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, <br /> �heEvergreen � Cjr�NSTRUCTION � � �� <br /> CITY OF <br /> eve�ett PERMIT pERMIT NO. 07953 <br /> GTY HALL 259�8745 <br /> EVERETT,�VA 9d201 ❑ COMBINATION L�BUILDING ❑ MECHANICAL ❑ PLUMHING <br /> OWNER MRILADDPE55 UiV ZIP PHONE <br /> E. L. Kavil 9027 S.E. 60th Mercer Island 232-1751 <br /> ARGHITECT OR DESIGNER MFIL AD�RE55 CIiY ZIP PHONE <br /> GEYERALCONTFACTOR MAILADDRE55 CIiY 21P PHONE �ICENSEY <br /> Walsh Const. Services Inc. 8 Nickerson Seattle 98109 284-6011 <br /> M1IEGMAIJiCFLCON-AACTOR MAILADppESS CIIY ZIP PNONE �ICENSEI <br /> WA LS Hr S377NN <br /> PlUM81NG GONTRPCiOR MAl1.A0DRE:5 CITY ZIP PHONE LICENSE� <br /> CLA55 OF WpRK <br /> ❑NEW ❑ADDITION ❑ALTERATION �SEPAIR ❑DEMOLISION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF VlORK <br /> S Z�70�.0� <br /> DESCRI�E WOPK <br /> repair fire damage <br /> PROPOSED USE OF BUILDING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ A�JD EXAMINED THIS AP- <br /> iecn�oescaianoNOFaaoveatvisHowee�owonnnncHFouacoaies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> (-7 663 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT eiuc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NGT <br /> — _ PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR L.00AL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATU F CON TOR UTMORI ED aGENT pqiE <br /> 2811 Lombard <br /> X ` 7/16/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEP CLOSET(iOILET) AIR COND.UNITS—H.P.[A. <br /> BATHTUB REFRIGERATION UNITS—H.R EA <br /> LAVATORY(WqSH BASIN� BOILERS—H.P.EA. <br /> SHOWER GAS FNED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOflCE�AIR SYSTEMS—�T1J. Id EA. <br /> DISHWASHER Y✓ALLNEATERS—B.T.U. M <br /> IAUNDRV TRAY UNIT HEATERS—BS.U. <br /> M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DflY[RS <br /> URINAL VENTILATION FAN <br /> DRINK.ING FOU4TAIN RANGE HOOD <br /> FLOOfl DRAIIJ AIR HANDLING UNIT— GF.M. <br /> VACUUM BHEAKERS STOVE <br /> ROOF ORAINS—RAMLEADERS MEIAL FIREPLACE 8 CHI�dNEY <br /> _ SINK ISERVICE—BAR,ETC.) <br /> SUB TOTAI. SUB TOTAL S <br /> _ PEHMIT S PEqM1T S <br /> 70TAL FEE S TO7ALFEE S <br /> SIDE YARD SETBACK STREET SETBACK q[Aq YARD SEfBACK P�.AN CHECK NUMBER PLAN CHECK FEE <br /> PEE RECEIPT NO. <br /> USE ZONE LOT f:�tA VACANT SI�E <br /> ❑YES ❑�'O FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.GF DWELLING UNII"5 <br /> euILDING a 2500.00 24 00 <br /> SIZE OF BLDG. NO.Of-STORIES MAX.OCC.L0.4D <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHA410AL <br /> ❑YES ❑NO <br /> APPpOVALS BY OAtE OTHER <br /> 1. ENVINGNMENTAL CHECft LIST <br /> PENALTY U.B.C. <br /> 2. 3UILDING PLANS �EC.303(a) <br /> 3. FIRE FIYDRANT TOTAL 24 00 <br /> 4. FIRE PROTECTION SYSTEM FERMIT VALIDATION <br /> 5. GRADING WHEN PROPERL'i VALIDATEU QN TH75 SPACE),1TqHIS IS YOUR PEPMIT <br /> 6. GflAINAGE �� � `� ! $ 0 2 4. 0 Q ^�� � <br />