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- , <br /> theEvergreen C�-�STRUCTlON � �� <br /> CITY OF <br /> everett PERMIT PER,�,z No: o77s1 <br /> CIIY HALL 259�87a5 <br /> EVERETT,WA 98207 � COMBINi.T'��N L� BUILDING ❑ MECHAPtlCAt ❑ Pi.UMBING <br /> MFi�>ocness cirv zi' ""°"E <br /> OYlNEF Seattle 98103 <br /> Richarci Diana 1018 N 48th Street Z,p PNONE <br /> ARCHITEGT OR DESIGNER <br /> MAII.AODRE55 GITY <br /> MAIL AOOflE55 <br /> GITY ZIP PNONE UGEYSE I <br /> GENERAL CONiRAGTOR <br /> Same ��P pMONE IICENSE♦ <br /> MEGNANICALCONTPACTOR <br /> MAIL AODRE55 °1TM <br /> MAII ADDPESS <br /> CITY 21P PMONE LICENSE I <br /> Pl'JNBING CONiPACTOR <br /> 4amP <br /> CLA55 OF WOFK ,�[ <br /> ❑NEW ❑ADDITION L"fALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE — <br /> yp��qTION OF WORK <br /> b <br /> DESCRIBE WORK <br /> Reaair RPmod_�ntPr;or To <br /> PROPOSED USE OF�UILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A - <br /> PLICATIUN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> iEcn�oescaianoNOFeaoaearr�sNowae�owoannncr+FouacoPiesi ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> o _�_B�ocK 74Q,F �'•,�,-a4�+ L•and TYPE OF WORK WILL B[ COMPLIEDi WITH WHETHER SPECIFIE-D <br /> HEFEIN OR NOT. THE GR�=�vTiN OF P, PERMIT DOES NOT <br /> 15t Add� t�Ori PRESUMETOGIVEAUTfi ITY'T, LATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTH ' ST Y R LOCAL LAW REGULATING <br /> CONSTRUCTIO R T PE MANCE OF CONSTRUCTION. <br /> SIGNatURE OF C PA TO UTM (GENT �ATE <br /> JOBAUURESS X � � )L`�� 6-23—SO <br /> MECHANI L <br /> PLUMBING FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT _ <br /> AIR COND.UNITS—HP.EA. <br /> WATER CLOSET(101LEi) <br /> REFRIGERATION UNITS—H P.EA <br /> BATHTUB BOILEriE—H.P.EA. <br /> � LAVATORY(WASH BASINI GAS FI'�ED A.C.UNITS—TONNAGE EA. <br /> SHOWER FORCED AIP.SYSTEMS—B.i.U. M EA. <br /> KITCHEN SINK 8 DISP. VlALL'HEATERS—O 1.�� N' �.. <br /> DISHWNSHER UNIT HEAIERS—B T.U. �A ~ <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> CLOTHES WASHEr7 . CLOTHES URYERS �' <br /> WATER HEATER VENTILATION PAN 2 <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN q�q HANULING UNIT— GF.M. <br /> FLOOR URAIN STOVE <br /> VACWM BflEAKERS MSTPL FIREPLACE 8 CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAR.ETC.) <br /> — SUB TOTAL 2 SUB TOTAL E — <br /> PERMIT s <br /> PEHMIT S TO7ALFEE S Z OO <br /> TOTAL FEE f pLAN CHECK FEE <br /> SID[1'ARD SETBACK KTREET SETBACK REAR YARD SETBACK PI.AN CHECK NUIdBER FEE RECEIPT NO. <br /> USE 70NE LOT AREA VACANT SITC FEES VALUATION FEE <br /> ❑YES ❑NO <br /> NPE OF CONS7. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING � <br /> SIZE OF BLDG. NO.OF S70RIE5 MA%.�CC.LOAD <br /> PLUMBING ZO OO <br /> BASEMENT FIRESPRINKLERS MECHANICAL Z OO <br /> FIRE ZONE pEOUIRED <br /> pvES ❑NO <br /> APPROVALS <br /> gy UATE O7HER <br /> 1. ENVIRONMEN7ALCHECKLIST PENAL7Y U.BC. <br /> tH SEC.303(a) <br /> 2. BUILDINGPLANS TOTAL r� �J� OO <br /> 3. FIRE HY�RNNT y� '" <br /> � PERMIT VALIDl�TIO <br /> 4, FIRE PROTFCTION SYST�.1 �H N PROPFRLY V IDATED UN THIS SPACE)THI515 YOUH PERMiT <br /> a,. �,,, - � �. 31 S 6 S 0 5 2. 0 0 — •i-+ <br /> `v. GRADING � :. <br /> 6. DRAINAGEiJ � .� A � � <br /> O r— <br /> 7. '_�NVI NM�NTAL IMP,tBTSTATEMENT �� � N <br /> B. HEALT o�s ��T .. � -< <j o Y�� v�R RECEIPT o <br /> �---- 4 1 i/� <br /> �A� pp���qy��N�.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY C I Ti � i i�f T',i�J t� � 'J�U . <br /> 00 .{ � � <br /> `a (� m <br /> --c�—j-- - A ? 3 JU�i 8 0 <br /> ��� ADDRE55 FII E <br />