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dieG�rrgrecn � �jnNSTRUCTION � � � <br /> GTY OF <br /> ev�ret� PERMIT pERMIT N0. 0?292 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O1YNEfi � MAILApDHESS QTY ZIP PNONE � <br /> KENS CAM�RA 8907 EVERGREEN [�AY <br /> ARCHITECT OH DESIGNER MAIL ADORESS CITY ZIP PHONE <br /> GENERALCONTFACTOR MAILADORESS QTY ZIP PIIONE UCENSEI <br /> MECNANICALCONTflACTOR MAILADDRESS CITV ZIP PNONE LICENSE� <br /> PLUMBING CONiMCTOR MAIL ADDRE55 CITY ZIP PHONE L'CENSE I <br /> RUCKER AVE. PLBG. .S2_1Ah1 <br /> CLASS OF WOFK <br /> �JNEW ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATiON OF WORK <br /> S <br /> DESCRIDE WORK <br /> PROPOSED USE OF BUILD�NG <br /> I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCflIP710NOFPFOPERTY�SHOWBELOWORATfACHFOURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BLOCK_OF 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 STATC OR LOCAL LaW REGULATING <br /> CONSTRUCTIO OR T RF RMANCE �F CONSTRUCTION. <br /> JOBADDRESS SIGNAT ' E - UN CTORO iNOR AGENT �ATE <br /> 8907 EVERGREEN WAY X <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOIL[T) AIP.COND.UNITS—H.P.EA. <br /> BATHTUB REFfiIGERATION UNITS—H.P.EA <br /> LAVATORY(lNASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> :AUN�RY TRAY I�NIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEA7ER CLO7HES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FIOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAWLEADERS METAL FIREPL4CE 8 CHIMNEY <br /> 51NK(SERVICE—BAR,ETG� <br /> SUBTOTAL SUBTOTAL S <br /> PEHMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YAFD SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE ' <br /> . DYES ❑NO FEES VALUATION FEE <br /> TYPE OF CONSi. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STORIES MA7(.00C.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> OYES ClNO <br /> APPROVALS BY OATE OTHER <br /> t. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> 2. BUILDINGPUlNS SEC.303(a) "� <br /> 3. FIRE HYDRAN7 TOTAL <br /> 7 0 <br /> 4. FIRE PROTECTION SYSTEM PEflM1T VALIDATION � <br /> WHEN PROPERLY VALIOATED(IN THIS SPACE)THIS IS YOUR PERMI7 <br /> 5. GFADING <br /> 6. DRAINAGE 9 0 6 6 �O O�. U O � � <br /> 7. ENVI(iONMENTAL IMPACT STATEMENT _ N � . <br /> B. HEALTH DISTRICT qI�—� , <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY YO U�R REC E I P N <br /> 1c rr-�APJK YOU <br /> ADDRESS FILE ' 4 � 80 <br /> r <br />