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dir Evergreen <br /> CITY OF p ERM IT <br /> everett PERMIT NO. OgO32 <br />� GTY HALL 259�8745 � COMBINATION �t BUILDING ❑ MECHANICAL ❑ PLUMBING �� <br /> EVERETT.WA 99z�� Zip PHONE <br /> -'�na nooaess c�'r 3 5 3-0 7 3 0 <br />�� o,vNEa Everett 98203 <br /> Edger S. White 6102 Commercial Z�P P„o,+E <br /> CITY <br /> MAI�AODRE55 <br /> I APGMITECT OR DESIGNEA <br />� Z�P PMONE LICENSE� <br /> MAII ADDRE55 GITY <br /> GENERAL �i�ENSE� <br /> Same z�p PHONE <br /> MAIL AD�RE55 <br /> crtr <br /> MECHPNICAICANTRALTOR <br /> Z�P PHONE IILENSE� <br /> GITY <br /> Mpil ADDPE55 <br /> PLUMBING CONiPACiOR <br /> CiA55ofwORK FENCE ❑SIGN ❑GARAGE <br /> ❑NEW ❑AD�ITION ❑A�TERATION ,I'�REPAIF ❑DEMOLITION (� <br /> YFLUATION OF wORK <br /> a 5��•0� <br /> DE.`�CR�BE <br /> Replace existing fence <br /> PROPOSEO USE OF BUILOING I HEREBY CERTIFY THAT I HAVE RCAD AND [XAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DESGRiPTION OF PROPERN ISHOW BELOY!OR ATTAGH FOUPCOPIE51 ALL PROVISIONS OF IAWS AND ORDINANCeS GOVERNING THIS <br /> �0�6-17 e�aK 6 oF <br /> Pinehurst Div. A HERE�F�R NONT11THEEGRANTING OF AWERMTRDOESINOT <br /> PRESUMETO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> VISIONS OF A�IY OTHER STATE OR LOCAL IAVJ REGULATING <br /> CONSTRUCTIG J OR THE PERFORMANCE OF CONSTR�'A ETION. <br /> SIGNATUFE OF GONiRACiOR OR AUTH IZEU AGENT � Z �/ <br /> JOB ADDRE55 �( <br /> � ��/ii� (�j� . <br /> 6102 Commercial <br /> MECMANIC L FEE <br /> PLUMBING FEE N0. TYPE OF E�UIPMENT <br /> N0. TYPE OF FIXTUHE OR ITEM q�q COND.UNITS—H P.EA. <br /> WATER CLOSET(TOILETI REFRIGERA1iON UNI7S—H.P.EA <br /> BATMTUB BOILERS—H P.EA. <br /> LAVATOF7V(WASH BASIN) GAS PIRED AC.UNITS—TOI:4AGE EA. <br /> SHOWER FORCED AIR SYSTEMS—B�T.U. M EA. <br /> KITCHEN SINK 8 DISP. �`� <br /> WALL HEATERS—BT.U. <br /> DISHWASHER UNIT HEATERS—B T.U. �'� � <br /> LAUNDA�TRAY EVAPORAiNE COOLERS <br /> CLOTHES WASHER CLOiHES DR�ERS <br /> WATER HEATER VENTIIATION FAN <br /> URIN�L RANGE HOOD <br /> ORINKING FOUNTAIN AIR NANOLING UNIT— C F M. <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEY <br /> FOOF DRAINS—RA�N�FADERS <br /> SINK ISERVICE—BAF1.ETCJ <br /> SUBTOTAL S . <br /> SUB TOTAL PERMIT S <br /> PEHMIT s TOTAI.FEE S <br /> TOTAL FEE s PIAN CHECK FEE <br /> SIDE YARD SETBAGK <br /> STREET SETBACK RFAR YARD SETBACK PLAN CNECK NUMBER FEE RECEIPt NO. <br /> VACAN7 SITE VALUA�ION FEE <br /> LOT AREA FEES <br /> USE ZONE LlYES ❑NO <br /> OCCUPANCYGROUP NO.OFDWELLINGUNITS SSOO. ZO 00 <br /> TYPE OF CONST. BUILDING <br /> NO.�F S70RIE5 MA%.��LOAD <br /> SIZE OF BLDG. PLUMBING <br /> BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FlRE ZONE C�g�R pN0 <br /> OATE OTHER <br /> pPPROVALS BY <br /> U.B C. <br /> 1. ENVIRONMENTAL CHECK IIST <br /> PENALTY SEC.3031a1 <br /> 2. BUILDING PLANS <br /> TOTAL 10 00 <br /> 3. FIRE MY�RANT pERM1T VALIDATION ' f I F�M�( n u N '� <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED pN THIS SPA�E)THI i IS YOU,P P,E 1 `J U � <br /> � M <br /> 5. GRADING � <br /> G. DRAINAGE , . . ^"r� ��� <br /> U <br /> 7. ENVIRONAIENTAL IMPACT STATEMENT <br /> B. HEALTH DISTRICT � �� �'�"� � ��� <br /> APPLICATION ACC.BY PLANS CHEGKED BY <br /> qPPR.FOR ISSUANCE BY <br /> 1 C�. �;��,R U � <br /> ADDRESS FILE <br />