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� <br /> � ~ <br /> the£cergreen .-�O iV ST R U CT I O I�� � - <br /> a7vov � .�. <br /> everett PERMIT PERMIT N0. 13424 <br /> CITV HALL 259�8745 <br /> EVERETT,WA 98201 [�COMBINATION � BUILDING � MECHANICAL � PLUMBING <br /> ' OWNER MAIL AODRESS CITY ZIP PHONE � <br /> Frontier Bank P.O. Box 2215 Everett 96203 <br /> ♦RGMITEGT OR DESIGNEfl <br /> MqIL AO�RESS CITY ZIP PHONE <br /> GENERAL CONTR�CTON MAIL�D�RESS GITV ZIP PHONE LILENSE� <br /> Rob Lund 3806 Smith Everett 98201 258-1777 <br /> MECH�NICAL CONTR�CTOR MAIL�DDRE55 dTY ZIP PHONE LICENSE II <br /> PLUMBING CANTRACTOR MAIL ADORESS CITY ZIP PMDNE LILENSE� ' <br /> GLASS OF WOPK <br /> ❑NEW ❑ ADDITiON �( (ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPIACE INSERT <br /> VALUATION OF WOpK ' <br /> = 12,$00.00 <br /> OESCRIBE WORK <br /> interior alteration <br /> PROPOSE�USE OF BUILDING <br /> Bank I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIOWOFPPOPERTYISHOWBEIOWORATTACNF�URCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �o��l� BLOCN 666 oF Everett yGyHETHER SPECIF ED HERE N ORR OIT.THE GRANTING OF A <br /> PERMIT rJOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> �OCAL LAW REGU�ATINGSCONSTR CTION SORT THE <br /> PEHFORMANC OF CONST U TION. ��^�d <br /> JOBADDflE55 SIGN}NI�E 0 OpAU 0 A <br /> 1703 Hewitt Avenue <br /> X� � D <br /> PLUMdINO MECHA <br /> N0. TYPE OF FII(TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILE7) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P. EA. <br /> LAVATORV(WASH BASINI <br /> BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCMEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRIIV UNIT HEATERS— B.T.U. M <br /> CLOTMESW�SHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKIN6 FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WO00 <br /> ROOF DRAINS— MINIEADERS METAL FIREPLACE d CMIMNEV <br /> SINK(SEFVICE—BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> Duct Work <br /> sueror�� t sueTor�� s <br /> PERMIT t PERMIT f <br /> TOTAL FEE f TOTJ1l FEE = LO SO <br /> SIDE VARD SETBRCK STHEET SETBACK REAR YARD SE78ACK PLAN CNECK NUMBER 64.03 P�AN CHECK FEE <br /> N/A N/A N/A 84/13424 FEE Qjpy 69��igt No. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> B-3 f�YES i]NO <br /> TYPE OF CONSI'. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> V-N $-Z BUILDING S 12,500. 98 50 <br /> S12E OF BLOG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING 10 50 <br /> Alter 2 <br /> fIRE20NE BASEMENT FIRESPRINKLERS MECHANICAL <br /> � REOUIREO <br /> None i.VES O QTHEA <br /> APPROYAlS er D11TE <br /> 1.ENVIRONMENTAL CHEGK LIST PENALTY U.B.C. <br /> , SEC.903(a) <br /> 2.BUILDING PUNS cv TOTA� 109 00 <br /> 3.FIREMYDRANT ^' <br /> �.FIRE PROTECTIbN SYSTEM PERMIT VALIOATION <br /> 5.GRADING� WHEN PROPERLY VALIDATED QN THJS,$P,pC�E)7HI$�.IS�V(jl�P��MIT � + <br /> ( YL6 �� U77S U <br /> � �H pRAINA6E - - �� '� <br /> 7.ENVIRONMENTALIMPA TATEMENT �'7 <br /> '� .HEALTHWSYAICT o �. .� Iti R�.����IPT �' <br /> pAPPLICATION I�GC.BY PLANS CMECKED BV APPR.FOR ISSWINCE BY <br /> r n � ) " ^.(11: 1'OU <br /> � _' � � <br /> -�, <br /> u] <br /> - !� .1':3 0 4 <br /> ADDRESS FILE <br />