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theEvergnen � �-7NSTRUCTION - �; , <br /> CITY OF <br /> everett PERMIT PERMIT NO. OH668 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION �BUILDINO ❑ MECHANICAL ❑ PLUMBINQ � <br /> OWNEN MAllAODqESS CITV 21P FHpryE <br /> Everett Stevadoring Co. 1006 Hewitt <br /> ANCHITECT Ofi DESIGNER MAIL MORE55 CITY 21P prypqE <br /> GENEML CON7iNCTdi MAIL ADORE55 CITY ZIP PNONE �ICENSE 1 <br /> Fortune Roofina P,O. Box 1012 Lvnnwood g��� 776-0377 <br /> MECHANIG4CONTpACiOR MAILADDRES$ CITY 21P PHpNE �ICENSEI <br /> PLUMBINOCONTRACTpR MAILA�DPE55 CITY IIP PlqNE LICENSE/ <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION �ALTERATION XG�F7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAqqGE <br /> VALUATION OF Y/ORK <br /> f 12��.�0 <br /> DESGiIBE WOqK <br /> Hot Mop re-roof <br /> PNOPJSED USE OF BUIL�ING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGALDESCRIPTIpNOFPROPERTY(SMOWBELOWORATTACMFOURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br /> 1`othru Si�K 67 aF Everett Div. C 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 TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CO UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> .q9 ADDPE55 SIG ATU OF CO CT01�OH FUiHOR OATE <br /> 1006 Hewitt Aven e X �j 12/9/90 <br /> PLUMlINO ME ANICAL <br /> NO. TYPE OF FDfTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(fOILET) AIR CAND.UNITS—H.P.EA. <br /> BNTHTUB REFRIGERATION UNITS—H.P.Eq <br /> UIVATORY ASH BASIN) BOILERS—M.P.EA. <br /> SHOWER GAS FIREU A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—8 T.U. M EA. <br /> DISHWASHER WALL HEATERS—B,T.U. M <br /> LAUNDRV TRAV UNIT HEATEPS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE CAOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTIIATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPIACE 8 CHIMNEY <br /> SINN�SEflVICE—BAR,ETC.) <br /> __, SU!TOTAL SUB TOTAL { <br /> PENMIT f PERMIT { <br /> TOTAL FEE i TOTAL FEE <br /> SIOE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES [JNO FEES VALUATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLOG. N0.OF STORIES MAX.OCC.LOAD BUILDING b 7.2 O O.00 2 O S O <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> �VES ❑NO <br /> APPpOV11LS BY DATE �THER <br /> 1. ENVIRONMENTALCNECKLIST PENALTV U.BA. <br /> 2. BUILDINGPLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL 2 O S O <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIUATION <br /> 5. GRADING <br /> WHEN PROPERLV VALIDATED�IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE � fi � 9 Q„U � O. � O �—� <br /> 7. ENVIRONMENTAL IMPACT S7ATEMENT C� <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BV ' • � . .� l. �: �r' �0 <br /> �' 'J <br />