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� <br /> theEvergreen rpNSTRUCTION � � - <br /> CITY OF pERMIT <br /> everett PERMIT NO. O9O3Z <br /> GTY HALL 259�8745 � COMBINATION �c BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETf.WA 562U� <br /> OWNtR MRIL ADORE55 <br /> CITY 71P PHONE <br /> Edger S. White 6102 Commercial Everett 98203 p5oE0730 <br /> .:RCNITECT OF OESIGNER <br /> 1AAIL ADDRE55 CITY <br /> C'�, Z�p PMONE UCENSE� <br /> GENEAA�wNTRACTOR <br /> MAIL ADDRESS <br /> S ame Z�p PXONE LICENSE I <br /> M[CHANIGI CONTPALTOR <br /> MAII A�ORE55 CITY <br /> ��n, Z�p PHONE LICENSE� <br /> VLU6191NG CONTRPCTOii <br /> � MAIL ADORESS <br /> CLASSOF W09K fENCE ❑SIGN ❑GARAGE <br /> ❑NEW ❑ADDITION ❑A�TcRAlION �F7EPAIR ❑DEMOLITION � <br /> JALUAiION OF WCPK <br /> s �JOQ. �� <br /> �ESGRIBE WORK . <br /> Replace existing fence <br /> raoroseo use oF euaowc i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> PLICATION AND KNOW THE SAME TO Be TRUE AND CORRECT. <br /> LEGAL DESCRIPTION OF PRCPERTY ISIIOW BELOW OFl ATTACH FOUR COPIE51 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �16-17 o�aK 6 oF Pinehurst Div. A TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> �� -- HEREIN OH NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- <br /> CONSTRU�CTION OR THE PERFORMAN�OF CONSTRUCT ONING <br /> S�GNAiURE CF CANTRhGiOR�R AUiH IZEO AG[NT �i <br /> DAiE <br /> JOOPpDR=55 X � � �(/j/t,� �G� � �'� ✓ / <br /> 6102 Commercial <br /> MECHANIC L <br /> PLUMBING TYPE OF EQUIPMENT FEE <br /> N0. TYPE OF FI%TURE OR ITEM FEE N�• <br /> AIR COND.UNITS—HP.EA. <br /> WATER CLOSET(TOILET) REFRIGERATION UNITS—H.P.EA <br /> BATHTUB . pOILEFS—H i'.EA. <br /> �AVATORY(W�SH BASIN) GAS FIPED A.C.UNITS—T�NNAGE EA. <br /> SHOWER FORCED AIR SYSTEMS—B.T.U. M EA_ <br /> I KITCHEN SINK 8 DISP. y�pLL HEATERS—B T U. M <br />�� ' DISHW�SHEN UNIT HEATEPS—0 T.U. M <br />`� LAUNDRYIRAY <br /> EVAPORATIVE COOLERS <br /> I CLOTNES WAShiER CLO7HE5 DRYERS <br /> WATER 11EATER VENTILATION FAN <br /> URINAL qqNGE HOOD <br /> DRINKING FOUNTAIN pIR HANDLING UNIT— C.F.M. — <br /> � FLOOR DRN�N STOVE <br /> VACUUM BF7FAKERS METAL FIPEPIACE 6 CHIMNEY <br /> ROOF DR���NS—RAINIEADERS <br /> SINK(SERVICE—BAF1,LTC 1 � <br /> � <br /> SUBTOTAL S — <br /> SUB TOTAL pERM1T s <br /> PEHMIT S TOTAL FEE _ �— <br /> ';'U'AL PEE S PLAN CHECK FLE <br /> SIDE YAfiD SETBACK STREEi SETBACK REAF YARD SETBACK PLAN CHECK NUMBER "rEE RECEIPT NO. <br /> > <br /> LOT AREA VACANT SITE FEES VAIUATION FEE <br /> � USE ZONE (�VF� ❑NO <br /> � <br /> � TYPE OF CANST. OCCUPAN�Y GROUP NO.OF DWELLING UNITE E S OO. ZO 00 <br /> BUILDING <br /> SIZL OF BLDG. NO.OF StORIES MAX.OCC.IOAD <br /> PLUMBING <br /> BASEMENT FIRESPRINKLEPS MECHANICAL <br /> FIRE ZONE REOUIRED <br /> ❑YES LlNO <br /> BY DATE OTHER <br /> APPKQVALS U.B.C. <br /> t. ENVIRONMENTAL CHECK LIST PENALTY SEC.303(a) <br /> 2. E3UILDINGPLANS TOTAL ],O 00 <br /> 3. FIREHYDRANT PERMITVALIUATION <br /> 4. FIRE PROTECTiON SYSTEM WHEN PROPERLY VALIDATED QN THIS SPA�E�rT(IiIIS YOl�B�E�N � � N � <br /> � U <br /> 5. GRADING M <br /> 6. CRAINAGE _ 1� <br /> Z ENVIRONMENTAIIMPACTSTATEMENT � " -, .~. - • � `��l <br /> � b�.'ALTH DISTRICT � . . . .. • � �+ <br /> APPLiCAT10N ACC !3� PlANS CH[CKED OY <br /> APPR.FORISSUANCE BY <br />