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The Evergreen <br />CITY OF �----_. <br />everett <br />�.VONSTRUCTIOt'-"- <br />PERMIT PERMIT NO. <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION <br />❑ BUILDING <br />I-1 <br />L7GK MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />Hayward & Johnson, Inc. <br />907 185th S.W. <br />Alderwood Manor 98037 348-3699 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE LICENSE M <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE LICENSE M <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE LICENSE 0 <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ <br />DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIAEPLACE INSERT <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Fire Shaft and Kitchen hood <br />system <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR <br />ATTACH FOUR COPIES) <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LOT <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />z <br />CD <br />-BLOCK -OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />m <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE NSTRUCTION. <br />JOB ADDRESS <br />SIG O TOR R AUTHORIZED AGENT DATE <br />607 S.E. Everett Mall WayX <br />7/3/85 <br />-m <br />_ <br />(In <br />PLUMBING <br />MECHA ICA <br />c v <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />m � <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />O 3 <br />Fn <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />_ <br />LAVATORY(WASH BASIN) <br />BOILERS — H.P. EA. <br />rn <br />r-� <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />C Z <br />KITCHEN SINK& DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />D —1 <br />DISHWASHER <br />WALL HEATERS —B.T.U. M <br />rx <br />Ln <br />N <br />-- <br />LAUNDRYTRAY <br />UNIT HEATERS — B.T.U. M <br />—I <br />< -n <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />O <br />WATER HEATER <br />CLOTHES DRYERS <br />ran <br />URINAL <br />VENTILATION FAN <br />m .. <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />4 <br />50 <br />O In <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />CD r- <br />C-1 rn <br />VACUUM SPEAKERS <br />STOVE — WOOD <br />S Ln <br />IzI <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />Z f") <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />-H frn <br />HEAT PUMP <br />1 <br />lExhaust F <br />x <br />a <br />z <br />SUB TOTAL <br />E <br />SUBTOTAL $ <br />_ <br />PERMIT <br />E <br />PERMIT S <br />10 <br />00N <br />TOTAL FEE <br />S <br />TOTAL <br />FEE sl 20 1 SOz <br />SIDE YARD SETBACK <br />PLAN CHECK FEE <br />C) <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />FEE RECEIPT NO. <br />ti <br />USE ZONE <br />C-) <br />rn <br />LOT AREA <br />VACANT SITE <br />FEES <br />❑YES ❑NO <br />VALUATION FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />SIZE OF BLDG. <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />20 <br />50 <br />REQUIRED <br />DYES ONO <br />APPROVALS <br />OTHER <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />20 <br />3. FIRE HYDRANT <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />5. GRADING <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS. I�Yj�ll i P F}(.1IT 2 <br />6. DRAINAGE <br />C) <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />i <br />APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />V <br />1 <br />- 2 JGL u 7 <br />ADDRESS FILE <br />I <br />