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��TYaF � pERMlT <br /> everett PERMIT NO. 06627 <br /> CITVHALL259�B745 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERET7.V!A 58201 iip rNor+E ��,_ <br /> ciTr 285-5222 '� <br /> iana nooaess 982pg � <br /> OWNEFl <br /> DGH 222 Etruria, Seattle ZiP P"o"E <br /> GITY <br /> MAIL AODFESS <br /> ARCMITEGT OR UESIGNER <br /> ZI� PH�yE �ICENSE� <br /> arv SZS-6871 QI PA LM E123BP <br /> h1AILA0DRES5 Seattle <br /> GENERAL CANTPACTOR �ICFNSE� <br /> Palmer Quality Const. 3022 NE 87th Stree Z�P pHONE <br /> CITY <br /> MAIL A�DRESS <br /> MEGHANICAI COHTRACTOF ��CENSE� <br /> Z�P PNONE <br /> CiTV <br /> MAIL ADDRESS <br /> PLUMBING CONTRACTOR <br /> cusSOFWoeK t� TEqqTION ❑AEPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> ❑NEW ❑ADDITION yi+}�. <br /> yALUATION Of WOFK �� <br /> 58�50�.0� ' /��� <br /> OESCRIBE WORK q ��+�- -`-'� <br /> interior finish and remodel -�S�jt-I�E �O t -' C � µ <br /> PROPOSED USEOF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> commercial PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL�ESCFIPTION OF PR�PER7Y�SHOW BELOY!OR ATfALH FOURCOP�ES) ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Beverly Garden Tracts TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> �or 18 8���-�F HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> 13, T 28N, R4E PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OT'iER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR l i.F PERFORp�MANCE OF CONSTR�UCTI�N. <br /> SIGNATUi1cC�„$�ONTad�T��R���..i��-�T�'�y� /i }l •o � <br /> .�. IT / A- Il Y <br /> JOB AD�RE55 �( 'T-- �y2'` ' <br /> 8625 Evergzeen Way ECHA ICAL <br /> PLUMBING FEE <br /> FEE NO. TYPE OF EQUIPMENT <br /> N0. TYPE OF FIXTURE OR ITEM -. q COND.UNiTs—H.P.EA. - <br /> WATER CLOSET QOILET) REFR�GERATION UNITS—H P.EA <br /> BATHTUB BOILERS—H.P.EN. <br /> LAVATORY IWASH BASIN) GAS FIRED AG.UNITS—TONNAGE EAM EA. <br /> SHOWEP FORCEDAIRSYSTEMS—BT.�. M <br /> KITCNEN SINK 8 DISP. WALL HEATERS—B.T.U. M <br /> DISHWASHER UNIT HEATERS—B T.U. <br /> LAUNDRY TRAY EVAPORATIVE COOLEPS <br /> CLOTHESVJNSHEF CLOTHES DRYERS . <br /> WATER HEATEF VENTILAI�ON FAN <br /> URINAL RANGE HOOD �,F.M. <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEY <br /> ROOF ORA�NS—AAINLEADERS <br /> SINK�SERVICE—BAR ETC.1 — <br /> SUBTOTAL S <br /> SUB TOTAL PEAM�i S <br /> PEPMIT S 3 00 TO7AL FEE 5 <br /> TOTAI FEE S 5 00 p�AN CHECK FEE <br /> STREET SETBACK REAR YARD SETOACK PLAN CHEGK NUMBER FEE 3�..2� AECEIPT NO. <br /> SIDEYARDSETBACK N/A N�p 79/284 50084 <br /> N�A VALUATION FEE <br /> LOTAREA VACANTSLjE FEES <br /> USEZCNE_1 OYES �3fi� <br /> C <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS qg 00 <br /> 5-N BUILDING "SSO0.00 <br /> � e MN(.�.LOPD 5 OU <br /> SIZE 0=BLD�. NO.aF STORIE.. pLUMBING <br /> 24,000 Sq• Ft. <br /> FIRE SPRINKLERS <br /> FIFE ZON� BASEMENT REOUIREDXX MECHANICAL <br /> 3 none ❑YES ❑NO <br /> OTHER <br /> --ppPHOVALS BY DATE U.B.C. <br /> PENALN � SEC.303(a) <br /> ,. ENVIRONMEN`AL JHECK LIST 5 3 00 <br /> �— TOTAL <br /> 2. BUILDINGPV:NS <br /> 3. FIRE HYDRANT pEflMIT VALIUATION <br /> 4. FIPE PROTECTION SYSTEM WHEN PROPERIY VALIDATED(IN THIS SPACE)THI515 YOUR PERMIT � <br /> N <br /> 5. GRADING � <br /> 6. DRAINAGE (,D <br /> .�� <br /> 7. ENVIRONMENTAL IMPD.CT STATEMENT � <br /> 8. HE4LTH DISTRICT ' <br /> pLqN..CHECKED BY APPR.FOR ISSUANCE BY <br /> APPLII'.ATION ACC.BY ` <br /> flWM <br /> ADDRESS FILE <br /> J <br />