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theEvergreen ,i SCONSTRUCTI� � <br /> CIiY pF <br /> everett PERMIT PERMIT NO. 15591 <br /> CITV MALL 259�81�5 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDIN(3 ❑ MECMANICAL ❑ PLUMBINfi <br /> OWNEfl . MAIL�DDNE55 CITY IIV PHONE <br /> Joe's Off Broadway 2008 Hewitt Avenue Everett 98201 <br /> ARCHITECT OP DESIGNER M�IL�O�RE55 CITY ZIP PNONE <br /> OENERA�GONTRACTOR MAILApDRE55 CITY 21P PHONE LICENSEI <br /> Tuhe Art Signe 2719 Maple Straet Everett 98201 252-0086 <br /> MECMANIG�L CONTfl�CTOR MAIL ADDRESS CITY IIP PHONE LICENBE 1 <br /> mose asx iei e m <br /> PLUMBIN6 CONTRACTOR MAIL A�URESS ��TY ZIP �HONE LICENBE I <br /> CLA6$OF WORK <br /> F�NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPUCE INSERT <br /> VAIUATION OF WORN <br /> f 18�0.�� <br /> DEBCRIBE VYOPK <br /> Install Projectinq Sign-illurt�inated <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEOAL DESCNIPTION OF PHOPERTI'ISMOW BELOW OR ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORESS SIGNATURE OF CONTR�CTOR OR 11UTHOP AOENT DATE <br /> 2008 Hewitt x <br /> PLUMSINO MECMANICAL <br /> NO. TYPE OF FIXTURE ON ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn AIR GOND.UNITS— H.P.EA. <br /> BATHNB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORY(WASM BASINI BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNRGE EA. <br /> KITCHEN SINK S DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.0 M <br /> LAUNDRY iRAV UNIT HEATEFS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOiHES DRYERS <br /> URINAL VENTIUTION FAN <br /> DRINKING FOUNTAIN R�NIiE HOOD <br /> FLOOq DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—1YOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSEiiT <br /> HEAT PUMP <br /> SUB TOTAL f SU8 TOTAL S <br /> PERMIT f PERMIT S <br /> TOTALFEE S TOTALFEE i <br /> S�DEVARDSETBACK STREET SETBACK REAR YARDSETBACK PLAN CMECK NUMBER PLAN�MECK FEE <br /> FEE RECE�PT NO. <br /> USE ZONE �OT AREA VACANT SITE <br /> ��YES LiNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROl1P NO.OF DWELLING UNITS <br /> BUILOING 5 1800. 9 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAO <br /> PI.UMBING <br /> FIRE 20NE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> RE�UIRED <br /> uYES CNO <br /> APPROVAIS BV DATE OTHER <br /> 1.ENVIRONMENTAL CMECK LIST pENALTY U.B.C. <br /> — SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIqEHY�RANT TOTAL 9 00 <br /> 5.GRADINGTECTION SYSTEM PEflM1T YALIDIITION i, 6 C�j ��Q� O� — 1 <br /> WHEN PROPERLY VALIDATED(IN THIS SPA THIS E T <br /> bL v � <br /> 8.DRRINAGE <br /> L37 <br /> 7.ENVIRONMENTALIMPACTSTATEMENT r� �� <br /> B.HEALTHDISTRICT `�' ' � ' �� ` � CEIFT � <br /> H BY APPR.F RISSUANCE BY � � �� ` � <br />