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theE�'ergreen �` ���NSTRUCTION � `v.. <br /> GT'f OF <br /> everett QE���T PERMIT NO. 09373 <br /> CITV HALL z59�8745 � COM8INATION �SUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT.WA 98201 <br /> X <br /> GTY ZIP PHONE <br /> OWNEP MRILADDRE55 (j8Z�1 252-3688 _ <br /> M. Thompson 2118 Everett Aven e �Ty Z�P rNor,e <br /> ARCMITECT 09 DESiGNER <br /> MAIL ADDAE55 <br /> CITM Z�P pHONE LICENSE r , <br /> GENERALCANTRnGTOH <br /> MAII ADDPE55 <br /> Same Z�p PHONE LICENSEI <br /> - MWHANIGALCANTRPCTOR <br /> MAII�DDAESS QTY <br /> MAIL ADDAESS <br /> CITY 21P PHONE LIGENSE� <br /> PLUMBING LONTRACTOR <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION 7�LTERATION ❑R[PAIR ODEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF WORK <br /> s 5��. �� <br /> DESGRIBE WORK <br /> tenant improvement <br /> vaoaoseo���p1NO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> commercial PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DESCFIPTION Of PROPERTY(SHOW OELOW OR ATfACH FOUN CAF�ES) ALL PROVISIONS OF LAWS AND ORD�NANCES GOVERN WG THIS <br /> ��r B�ocK_oF TYPE OF WORK WIIL BE CC�APLIED WITH WHETHER SPECIPIED <br /> HEREIN OR NOT. THE �RANTING OF A PERMIT DOES �OT <br /> FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> .;ONSTRUCTION OR THE PERFORMANCE OF CONSTR�U ETION. <br /> SIGNATURE F fA�1TAAGiOR O UTMO ED AGEN�— 6/16/81 <br /> f <br /> �oenoq��s�8 Everett Avenue X � _ <br /> MECHANICAL <br /> PLUMBING TYPE OF EQUIPMEN7' FEE <br /> TYPE OF FIXTURE OR ITEM FEE NO. <br /> NO. q�R CAND.UNITS—H.P.EA. <br /> WAT[H GLOSCT('iOiLET) REFRIGERATIOIJ UNITS—H.P.EA <br /> BATHTUB BORERS—��.P�EA, <br /> LAVATORY(WNSH BASIN) GAS FIiiED A.C.UNITS—TONNAGE EA. _ <br /> SMOWCR FOPCED N�R SVS7EMS—B T.U. M EA. <br /> KIiCHEN SINK 8 DISP. yyq���{[pTERS—01��� N' <br /> DISIiWASHER UNIT HEATERS—B.T.U. M <br /> LAUNDRV iRAY EVAPORATIVE COOLERS <br /> CLOTHES WASHER C OTHES DRYERS <br /> WATER HFATER VENTIIATION FAN <br /> U�71NAL RANGE YO(7D <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— C.F.M. <br /> FLOOR�RAIN STOVE <br /> VACUUM BFFAKERS METAL FIREPLACE 8 CHIMNEV <br /> ROOF DRNNS—RAINLEADERS — <br /> SINK(SERVICE—BAR,E i C) <br /> � S <br /> SUBTOTAL <br /> i SUB TOTAL pERM1T s <br /> � PERMIT S TOTAL FEE _ - <br /> TOiAL FEE S PLAN CMECK FEE <br /> SIDE YARD SETBACK STREET SEiOACF REAR YARD SETBACK PLAN CHECK NUM�ER RECEIPT NO. <br /> 81/9373 FEE 6. 50 <br /> LOT AREA VACANT SITE FEES VALUATION FFE <br /> USE ZONE ❑YES ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS 1 O 00 <br /> BUiLDING E 500. 00 <br /> SIZE OF BLDG. NO.OF STOAIES MA%.OCC.LCAD pLUMBING <br /> FIRE ZONE OASEMENT FIRE SPRINKLERS MEC'iANICAL <br /> REOUIPED <br /> ❑YES ❑NO � <br /> BY �ATE OTHER <br /> pPPROVALS U.B.C. <br /> � 1. ENVIRONMENTAL CHECK LIST PENA�TY SEC.303(a) <br /> i 2. OUILDINGPLANS TOTAL 10 00 <br /> � <br /> i 3. FIRE HYDRANT pERM1T VALIDATION <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED 11N THIS SPAGE)THIS IS YOUR PEHMIT � <br />,l 5. GRADING � �. r. S �. '�' I O. '� J <br /> 6. DRAINAGL M <br /> 7. ENVIRONMENTAL IMPAGT STATEMENT � <br /> � ..I 0 <br /> 8. HEALTN DISTRIGT � - � � �' <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY . . . . - , i <br /> � � <br /> . _ � �. I <br /> ADDRESS FILE <br />