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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />--'I— <br />PERMIT NO. 07087 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />UN WEBER 4Rnl ARCHITECT R DESIGNER MAIL gDORE CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />_ CASCADE MILLWORK 4716 CBLLEGE AVE EVF.RETT 98203 257"4871 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY — ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />— ❑NEW ❑ADDITION 61ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />PR POSED 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 />ALI_ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />';EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY I r) VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LGCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR RIZED AGENT DATE <br />X ir �— 12/24 79 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT— 2f; BLOCK —Of nlkgT.Tmrqnm TnT Y <br />JOB ADDRESS <br />4601 LYNNWOOOD DR, <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — N.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK f DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />DISHWASHER <br />WALL HEATLRS — B.T.U. to <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK SERVICE — BAR. ETC.) <br />SUBTOTAL <br />SUB TOTAL f <br />PERMIT <br />$I <br />I <br />PERMIT f <br />TOTAL FEE <br />$I <br />I <br />TOTAL <br />FEE <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 ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNET. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />T. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />. <br />SEC303(a) <br />— <br />2. BUILDING PLANS � <br />TOTAL <br />28 <br />0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />— <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />i 2 7 1 ♦ C `Z <br />r <br />C <br />YOUR RECEIPT <br />THANK YOU <br />6. DRAINAGE <br />T ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />Ic <br />7CHICK61 BY <br />APPR. FOR ISSUANCE BY <br />Ic <br />