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� 1 <br /> Ihe Evergreen ����ST R U Cl''V, C � .. <br /> CITY OF <br /> everett PERMIT PERMIT N0. 08343 <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98207 ❑ COMBINATION ❑ BUILDING � MECHANICAL PLUMBING <br /> OWNER MAILPDDNE55 GIiY ZIP PMONE <br /> Marc L. Bordelon 1514 Hoyt 98201 252-8833 <br /> hiiCHICECTORDE5IGNER MAILADDR[55 CIiY 21P PHONE <br /> GENERAL WNTNhCiOR MRIL ADDRESG CIiY ZIP PHON[ LIGENSE f <br /> IALCHANICALCANiRACTOR IdAILhD�FE55 GIiY ZIP PHONE LIGENSF� <br /> Same <br /> PWMBiNGCONiRAC10R MAILaDORE55 Cltt ZIP PNONE LiCENEE♦ <br /> CtA550F WORK <br /> ❑NEY� ❑ADDITION ❑ALTERATION ❑RLPAIR ❑DEMOLITION GFENCE ❑SIGN ❑GARAGE <br /> vnwnnor+oF woarc <br /> b -- <br /> D[SCRIBE WORK <br /> PROP95ED USG OF BUIL�IAG <br /> I HEREBY CERTIFY THAT I HAVE READ ANG EXAMINED THIS AP- <br /> :�cn�oescRianoNorano�earrisHowoe�owoanrracNvou��cooie;i PLICATIOh .�ND KNOW THE SAME TO �'e TflUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS NND ORDIN,QNCES GOVERNING THIS <br /> �oT aia:K_oF TYPE OF WORK WILL BE COMP�IED WI�'H WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF� A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> � VISIONS OF ANY OTHER STATE OR LOCC,L :AW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �cr+n ee oF cor+Taa ro�� AUtHORiZecyaFer�*� 9�z�p�8 0 <br /> �oenooarss \ \ <br /> 1514 Hoyt Avenue X - ` �� -�A�— <br /> PLUMBING ^ MECHANICAL �� <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEI� __ AIR COND.UNITS—HP.EA. <br /> BATHTU� REFRIGERATION UNRS—HP.EA <br /> IAVATORY(VJASH BASIN) BUILERS—HP.EA. <br /> SHOWER GAS FIRLD A C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. PORCED AIR SYSTEtdS—B T.U. M E�. <br /> D�SHWASHER VJFLL HEATERS—E�T.0 M <br /> LAUNDRYTRAY UNITHF.ATERS—BT.0 M <br /> CLOTHES WASHER EVAPORATIVECOO�ERS <br /> WATER HEATER CLOTYES DRYERS _ <br /> URINAL VENTILATION FAN , <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOP DRAIN AIP HAN�LING UNIT— 0.F.61. <br /> VACWbI BREAKERS STOVE <br /> ROOF DRAINS—P.AINLEADERS _ METAL FIPEPLACE 8 CMIMNEY <br /> SINK�SERVICL—BAR,ETCJ <br /> SUB'OTAL SUBTO7AL S 4 00 <br /> PEFlMIT S PERMIT f 3 00 <br /> TOTALFEE f TOTALFEE S ' <br /> SIDE YARD SETBACK :�TREET SET�ACK REAR VAflD SETBACK PLAN CHECK NUM�[R PLAN CHE:K FEE <br /> FEE FECEIPT NO. <br /> USE ZONE �OT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TVPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNI1S <br /> BUILDING $ <br /> SIZE OF BL�G. NO.OF STORIES MAX.00C.LOAD <br /> PLUMOING <br /> RRE ZONE BASFMENT qEpUIRED KLERS MECHANICAL � OO <br /> ❑YES f 1N0 <br /> pPPpOVALS BY DATE OTHER <br /> t ENVIRONMENTAL CHECK LIST PENALiY U.B.C. <br /> SEC.303(a) <br /> 2 �UILDING PLANS <br /> — TOTAL 7 00 <br /> 3. FIRE HYDRANT <br /> n. FIFE PROTECTION SYS7EM PEFMIT VALIDATION <br /> 5. GRADING WHEN PROPERLY VALIDATED py THIS SPA�CE)T�HiS IS YOyF��1�T O ^ _ m^ <br /> Iow yUU U `� <br /> fi. DRAINAGE � <br /> ]. ENVIRONMENTALIMPACTSTATEMENI p M <br /> �. HEALTH DISTRICT �� � �� R ItCC�I PT� <br /> APPIIf,AT10N ACC.BY PLANS CHECYCD fiY APPR.FOR ISSUANCE BV ,��-I��,��K Y Cl' U � <br /> V.C. <br />