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ihcE�'ergreen �1� {^ONSTRUC ■ ION � � <br /> CITY OF <br /> everet� PERMIT pERMIT NO. O97Z5 <br /> pTl'HALL 259�87d5 <br /> EVERETf.YJA 98201 ❑ COMDINATION ❑ BUILDING X� MECHANICAL ❑ PLUMBING <br /> MAIL PDORE55 OTY ZIP PHCNE <br /> O\YNEF <br /> TOI�1 LOWERY 5624 COMP1ERCIAL Everett 98203 353-20 8 _ <br /> qpGHRECT OA OESIGt�ER <br /> MAILAODRE55 CITY 1'F PMONE <br /> GENERALCONiRACTOR <br /> MAILADDRE55 CITY 21P CHONE LIGENSE� <br /> Owner <br /> MECNANICAL�ANiRACTOR MAIL/�DRE55 <br /> CITV ZIP PHONE LIGENSE♦ <br /> PLUMBING CANiFACTOfl MAIL Au^URESS <br /> CITY ZIP PMONE UGE'�SE I <br /> CLASS OF WORK <br /> �Eyd ❑ADOITION ❑ALTERAiION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF WOR� <br /> S <br /> pESGRIBE WORK <br /> Install wood stove <br /> PPOPoSED USE OF BVILOING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THiS - <br /> LEWL DESGi7i�T10N OF PROPERTY ISMOW�EIOW OR ATTACH POURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior B�aK—°F HEREINFOR NOWITHEEGRANTING OF A PERMITRDOESINIOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- <br /> CONSTRUOCT ON OR THE PERFORMANCE OF ONSTRU T ONING <br /> SIGNAT CANTRACiOR OR A THORI2ED AGENT <br /> onrE <br /> J00 AODRE55 X � �„ $ 31 81 <br /> 5624 Commercial <br /> �"'�' MECHANICAL <br /> PLUl�181NG FEE <br /> NC:�TYPE OF FIXTURE OR ITEM FEE N0. PE OF E IPMENT — <br /> ._._.. AIR COND.UNITS—H.P.EA. <br /> , ! NATER CLOS[T QOILE–) REFRIGERATION UNITS—H.P.EA <br /> I�iATHTUO BGILFRS—HP.EA. <br /> __ �qVATORY(WPSM BASIN) G!+S FIRED AC.UNITS—SONNAGE FA. _.�_ <br /> SHOWER FORCEDAIRSYSTLMS—BT.U. MEA. ___ <br /> KILCHEN SINK 8 DISP. WALL HEATERS—�.T.U. M — <br /> DISHWASHER UNIT HEATERS—B.T.U. M <br /> LAUNDRYTRAY _ EVAPORATIVE COOLERS <br /> CLOiHES WASHER CLOTHES DRVCRS <br /> WATER HEATER VENTILATION FAN <br /> URINAL qANGE HOOD <br /> DRINKING FOUNTAIN qIR NAN�LING UNIT— C.F.A1. <br /> FLOOR DRAIN STOVE — <br /> VAGUUM BREAKERS ME7q�FIREPLACE 8 CHIMNEY —�-- <br /> ROOF DR41NS—RAINLEADERS <br /> SINK(SERVICE—BAA.ETG) <br /> SUBTOTAL S <br /> SUB TOTAL pENMIT S <br /> PENMIT S TOtAL FEE S <br /> TOTAL FEE s pLqN GHECK FEE <br /> SIDE YARD SETBACK S7REEi SETBACK REAR YARD SETBACK PLAN CHECK NUM�ER pECEIPT NC. <br /> FEE <br /> � USE ZONE lOT ARFA VACANT SITE FEES VALUATION FEE <br /> ❑YES GNO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING � <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOAD �— <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL �4 5O <br /> REOUIFED <br /> ❑YES C7N0 <br /> APPROVALS <br /> BY DATE CTHER <br /> t ENVIRONMENTAL CHECK LISt PENALTY ECC303(a) <br /> 2. BUIlDIN3 PlANS TOTAL �4 50 <br /> 3. FIRE HYDRANT <br /> PERMIT VALIDATION <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> L.L� <br /> 5. GRADING r_ [V <br /> � .- �� i ': I �. C �� � <br /> 6. ORAINAGE �- " ' <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 0 <br /> B. HPALTN DISTRICT . � - � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � . � � � <br /> � <br /> � <br /> ADDRESS FILE �' � � <br />� <br />