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theEvergreen <br />C%NSTRUCTION' <br />OF <br />CITY OF <br />everelft <br />PERMIT <br />�� , <br />PERMIT NO.07989 <br />CITY HALL 25P8745 <br />❑ COMBINATION <br />❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />71P PHONL <br />Purdy Is <br />1512 <br />S. Broadway <br />ARCHITECT OR DESIGNER <br />MAILAODRESS 'CITY <br />ZIP PHONE <br />' <br />_. - <br />�.n nuM1UC I IfFNCF <br />■ <br />E <br />GENERAL CONTRACT OR <br />Puget Sign Co., Inc. 2021 State St. Bellingham, Wa. 98225 733-6 91 <br />MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP .PHONE UCENSE P. <br />H-1793 <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE- LK:ENSE0 <br />GLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR LTD'cMOLITION ❑FENCE XMIGN ❑GARAGE <br />VAI UATION OF WURK <br />5 2500.00 <br />DESCRIBE WORK <br />PROPOSED USE OF BUILDING <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 />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK —OF <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X Check #6758 7/31/80 - <br />JOBADB ,South Broadway <br />PLUMBING <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 COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />_ <br />BATHTUB <br />BOILERS — H.P. EA. <br />LAVATORY 1WASH BASIN) <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS -- B.T.U. M <br />DISHWASHER <br />UNIT HEATERS —B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE & CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />_ <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />E <br />SUBTOTAL <br />PERMIT <br />& <br />PERMIT <br />S <br />S <br />TOTAL <br />_ <br />FEE S <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUN.3ER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />8 <br />12 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />DYES ONO <br />OTHER <br />— <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />12 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 5 8 9 $ 2. D Cr <br />a <br />5. GRADING <br />8. DRAINAGE <br />- <br />7.. ENVIRONMENTAL IMPACT, STATEMENT <br />YQ U R RECEIPT <br />Tf=tANK YOU <br />B: HEALTH DISTRICT <br />APPLICATION ACC. BY <br />-PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />- Ras . <br />ADDRI <br />