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r --� <br /> dveGvergreen C7NSTRUCTION - � <br /> CITY OF <br /> everett PERMIT pERMIT N0. 1OG44 <br /> GTY HALL 259�8745 <br /> EVERETT.WA 98207 ❑ COMBINATION l�x� BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNEB MAILAOORESS CITY ZiP PNONE <br /> FranY. Leggett 4905 Glenwood Avenue Everett 98203 258-1610 <br /> ARC�IITECIOR pESIGNER MAIL ADDRE55 CITY ZiP pNONE <br /> GENEP4L WMRACTOR MAIL ADDRESS CR.' pIP PHONE iiCENSE� <br /> Same <br /> MEGNAWCALGONTRACTOR MAILADDRE55 CITV ZIP PHONE LICENSE� � <br /> � <br /> � PLUMBRIG CONTPACTOR MAIL ADDRE55 CITV 21P PHONE LICENSE� <br /> CLASS OF WORK <br /> x�INEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWAiION OF WORK <br /> S 25�0. �0 <br /> OESGPIBE WOFK <br /> Construct green house <br /> PROPOSEU USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCRIPTIOHOFPIUPERTY(SHOWpELOWORATTACNiOURCAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> �or 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 STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMAIJCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATU �0�CONiRACT/O�R OR UiH I ED AGENi DATE <br /> 4905 Glenwood Avenue X .,�..�./L y ' 6/7/82 <br /> PLUMBING MECHANICAL <br /> N0. TP?E OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND.CNITS� H.P.EA. <br /> BATHiUB flEPRIGE9ATI0N UNITS—H.R EA <br /> UIVATOR�'(WASN BASW) BOIL[RS—H P.EA. <br /> SHOWER GAS FIRED FC.UNITS—TONNA9E EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS--B.T.U. M EA. <br /> DISHWASHER WALL HEATEP,�,--3.T.U. M <br /> LAUN�FY TRAY UNIT HEA.'ERS—B T.U. M <br /> CLOTHES WASHER EVAPORATIY�COOLERS <br /> WATER HEATER CIOTHES URY:RS <br /> Ur71NAL VENiIlAT10N FAN <br /> ORINKING FOUNTAIN RANGE HOM <br /> FLOOR DRAIN AIR!inNDJNG UNII — C F.M. <br /> VACUUM BREAKERS STGVE <br /> ROOF DRAINS—RAINLEADERS METAL fIREPLACE 8 CHIMNEV <br /> SINK ISERVICE—BAR,ETC.) <br /> SUBTOTAL SUBTOTAL f <br /> ,� PERMIT S PEPMI7 f <br /> TOTALFEE S 70TALfEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SEiBACK PLAN CNECK NUMBEfl PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAN7 SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CqNST. OCCUPANCV GROUP NO.OF DWELLING UNIiS <br /> SIZEOFBLDG. NO.OFSTORIES MAX.00C.LOAD BUILDING SZ500. 00 38 SJ <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL J <br /> � I1VES ❑NO — <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAI CHECK LIST pENA�ry U B.C. <br /> SEC.303(a) <br /> :.. BUILOING PL4N5 <br /> 3. FIRLHVDRANT TOTAL 38 SO <br /> a. FIRE PROTECTION SYSTEM PERMIf VAIIDATION <br /> WMEN PROPERLY VALIDATED(IN TMIS SPACE)THIS IS YOUR PERMIT <br /> (� 5. GF,ADING <br /> �' <br /> G. DRAINAGE �' <br /> 7. ENVIRONMEN7AlIMPACTSTATEMENT � <br /> 8. HEALTH DISTRICT � <br /> �'-'� <br /> APPLICATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY <br /> L.C. <br /> ADDRE55 FILE <br /> . � <br />