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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERE TT, WA 9B201 <br />AONSTRUCTION01A <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT NO. 09344 <br />P PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STOP ABUSE 2731 loth <br />St EVERETT <br />95R—'1543 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY 711, PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />COALWELL S PLBG 1926 65th P1 NE MARYVILLE 651—Q 3493 <br />CLASS OF WORK <br />CT NE\Y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />CUMPLG'P1r V1.11. <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />CGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />Lor BLocK_ of <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 />SIGNATURE CONTRACTOROR AJTHORIZED AGENT DATE <br />/, / <br />JOU ADDRESS <br />3827 GRAND AVE. <br />X 6/8/B1 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />2 <br />O 0 <br />AIR COND. UNITS — H P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — N.P. EA <br />2 <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />1 <br />SHOWER <br />9 <br />n In <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK d DIRP. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALL HEATERS — 8 T.U. M <br />DISHWASHER <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />1 <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT — C. F. AI. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />14 <br />00 <br />SUBTOTAL f <br />PERMIT <br />f <br />I <br />nn <br />PERMIT f <br />. <br />TOTAL FEE <br />f <br />17 <br />00 <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONF <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑YES LINO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />£ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />17 <br />— <br />IRE 20NE <br />BASEMENT <br />ARE SPRINKLERS <br />RLOUIRED <br />MECHANICAL <br />❑YES ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />L ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B L <br />SLG 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />(; L 2 y O 17.O O <br />5. GRADING <br />6. DRAINAGE <br />eM <br />Cn <br />- �,.`, I PTO <br />7. ENVIRONMENTAL IMPACT STATEMENT. <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />