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i ` <br /> (he Evergreei� • CO T R U CT�O N <br /> CIiY OF . <br /> everett ER��� PERMIT NO. C�OO6 <br /> CITY HALI 259�8745 <br /> eveaerr.�•�n eezo� ❑ COMBINATION ❑ BUILDING ❑ P,tECHANICAL ❑ QLUMBING <br /> OCJNER MAILADDRE55 CITY ZiP PHON6 <br /> DOLLIE M. LEEDOAS � 7.59-1128 <br /> 4RCNRECT OR DESIGNER MAIL ADURESS � CITY LIV PNOt1E <br /> GEN[RALGOIJTRAC1pH MAILApORE55 QiY ZIP PHCNE IICENS[Y <br /> DAMAGE REPAIR SERVICE P.O. BX. 2045 EVERCTT 98203 337-4222 <br /> l�CCHANICFL CONiRhCTOR MAIL FDDR[55 CITY bP PHONE LIGENSE� <br /> PWMpINGGONTPACiOR MAILADDRE55 CITY ZIP PHONE UCENSE� <br /> CLASS OF VJORK <br /> ❑NEW ❑ADDII'IpN ❑ALTERATION [�REPAIR ❑DF.MOLITION ❑FENCE ❑SIGN ❑OARAUe <br /> VALUATION OF WORK <br /> S 4000.00 <br /> DESGRIBE WORH <br /> INTERIOR REFORBISH POLLOWING FIRE (NON STRUCTURAL) <br /> f'ROPOSED lISE OF 6UR�WG <br /> RESIDENCE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oescraanor+oFaaoaearvts�iow�e�o�,vonnrrncr+FouRco�i=_s� PLICATIQN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS Of LAWS AND ORDINA�'CFS GOVERNING THIS <br /> �o. pLOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. TfiE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE CR LOCAL LAW REGULATING <br /> CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. <br /> �oe nooHess s�,cr+nruH�on ccwcanaTOA oa�,un�o iz�T�lticeNr onTe <br /> � i <br /> 190% LQhiBARD X �./ ��'- ��- _h't. . / <br /> PLUh'i81NG ~^ MECHANIC. L � <br /> NO. TYPE OF FIX1 U!1E OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> V/ATEH CLOSET(TOILE'.) AIR COND.UNITS—H.R EA. <br /> BATNTUB REFPIGERATION UNITS—H.P.EA _ <br /> LAVATORY(VJASH BASIN) 601LER5—H.P. EA. <br /> S40WER GAS FIRED A.C. UNIT.`,=TONNAGE EA. <br /> KITCHEN SINK 8 DISF. FORCED AIR SYSTEAIS—L.T.U. M EA. <br /> CISHWASIIER N1ALL HEATERS—d T U. M <br /> IAUNDRY TFAY UNIT HEATERS=BJ.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLLRS <br /> YlATER HF.ATER CLOTHES URYERS <br /> URINAL VENT�LATION FAN <br /> ORMKING FOUNTAIN RANGE HO00 _ _ <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. _ <br /> VACUUM BREAKERS STOVE __ <br /> ROOF URAINS—RAINLEADERS METAL FlREPLACE&CHIMNEY _ <br /> SINK�SERVICE—B4R,ETC� — <br /> SUB TOTAL SUBTOTAL E <br /> PENMIT E PERMII� E <br /> TOTAL FEE 5 TOTAL F:E 5 <br /> SIDE YARD SEiBACK STREET SETBACK REAR VARD SETDAC.: PLAN CHECK NUM�FR PLAN CHE(.K FEE <br /> FEl RECEIPI N0. <br /> 'JSE ZONE LOT APEA VACANT SITE <br /> 11YE5 ❑NO FEES VALUATIOt! FEE <br /> TYPE OF CONST. OCCUPANCY GROUP t10.OF DWF.LLMG UNITS <br /> BUILDING 5 4���,�0 Z8 �� <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD — <br /> PLUMBING <br /> PIHEZCNE BAS[MENT FIRESPRINKLERS <br /> REOUIPED MECHANICAL <br /> ❑YES ❑NO <br /> APPpOVALS By OATE O7HER <br /> eIdVIR^9MENTAL CHECK LIST PENALTV U.B C. <br /> —�— SEC.303�a) <br /> 2. BL'ILDIYG PLANS <br /> 3. FIRE HYDRANT TOTAL 28 O <br /> 4. FIPE PROTECTION SYSTEM PEHMIT VALIUATION <br /> WHEIJ Pf10PERLY VALIDATED(M THIS SPCCf IaH15IS YOjJq,P�7�1:O O � � <br /> 5. GRADI JG [ <br /> I <br /> J yo •9 � <br /> G. DRAIKAGE � <br /> Z ENVIRONMENTALIMPACTSTATEMENT �aUR R���t� <br /> 8. HEAL'.' �ISTRICT 7/ � �(� <br /> APPUCATION ACG.BY PLANS CHECKED BY APPR.FOR ISSUANCE�Y 'j'�a��n YO�/ <br /> i <br /> � I 6�.!� ,�f. <br /> �.���ztss r-r E <br />