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�he£vergreen � C�VSTRUCTION •• <br /> GTY O'r <br /> everett PERMIT PERMIT N0. O�2H4 <br /> CITY HAI.L?59�8745 <br /> [VERETf,WA 90201 ❑ COMBINATION ❑ BUILDING �c MECHANICAL ❑ PLUMBING <br /> � <br /> OWNER MAILAOURE55 CPY ZIP �'�'�U4E <br /> George Shuh 3408 Everett Avenue <br /> l+RCHITECTORDlS7NER MAILADDRESS GItY 21P PMONE <br /> GENEaAL CONiRAGiOP IAA4 qDDRE55 CITY ZI^ PNONE IILENSE r <br /> MECMANICnL GONTRAGTGR MNIL AODRESS QTV 21P PHONE LICENSE� <br /> Natural Gas Equipment 1611 East Grand 258-2441 <br /> PWMBINGCONTRACTOR MAILADDRE55 CITV ZIP PHONE LIGENSE� <br /> CLA55OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WOP.K <br /> S <br /> DESCRIBE WORK <br /> PRCPOSED USE OF BUILDiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecnioescairrioNOFPaoveaTrisHowoeiowoann�.c��Fovacoaies, PLICATION AND KIJOW THE SAME TO EE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING 0� A PERMIT DOES NOT <br /> PRESUME TO GNE AUTHORITY TO VIO:ATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. <br /> servn* ne oF coNrraneroa oa nu���onizio nceNr onre <br /> JOB ADDPE55 <br /> 3408 Everett Avenue X l � �(����-�,�'V 2/29/80 <br /> PLUMBING �fEC ANICF�L <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> YlATER CLOSET(TOILLT) �IR COND UNIT;—H P.EA. <br /> BATHiUO �7EFPIGERATION UNITS—H.P.EA . <br /> LAVATORV IWASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIREO A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EF <br /> DISHWASHER INALI HEAT[RS—A.T.U. M <br /> LAUNDRY TRAY UNIT H[ATERS—B.T.U. �.� <br /> CIOTH[5 WASHER EVAPORATNE COOIERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> OPINKING FOUNTAIN RANGE HOOD <br /> F1.00R DF7AIN AIR HANDLING UNIT— QF.M. <br /> VACUUhiBREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS MEinL FIREPLACE 8 CHIMNEY <br /> SINN�S[RVICG—�AR,ETC.) 1 Water Heater <br /> SUB TOTAL SUBTOTAL S 2 00 <br /> PERMIT S PERMIT S 00 <br /> TOTALFEE S 70TALFEE S <br /> SID[YARU SET�AGK SiREET SETfIACK �EAR VARD SETBACK PLAN CMECK NlJMOEF PLAN CHECK FEE <br /> FEE RECEIPiNO. <br /> USE IONE l0T AREA VACANT SITE FEES VALUATION FEE <br /> L7YES ❑NO _ <br /> TrP6 OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> sL'i1 OP BLDG. N0.OF STORIES MAX.OCC.LOAD -- <br /> PLUAIBING <br /> I�iR[,ZONE ��SEMENT R OUIRED KLEf7S MECHANICAL <br /> l7VES [7N0 S 00 <br /> APPpOVALS BY DATE OTNER <br /> 7. ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br /> SEC.303(a) <br /> �. BUILDING 1'Ll+NS <br /> TOTAL S 00 <br /> 3. PIR[HYDRANi <br /> : fIHE PROTECTION SYSTE�d PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> �. .;RADING A <br /> i�. oRAINAGE � . H 9 S 4 S O U ).O O � 4 <br /> i [t�VIRONMENTAL IMPACT STATEMENT � N <br /> � <br /> ;1 HEALTH DISTRICT p �{ <br /> APFLICATION ACC.IiY PLANS CHECKED BY APPR FOR ISSUANCE BY Y� I I � 1\EC E Ii—t <br /> -r�-�n�?K ��ou <br /> ADDRESS FILE � 9 FEB 80 <br />