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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />^>ONSTRUCTION <br />PERMIT <br />LJ COMBINATION 21BUILDING Li MECHANICAL <br />PERMIT MO. 09992 <br />❑ PLUMr-ING <br />OWNER MAIL ADDI.SS SLY ZIP PHONE <br />F. R. McCollum 5802 Commercial Everett 98203 35S-3605 <br />ARCHITECT OR DESIGNED MAILADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP OUE DIF <br />Same M <br />MECHANICAL CONTRA010R MAILADDRESS CRY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR WAIL ADDRESS CITY ZIP PHONE LICENSE <br />❑NEW ❑ADDITION 0ALTERATION ❑REPAIR ❑DEMOLITION FENCE ❑SIGN ❑GARAGE <br />s143.00 <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY I'DVIOLATE ORCANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />:11G44TURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X 11/9/81 <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />E� 30- 15 South Park <br />Lo BLOCI�OF <br />31 and 32 <br />_ <br />JOD ADDRESS <br />4401 Hoyt Avenue <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF: RXTUN_E OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS— H.P. EA. <br />—� <br />_ <br />RATHTLIS <br />REFRIGERATION UNITS — H.P.. <br />LAVA7IIRY ASH BASIN) <br />BOILERS —H.P. EA. <br />SHOVER <br />GAB FIRED AC. UNITS — TONNAGE EA, <br />KITCHEN SINK S DISP, <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHL9 WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />_ <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />_ <br />AIR HANDING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACES CF'IM'$Y <br />_ <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT 3 <br />PERMIT S <br />TOTAL FEE f <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE. <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 14 3. 00 <br />10 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />OYES <br />SPRINKLERS <br />ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />'ENALTY <br />U.B.C. ( ) <br />SEC. 303 e <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />1O <br />OO <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ���I <br />- i L' . r ` rrc 9 <br />CT) <br />.07 <br />S. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPH. FOR ISSUANCE BY <br />ADDRESS FILE ` <br />