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C@NSTRUCTION * V <br />the Evergreen <br />CITY OF ir <br />everel t PERMIT PERMIT NO.07400 <br />CITY HALL 982745 <br />EVERETT. WAA 980101 ❑ COMBINATION ❑ BUILDING RR MECHANICAL ❑ PLUMBING <br />n <br />P <br />OWNER <br />MAIL ADDRESS <br />""' <br />Frederick & <br />Nelson <br />MAIL ADDRESS <br />CITY <br />21P PHONE - <br />ARCHITECT OR DESIGNER <br />CITY <br />21P PHONE LICENSE* <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P PHONE LICENSE * <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />Seattle <br />98125 364-1100 <br />Bayless Bros. <br />13018 Lake City Way N.E. <br />CITY <br />ZIP PHONE LICENSE* <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />SEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />USE <br />LOT___BLOCK_OF <br />JOB ADDRESS <br />1402 South Broadway <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />CONATU E OF CONTRACTOR OR AUTHORIZE.O AGENT /J � DATE ek <br />MECW—T. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE N0TYPE OF EQUIP <br />UNITS - H.P. EA. <br />WATER CLOSET (TOILET) <br />TION UNITS -- H.P. <br />BATHTUB <br />H.P. EA. <br />LAVATORY (WASH BASIN) <br />A.C. UNITS -TON* <br />SHOWER <br />R SYSTEMS U. B T.l <br />KITCHEN SINK 8 DISP. <br />ERS - B T.U. <br />DISHWASHER <br />UNIT HEATERS -B.T.U._ <br />UHINAINU ruvillmm <br />NIT - <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />E & CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />NIT-H.P. <br />SINK (SERVICE - BAR. ETC.) <br />al <br />SUB TOTSUB <br />TOTAL <br />PERMITPERMIT <br />fTOTAL <br />FTOTAL <br />FEE <br />S <br />YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />FLE <br />ZONE LOT AREA <br />VACANT SITE <br />DYES DNO <br />FEES V <br />BUILDING 8 <br />OF STORIES MAX. OCC. LOAD <br />PLUMBING <br />APPROVALS <br />1, ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6, DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEME14T <br />6. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />K.C. <br />EA. <br />M <br />RECEIPT NO. <br />61 1 50 <br />PENALTY U.B.O. <br />SEC.. (a) <br />TOTAL 6d75 0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />0207 SOb1.50--CD <br />YOUR RECEIPt; <br />APPR. FOR ISSUANCE BY THANK YOU <br />K.C. <br />2 g uut 80 <br />