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- , <br /> �heEvergreen C^NST�+UCTION � <br /> i,ITY OF <br /> ever�tt PERMIT pERMIT NO: os7s5 <br /> CITV HhLL 259�8745 <br /> EVERETT,WA 9820� ❑ COMBINATION ❑ BUILDINO � MECHANICAL ❑ PLUMBINO <br /> ' OWNEfl MRILADDflE55 CITY CIP PHONE <br /> Dave Foley 2925 Pine <br /> ABCNITECT OR DESIGKiR MAILADDPE55 f.ITY 21P PMONE <br /> GENENAL CANTMCTOH MAIL AODRE55 CITY ZIP PHONE LICENSE� <br /> MELHANICAL CONTRACTOR M�IL ADDRESS CITY ZIP PNONE UCENSE 1 <br /> Natural Gas Equit�ment 1611 East Grand Everett 98201 258-2441 <br /> VIUNBING CONTR�LTOR MAIL r1UDPE55 Cltt 21P PHONE LICENSE� <br /> CU55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE , <br /> WlWTION OF WORN '. <br /> f i <br /> DESCRIBE WORK � <br /> . � <br /> F60POSED USE OF BUILDING , <br /> I HEREBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS AP- <br /> LECrLLDESCPIPfIONOFPROPERTYI�NOWBELOWONATTACHFOUflCOPIES� PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. � . <br /> ALl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior n�oc�oF TYPE OF WORK W�LL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> � VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORM CE OF CONSTRUCTION. <br /> ,qB�OD8E55 SIGNATURE OF CANTRACT OR �U AGE DATE '� � <br /> j . 2925 Pine Street X 1/15/81 � <br /> - PLUM61lW ME NICAL j <br /> �,� � NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE I <br /> WATER CLOSET OIL AIR CAND.UNITS—H.P.EA. <br /> BATHTUB REFqIGERATION UNI7S—H.P.EA <br /> � UVATORY ASH BASIN BOILERS—H.P.EA. � <br /> �py�p GAS FIRED AC.UNITS—TONNAGE EA. � <br /> KITCHEN SINK d DISP. FORCED AIR SYSTEMS—B.T.U. M EA. ' , <br /> � DISHWASHER �VALL HEAfERS—B.T.U. M <br /> LAUNDfiY TRAY UPIIT HEAIERS—B.T.U. M � <br /> CLOTHES WNSHER EVAPORATIVE COOLERS <br /> WATER HEATEH CLOTHES DRYERS <br /> URINAL VENTILA710N FAN <br /> � DRINKING FOUNTAIN R.4NGE HOOD � <br /> '� FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—fl4R.ETC.) onvera OII urner <br /> SU!TOTAL SUBTOTAL i <br /> PERMR i PENMR = <br /> TOTAIFEE 3 TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEF <br /> FEE RECEIPT N0. � <br /> � USE 20NE LOT AREA VAC,ANT SITE <br /> �YES ❑NO FEES VALUATION FEE <br /> ITYPE OF CONST. OCCUPANCY GROUP NC.OF DWELLING UNI75 <br /> BUILDING S <br /> SIZE UF BLDG. NO.OF STOFlIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BRSEMENT FIRE SPFiINKLERS <br /> REOUIRED MECHANICAL 9 00 <br /> OYES ❑NO _ <br /> APPROYALS er OATE OTHER <br /> 1. ENVIRONMENTAL CHECK LI5T PENALN U.B.C. <br /> SEC.303!a) <br /> 2. BUILDING PLAAS — <br /> 3. FIRE HYDRANT TOTAL 9 00 <br /> 4. FIRE PRO7ECTION SY:iTEM PERMIT VALIDATION <br /> — WHEN PROPERLY VAIIDATED�IN THIS SPACE)THI515 YOUR PERMIT <br /> 5. GRADING � j DE � O O �r. 00 -- � <br /> 6. �RAINAGE �� <br /> 7. ENVIRONMEt:IAL IMPACT STATEMEIIT I�' <br /> 8, HEALTH DISTRIC7 -; � �• � <br />