.NTsf..(� <br />FLU maic_'-CLm(3- `3(.Cq C I51-� `j TC. rG� <br />J UADDRESS <br />PLUMBING ZOG <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CORD UNITS — HP FA. soo <br />ea <br />BATHTUB <br />REI RIGERA11ON UNITS — H P. FA <br />LAVATORY (WASH BASIN) <br />BOILLRS — H P LA. <br />_ <br />SHOWER <br />GAS TIRED A C UNITS —TONNAGE EA <br />KITCHEN SINK d DISP. <br />FORCED AIR SYSTEMS — B.T U. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. 1 O415 RW M <br />CLOTHES WASHER <br />9i <br />WAPQUAUVL400EH7S COILIDIEvxwt UB,41No0 <br />WATER HEATER <br />C1.01111 5 DRYERS <br />URINAL <br />_ <br />VENIILA71ON FAN -2- <br />Oo <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />I <br />AIR HANDLING UNIT — D O C F M. 3° <br />e <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS— RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />_ <br />- <br />SINK (SERVICE — BAR. ETC) <br />SUB TOTAL <br />SUB TOTAL f <br />v <br />PERMIT <br />i <br />PERMIT S <br />O" <br />TOTAL FEE <br />S <br />TOTAL <br />FEE $ <br />e o <br />SIDE YARD SETBACK <br />STREET SETBACK <br />M AH YARD SL TBACK <br />PLAN (A LCK NUMHLR <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />CIYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />L <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. BCC. LOAD <br />PLUMBING <br />I IRE ZONE <br />BASEMENT <br />FIRE <br />REOUIRED <br />❑YES <br />SPRINKLERS <br />❑NO <br />"— <br />MECHANICA,. <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U D C <br />SEC. 3031a1 <br />BUILDING PLANS <br />TOTAL <br />3 FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S GRADING <br />PERMIT VALIDATION <br />WHEN PROPFRLY VALIDAIER (IN THIS SPACE) THIS IS YOUR PERMIT <br />G DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />