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the Evergreen CITY OF CONSTRUCTION <br />everett PERMIT <br />PERMIT NO. 07087 <br />CITY HALL 2590745 <br />EVERETT. WA 96201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />KEN WERPR 4ROT I.YNNW(K1n nR_ EVERETT <br />ARCHITECT OR DESIGNER MAIL Aa S CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />CASCADE MILLWORK <br />MECHANICAL CONTRACTOR <br />4716 C9LLEGE AVE <br />MAIL gDOREss <br />EVERETT 98203 <br />CITY <br />75"4R'71 <br />- ZIP <br />PHONE <br />LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />1. b Ur wUfiK <br />❑NEW ❑ADDITION ]ALTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN _GA AG <br />VALUATION OF WORK <br />s 4000.00 <br />DESCRIBE WORK <br />INMIUOR REMODEL <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 />LEGAL DESCRIPTION OFPROPERTY SHOW 8ELOWORATTACH FOUR COPIESI <br />LOT�fiBL°cK_—GF <br />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 VIOL'LTE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR RIZED AGLNT DATE <br />:�D ADDRESS <br />4801 LYNNWOOOD DR, <br />X:' 12/24/79 <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 />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <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 />_ <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />_ <br />RANGE HOOD <br />FLOOR DRAIN _ <br />AIR HANDLING UNIT — C.F -'.. <br />nw� Ana. — nnlrvLeHutna 1 I METAL FIREPLACE 8 CHIMNEY <br />SI NK,RFRVICF-RAP FTrI <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 />[]YES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAK. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />F]YES ❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />28 <br />DO <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />o ti <br />6 1 7 1 <br />o <br />YOUR �RECEIPT <br />THANK YOU <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />6. HEALTH DISTRICT <br />APPLICATION AEx. BY <br />1c <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />lc <br />ADDRESS FILE 7 h DEC 79 <br />