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the Evergreen CONSTRUCTION <br />CITY OF <br />everett PERMIT PERMIT NO.0?640 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Rando W. Hayden 1315 Wildwood #B Marysville 98270 653-2046 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Fischer Const. 96158 Lake Stevens Rd. Everett 334-2472 FI SC HC 301 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />WA TE Rw P210CATIY <br />CLASS OF WORK J� � <br />❑NEW ❑ADDITION Ad.LTERATION ❑REPAIR ❑DEh10LIT10N El FENCE ❑SIGN EIGARAGE <br />VALUATION OF WORK <br />s g�Cglggggg 3600.00 <br />DESCRIBE WORK <br />interior remouui <br />PROPOSED USE OF BUILDING <br />commercial <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 />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />3-4 13 Intercity Div. #1 <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />OT BLacK_oF _ <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 />SIGNATURE OF CONTR/ACTOR OR AUTHORIZEDADATE <br />X�^.��0 �) , 3/23/80 <br />10115TEIgouth Broadway <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA - <br />BATHTUB <br />BOILERS — H.P. EA - <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK 8 DISP. <br />WALL HEATERS—B.T.U. M <br />DISHWASHER <br />UNIT HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />00 <br />CLOTHES DRYERS <br />2 <br />WATER HEATER <br />4 <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — GEM. <br />_ <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAP. ETC.) <br />SUB TOTAL <br />26 <br />00 <br />SUB TOTAL <br />5 <br />PERMIT <br />$ <br />PERMIT <br />S <br />TOTAL FEE <br />S 26 100 <br />TOTAL <br />FEE <br />S <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT APFA <br />DYES TSITE <br />CINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />5 3600.00 <br />28 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OOC. LOAD <br />PLUMBING <br />26 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />MECHANICA: <br />OYES ❑NO <br />OTHER <br />_- <br />APPROVALS ' <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U 8.". <br />SEC yJ030R <br />54 <br />00 <br />TOTAL <br />}d0 <br />OO: <br />2. BUILDING PLANS <br />3. FIRE HYDRANT Ar <br />— <br />PERMIT VALIDATION <br />4. FIRE PROTE TION SYSUM <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />1 5 r r1$ O 28.0 O -- <br />w_ <br />5. 3RADING'1 <br />� 8. DRAT, AGC � <br />7. ENVRL9NMEI4TAL IM Afs C( STATEMENT <br />r <br />YOUR REC C i PT o <br />THANK YOU <br />K 8. HEAWM C MRICT p� <br />ao APPLICA710 BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />O'm�. <br />c -0 1 <br />