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' Ihe L��ergreen ..� ��A � <br /> ��T�oF COP �TRUCTION <br /> everett pERMIT PERMIT NO. OG5G9 <br /> CI7Y HALL 259�87G5 <br /> EVERET7.wA eezu� � COMBINATION 0 BUILDING � MECHANICAL � PLUMBING <br /> OWNER M4itqpUFE55 GtY ZIP PHpNE <br /> Roy L. Casptr 651 Birch Street Edmonds 98020 77g_7754 <br /> ARLNRECiORD[9GNER MAI�ApDRE55 CITY LP PNONE <br /> GENENAL CANiRACTOR MAII ADDPE55 GTY 21P {'NONE <br /> Shclle LICENSE� <br /> MECMAN4A�('qNTRALTOR MAIL ADDRE55 CITY Z��F RIONE <br /> ULCNSE I <br /> 1`LUA+BiNGt'AMPnLTOp MARqDDRF55 GtY Z�P PHONE <br /> LICENSE I <br /> G1A550F WOPY <br /> ❑NEW ❑AODITION QMTERATION ❑REPAIP ❑DEMOLITION ❑FENCE ❑SIGN ❑GARqGE <br /> VALUATION OF WORN <br /> { ZrJ�0�0.�� <br /> DESLRIBE WM✓. <br /> remodel basement <br /> PROPOSCD USE OF NUR�ING <br /> converting ro tri plex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINe�THIS AP� <br /> i.ccn�oEscnivnonoFvaovearr�sNoweciowoannacHFou�comcs� PLICATION AND KNOW THE SAME TO BE T9UE AND CORRECT <br /> 21-22 556 Everett ALL PROVi510NS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�oca_oF TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME t0 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 /> JOB RD�RESS GNA1 R�pF CONiq OF AU RED AGE:T pp�� <br /> 2`-Grand Avenue 2422 Grand Avenue �i� 8/20/79 <br /> PLUMSIN6 HAN <br /> NO. TYPE OF FI%TURE OR ITEM FEE O. TYPE OF EQUIPMENT FEE <br /> 1 WATER CLOSET TORET) Q AIR COND.UNITS—H.P.E� <br /> BATHIUO 2 OO NEFRIGEPATION UNITS—H P.CA <br /> 1 LAVATORV(WASH BASIN) Z OO BOILERS—IiP.[A. <br /> SNOWEA <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> 1 KITCNEN SINN 8 DISP. Z OO FORCED AIR SYSiEMS—B T U. M EA <br /> DISHWASHER 2 � WALLHEAT[NS—BTU. M <br /> V+UNDRY TRAY UNIi HCATERS—8 T U M <br /> CLOTH[5 WASHE� EVAPORATWE GOOLERS <br /> WATER NEAi[P CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> _ ORINKING fOUNTAIN 1 RANGE ROOD OO <br /> F�ppq DRAIN <br /> AIR HAND�ING UNIT— C F.M <br /> VAGUUM BREAKER$ STOVE <br /> ROpF DRA;NS—FAINLEADERS METM FlREPLAC[B CHIMNEY <br /> SINK(SERVICE—BAR.@TC� — <br /> SU!TOTI1l SU!TOT�L <br /> t 00 <br /> PEIIMIT i PERMIT { <br /> TOTAL FEE i 10 OO TOTAL FEE OO <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SET�ACK PLAN CNECK NUMOER P�AN CHECK PE[ <br /> 5� 1�� ZQ� <br /> USE ZONE LOT AFEA VACANT SIT[ <br /> 79/498 �EE 3G.00 RE91822� <br /> R�S [7YES �lo FEES VAIUATION FEE <br /> TYPE OF CpNST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> v-ri x-3 3 <br /> BUILDING 8 ZS�OOO. �2 00 <br /> SIZE OF BIOG. NO.OF STORIES MA%.OCC,LOAD <br /> YlSNX 3 PLUMBING 10 �0 <br /> FIRE ZONE BASEMEN7 FIR[SPqINKLEPS '— <br /> Z N017f REOUIPIIX MECMANIC�I ,' 00 <br /> ❑VES x)fio <br /> APPROV�IS !Y DATE OTNER <br /> 1. ENVIRONM[NTAL CHECK U5T <br /> FENALTV UBC <br /> 2. BWLDINGPLANS SEC.303(a) <br /> 3_FIRE HVDflANT Ir 10TAL 8.� o0 <br /> d. FIRE PROT� ON SVSTEM PENMIT VALIDl1i1 N <br /> �-6. GRADII* � ��_ ' I �5 WT����'�LIG�ifD�J THIS SPACE)THIS IS VOUR PERMIT <br /> �. DRAIN/�t J I �� S��O� � .I <br /> cu <br /> . ENVIF ALIMP TATEMENT . � � <br /> L <br /> . HEALTH IgIACT pUR RECE�P'F,�. <br /> �PPIICAT/ON .BY • UNSCHECKEDBY APPR.FORISSUANCEBY T��,NK Yt?��1� • �'OUF RECEIPI' O <br /> � � � �.�. � � rHANK Yov <br /> a I 9 u�ti��'� . i 9 wc 79 <br /> : � , ,� <br /> ADDRE55 FI�E _��_ . _ . - — - . . . . .. : . . .. . . <br />