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�he Evergreen C�NSTRUCTION <br /> � ,r �` <br /> CITY OF <br /> everett PERMIT pERMIT NO. O869Z <br /> CIiY HALL 259�8745 � COMBINATION ❑ BUILDIN(i � MECHANICAL ❑ PLUMBINO <br /> EVERETT,WA 90201 � <br /> OWNEN M41L A�DPE55 <br /> CITY 21P PMONE <br /> Lillian Binnall 914 Peck' s Drive Evelrett ZP pNONE <br /> ARCMIiEGT OR�ESIGNER MRIL PDORESS <br /> ���, Z�p PHONE LICENSE� <br /> GENERRL CONiOACTOR MAIL�DDRESS <br /> MECMANIGI CANTPACIOR MAIL ADORESS <br /> GITY 21P PNONE IICENSE/ <br /> Natural Gas Equipment 1611 East Grand Everett 258-2441 <br /> P W MBING CANTMCTOR MAII AODRE55 <br /> CITY 21P PMONE LICENSE� <br /> ClAS50F WORK <br /> ❑NEW ❑AODITION ❑A�7EfiAT�ON ❑AEPAIp ❑DEMOLITION ❑FENCE. ❑SIGN GARAGE <br /> VAWATION OF WORN <br /> 3 <br /> DESCRIBE WORK <br /> PROPOSED USE Of BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH • <br /> IEG�LDESCH�FT�ONOFPROPERTVISHOWBELOWORATTACNfOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVI510NS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT eixK_oF 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 CANCELTHE PRO• <br /> CONSTRUOCTION OR THERPERFORMANC�OF COt�STR CT ONING <br /> SIGNATUFE OF CONT CTOR OR AU ORIZE�A T �ATE <br /> .qB Af1DRF.55 1 Z�1 S�H O <br /> 914 Peck' s Drive i <br /> NICAL <br /> PLUM61N0 FEE I <br /> NO. TYPE OF flIRURE OR ITEM FEE N�' A�R�No.uw sE OH.r,Oq!PMENT <br /> WATER CLOSET OILEn <br /> BATHTUB FEFRIGERA710N UNITS—N.P.EA y <br /> ' LAVATOAY f+�'�H 9ASIN BOILERS—H.P.EA. ; <br /> GAS PIRED A.C.UNI15—TONNAGE EA. � <br /> ���R FORCED AIR SYSTEMS—B.T.U. M EA. ' <br /> � KITCHEN SINK 8 DISP. M i <br /> � WALL HEATERS—BT.U. . <br /> - � DISHWASNER M I <br /> . UNIT HEATERS—B.T.U. <br /> � � �. � LAUNDRV TMV EVAPORAlIVE COO�ERS ' <br /> � CLOTHES WASHER CLOTHES DRYEHS � ' � <br /> . - ' • WATEP HFATER VENTILATION FAN <br /> � . .� � � URINAL RANGe HOOD <br /> � ' � DRINKING FOUNTAIN C.F.M. <br /> . � " � AIR HANDLING UNIT— <br /> � � � . . FLOOR ORAIN STO�E <br /> " � � � VACUUM BREANERS <br /> � METAL FIREPLACE 8 CHI1!f7�� <br /> . . � � i pOpFDMINS—FUIINLEADERS 1 <br /> SINK(SERVICE—�•ET��� <br /> I <br /> i <br /> ' sue rou� s <br /> . � ' ��µ PEPMIT <br /> � � ��R S TOTAL FEE 7 S O �. <br /> K�E pLAN CHECK FEE <br /> � � SIDE YMD SETBAf.K STREET SET�`�K REAR YARD SEfBNCK PIAN CHECK NUMBER <br /> FEE RECEIPT NO. <br /> � USE ZONE LOT MEA VACANT SITE �$ VALU�TION FEE <br /> �YES ❑NO <br /> � � TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> � BUILDING S <br /> SIZE OF BLDG. NO.OF SfOHIES MA7(.OCC.LO�D <br /> PLUMBING <br /> F�pE ZpNE BASEMENT FIRE SPRINKLERS MECHANICAL � S O <br /> REOUIRED <br /> OYES GNO <br /> ANIIOVALS <br /> �Y DATE O7HER <br /> PENALIY U.B.C. <br /> 1. ENVIRONMENTAL CHECK LIST SEC.303(a) <br /> ' 2. BUILDIN6PlANS TOTAL 7 50 <br /> 3. FIRE HYDMNT <br /> PERYR VAUDATION <br /> �. FIRE PROTECT�ON SYSiEM WHEN PROPERLY VALIDATED 11N THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRA�ING I � � O � O O I, l 0 —tJ/ <br /> 6. DRAIN�GE (p <br /> • 7. ENVIRONMEN7AL IMPACT STATEMENT � <br /> 8. HEAITH DISTHICT `� � � � � R�"C E I PTo <br /> AppLICA71pry qCC,B� PU1N5 CHECKED BY APPR.FOR ISSUANCE BY . ' �' `�!� � G U <br /> � I 6 oEc 8 0 <br /> ADDRESS FILE <br />