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die Evergreen - CONSTRUCTION )`- <br />CITY OF <br />everett PERMIT PERMIT NO.07640 <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 ❑ COMBINATION ® BUILDING MECHANICAL PLUMBING <br />MAIL ADDRESS Ole <br />tll` PHONE <br />OWNER <br />Rando W. Hayden <br />1315 Wildwood #B marysville <br />98270 653-2046 <br />ARCHITECT OR DESIGNER <br />MAIL ADOREGS CITY <br />ZIP PHONE <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />LICENSE F <br />GENERAL CONTRACTOR <br />Rd. Everett <br />334-2472 <br />Fi SC HC 301 <br />Fischer Const. <br />96158 Lake Stevens <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />WA TE <br />LICENSE INY <br />RW P210CA <br />MAIL <br />El NEW FIADDITION dMLTERATION ❑REPAIR ❑DEMOLITION <br />$ yx553Y33 3600.00 <br />DESCR'BI WORK <br />❑FENCE ❑SIGN ❑GARAGE <br />IF <br />interior remOOei <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. <br />#1 <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT aLocK_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 />CONSTCUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />- <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AG T DATE <br />x _;5 7 3/23/80 <br />JOB ASTE�outh Broadway <br />MECHANICAL <br />PLUMBING <br />— <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />AIR COND. JNITS — H.P. EA. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />BOILE�iS - H.P. EA. <br />- <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 />— <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />_ <br />2 <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />PRINKING FOUNTAIN <br />AIR HANDL.'G Ut'IT - IS M. <br />FLOOR DRAIN <br />-- <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC.) <br />- <br />TOTAL S <br />SUBTOTAL 26 LE <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />L 26 OO <br />TOTAL FEE $ <br />SIDE YARD SETBACK STREET SETBACK <br />R:AR YARD SETBACK <br />PLAN CHECK NUMBER PL,%N Ci+ECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />SITE <br />VACANT ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PUILDING <br />$ 3600.00 <br />28 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAF <br />PLUMBING <br />26 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />MECHANICAL <br />OYES <br />ONO <br />OTHER <br />APPROVALS' <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (e) <br />54 <br />00 <br />2. BUILDING PLANS <br />TOTAL <br />�B <br />QD{ <br />3. FIRE HYDRANT �^ <br />4. FIRE PROTECTION SYSjfM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE)I-THIS IS YOUR PERMIT <br />2 5 7 F $ O 2 8. O O — <br />5. GRADING, <br />6. DRA14AGF= <br />7. ENV ONHIE�JTAL IMFftLCco <br />'F STATEMENT <br />YO;UDR RECEIPT° <br />THANK YOU <br />B. HEALTPU*RICT <br />Do APPLICA;t)i(;Apc. BY <br />PLANS CHECKED BY <br />APPA. FOR ISSUANCE BY <br />O rl, <br />ADDRESS FILE 2 3 MAY 80 <br />