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the Evergreen CIT 1 OF ^pNSTRUCTIUN <br />everett PERMIT PERMIT NO.09262 <br />CITY HALL 259 8745 <br />EVERETT, WA e9201 ❑ COMBINATION © BUILDING ❑ MECHANICAL PLUMBING <br />OWNER <br />Mid AGGRESS <br />CITY <br />ZIP <br />98201 <br />PHONE <br />258-3543 <br />Stop Abuse <br />7731 loth St::eet <br />Everett <br />MAIL ADDRtSS <br />CITY <br />21P <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />GENERAL CONTRACTOR <br />Same <br />CITY <br />ZIP <br />PHONE IICEN$E I <br />MECHANICAL CONTRACTOR <br />MAIL ADDBECH <br />CITY <br />21P <br />PHONE LICENSE <br />PLUMBING WNTMCTOfl <br />MAIL AODREw <br />CLASS OF WJRK 1]�A <br />NEW []ADDITION (.JnLTERATIDN ❑REPAIR <br />VALUATION OF WORK <br />s 3968.00 <br />DESCRIBE WORK <br />re -roof composition and miscell <br />LEGAL <br />3827 Grand <br />❑DEMOLITION ❑FENCE ❑SIGN (]GARAGE <br />eous items on floors land 2 _ <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AO- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COPREC '. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI: <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 FRO - <br />VISIONS OF ANY OTHER STATE OCAL LAW REGULATING <br />CONSTRUCTION OR THE PERF MANC OF CONSTRUCTION. <br />SONATUP ACONTRACTOR ORRAAy.�HORIZ AGENT DATE <br />X li�-1 7 • _ /13/81 <br />PLUMPING <br />_ <br />FEE <br />NO. <br />T'YPr OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIR COED. UNITS <br />_ <br />WATER CLOSET (TOILET) <br />_ <br />REFRIGERATION UNITS — H P. EP <br />BATHTUB <br />BOILERS H.P. EA. <br />LAVATORY (WASH BABINI <br />GAS FIREDAC. UNITS —TONNAGE EA. <br />SHOWER <br />2 <br />00 <br />FORCED AIR SYSTEMS — B T.U. M EA <br />1 <br />KITCHEN SINK 8 DISP <br />2 <br />OO <br />WALL HEATERS—B.T.U. M <br />1 <br />DISHWASHER <br />UNIT HEATERS —BT.II M <br />_ <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR 11ANOL!NG UNIT — C.F.M. <br />FLOOR DRAIN <br />-- <br />STOVE <br />— <br />LIETAL 9REPlACE $CHIMNEY <br />VACUUM BREAKERS <br />ROOF GRAINS — RAI-LEADERS <br />SINK SERVICE —BP' <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />S <br />4 00 <br />TOTAL <br />FEE S <br />TOTAL FEE <br />STREET SETBACK <br />$ <br />REAR YARD SETBACK <br />?LAN CHECK NUMB <br />PLAN CHECK FEEER <br />SIDE YARD SETBACK <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF COVET. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 3969. <br />44 <br />50 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCL:. LOAD <br />4 <br />00 <br />PLUMBING <br />MECHANICAL <br />FIRE ZONE <br />BASEMENT <br />KLERS <br />FIRE SPRINKLERS <br />OYES ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.BC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />4B <br />50 <br />3. FIRE HYDRANT <br />, FIRE PROTECTION F"T <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5. GRADINGCID <br />6. DRAINAGE o <br />—_ <br />01I <br />1O <br />N <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DBTDICT <br />` <br />_T APPLICATI7�� PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />.. ,r I I <br />L <br />—I <br />110 ADDRESS FILE <br />