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theEvergreen � G�STRUCTION .• <br /> CITY Of <br /> e�erett PERMIT PERM,T No. o7s11 <br /> CI1V HALL 259�87+5 <br /> EVERETf.WA 98201 ❑ COM8INATION ❑ BUILnlNG ❑ MECHANICAL PLUMBING <br /> IAAILADDFE55 CIiY ZIP PNONE <br /> OWNER <br /> Ah A hitA T 1di1 H!1'YT Ft�u'ncmm__ oa�M — <br /> uRCNIiECi OR DESiGNER MRII nODAE55 CITY 21P PHONE <br /> GENERAL CONTRAQOR <br /> MAILNDDRESS CITY ZIP PMOtIE LICENSEI <br /> O{1Z'�.� —_ AOC OG� <br /> MDTT(lh FiR79 91�*h r �iT� Zip TF6 - ULENSE� <br /> MECHANICJ.L^JJNiRACTOP MAIL AJ�RE55 <br /> P W AIBING LONiFFCiOR <br /> IA/+Il FDDPF.:S CITV ZIP P��ONE IICENSE� <br /> C�ASS OF WORK <br /> ❑NEW ❑ADOITION ❑ALTERATION �[REPAIR ❑DEMOLITION ❑FENCE I—ISIGN GARAGE <br /> VPWRiION OF VIORK <br /> s 17rJ0.0� <br /> DES:.RiBE WORN <br /> REROOF OM <br /> ��'lPOSED USE OF BtIILLING . <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A - <br /> �ccAi oescaivnor�eFvaovea.risHowee�owoanTrnc�FouAcoaies PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GO`/FRNING THIS <br /> L,,_l��n �.��oF ��r�„�r TYPE OP WORK WILL 8[COMPLIED WITH WHETHER SPECIPIED <br /> HERFIN OR NOT. THE G9ANTING OF A PERMIT DOES N0� <br /> 47�3-293-015-0005 PRESUME TO GNE AUTHORITY TO VIOLAT[OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER 6TATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF GONSTHIiCTION. <br /> s�cnnryyo�oc car+��w• ioe4q n , er+izeo�"�./� onre <br /> �Caaooaess J`.• y"'p�/ � ���AT,J 6/26/80 <br /> 1431 HOYT X <br /> � <br /> � MEC ICAL <br /> PLUMBING FEE <br /> TYPE OF EOUIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM FEE N piq coNo.ur�its-H P.En. <br /> WAlEN CLOSE7(TOILETI <br /> RGFRIGERATION Uf�ITS—H.R EA <br /> BATlITUB <br /> B01l.ERS—H P.FA. <br /> LAVATORY(W�SN BASIN) <br /> GAS FIRED A.C.UN!IS—TONHAGE EA. <br /> S�IO�VEIi <br /> FORC6D AIR SYSTEMS—BS.U. �d � <br /> KITCH[N SWH ti GISP. <br /> VlALL HEAT[RS—�i.LL �+� <br /> DISHlVASHER _ <br /> UNR HEATEfiS—B T.U. �+� <br /> _ IAUNJRYTPAV [VAPORA7W[COOLERS � <br /> GLOTHES WNSHFR C�OTHES DRVERS _ <br /> WATLq HEAT[R _ 1 <br /> VENTILATION FAN _ <br /> UFINAL RANGE HOO� <br /> ORI1JNiNG FOUNTAM C.F.M. <br /> pIR HANDLING UNIi— _ <br /> FLOOR DRAIN STOVE <br /> �rqCiJ�iU PPFnHFRR _.---__-- <br /> PdETAL FIREPLAGE S cNIMNEY <br /> ROOF GRAINS—`�41NLEADERS <br /> SINK ISf.fiVlCE—BAR ETC 1 <br /> SUB TOTAL S <br /> SU9 TO1'AL pERMIT = <br /> PERMIT s S <br /> 5 70TALFEE <br /> TOTAL FEE P�AN CHECK FEE <br /> SIDE VARD SETBFCK STREET SET�PCK HEAR VARD SET[3ACK PLAK CHECK NUM�ER `CE RECEIPT��O <br /> USE ZONE LOT APEA VnCANT SITE FEES VALUATION FEE <br /> YES f.NO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNIiS <br /> �UILDING 5 dl']SO.00 ZS O <br /> SiZE OF BLDG. NO.OF STOPtES MA%.OCC.LOAD <br /> PL:IMBMG <br /> FIHEZONE BASEMENf FIRESPRINKLERS MECHANICAI <br /> REOUIRED <br /> I;YES f.!NO <br /> pPPROLALS <br /> gy DATE OTHEF <br /> t. ENVIRONMENTALCHECKLIST PENALTY UBC <br /> SEC.303(a) <br /> 2 BUILDING PLP.NS TOTAL ZS O <br /> > FIRE HVORAN? <br /> PERMIT YALIDA710N <br /> 4 RRE PROTEC110N SYSTEM VlHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 5 `Ra� „` — 3998 S0 I 8. 00 — � <br /> 6 ORAINAG[ � <br /> 7 ENVIRONMENTAL IMPACT STATEMENT (�- <br /> e N`^�T"°'STR'°' Y� UR RGCEIPT � <br /> AVPLIC�TIOh ACC.BY PLANS CHECKEU BV APPR FOF ISSUANCE BY <br /> i� i� <br /> �F-IANK YiU <br /> no�REss Fi�e � � '� 80 <br />