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- �he Evergreen - -� <br /> CITY OF <br /> everett PERMIT pERMIT N0: 08835 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION GtbcBU1LDIN0 ❑ MECHANICAL ❑ PLUMBIN(i <br /> OWNER MAILADORESS CIiY 21P MONE <br /> Everett Magazine 1905 Hewitt Everett 98201 <br /> ARLMITECT OR OESIGNER MFIL RDDFESS CITY ZIP PHONE <br /> GENERAL CONTRAGTOR MAIL RDDRE55 CITY 21P PNONE LIGENSE� <br /> Campbell �feon 1120 Fairview North Seattle 98109 632-1364 <br /> MECHANICALCONTMCTOR MAILPDDRE55 CITY 21P PNONE IICENSE� <br /> PLUMBINGfANTRACTOR MAILADORE55 CIiY ZIP PMONE LICENSE� <br /> ClA55OF WORN <br /> ONEW ❑ADDITION ❑ALTERATION ❑REPA�R ❑DEMOLIi�ON ❑FENCE I��GN ❑GARAGE <br /> V�LU�TION OF WORK <br /> s 1500. 00 <br /> oEUAiee woRK � <br /> install illuminated siqn <br /> PROPOSED USE OF BUIl01NG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGALDESCRIPiIONOFPROPERTY�SHOWBELOWORATTACHFOUflfAP1ES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BLOGK_OF 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 TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUREOFCONiPACT OBAUIM 12E�AGENT DAiE <br /> JOB ADDRE55 Z�2�B 1 <br /> 1905 Hewitt X <br /> PLUMBINO MECHAN <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILEq AIR COND.UNI7S—H.P.EA. <br /> BRTHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(YJASH BASIN) BOILEHS—H P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK B DISP. FORLED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—BT.U. M <br /> LAUNORY TRAY UNIT HEATERS—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RFNGE HOOD <br /> FLOOR DRAIN A�N MANDLWG UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—�AR.ETC.) <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT f PERMIT = <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACK STREEi SETBACK REAR YARD SET�ACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA �?YES TUN� FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY�ROUP NO.OF DWELLING UNITS <br /> BUILDING b 1500. 9 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FiRE ZONE BASEMEN7 REOUIRED KL[RS MECHANICAL <br /> IlYES ❑NO <br /> APPHOVALS BY UATE OTHER <br /> t. ENVIRONMENTALCHECKLIST PENALTY U.BC. <br /> SEC.3031a) <br /> 2. BUILDING PLANS 9 00 <br /> TOTAL <br /> 3, FIRE HYDRANT � <br /> a. FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING 2 I r �� 0 � � <br /> 6. DRAINAGE Maximum projection �o5f sign��o�be—YO ' <br /> 7. ENVIRONMENTALIMPFCTSTATEM17ENT but lIl Il0 event CLOSC'Y than 5 � t0 � <br /> face of curb. c�;) <br /> B. NEALTH DISTRICT � <br /> APPUCATION ACC.BV PLANS CHECKED BV APPR.FOR ISSUANCE BY � � ' � - ' I r T <br /> RB LC � � �"� <br /> ,� _ , i <br /> - / i i:� L i <br /> �DDRESS FILE <br />