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lheEvergreen jONSTRUCTION � <br /> GTY OF <br /> everett PERMIT pERMIT NO. 091.91 <br /> CITY HALL 259�fi745 <br /> EVERETf,WA �e2ai ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOORE55 CITY lIP PMONE <br /> Voth Bros Const. <br /> ARCMttELTOP�ESiGNER MAILPDDR[SS CITY ZIP PNONE <br /> GENERAL CONiNALIOR AIRIL ADDPE55 CITY ZIP PMONE LICENSE 1 <br /> MECHANICAL CANiHACTOFl MrIIL AD�RESS CITY ZIP PNONE LIGENSE� <br /> PSF Industries, Inc. P.O. Box 3747 Seattle 98124 622-1252 <br /> PLUMBINGCONtHACTOR MAILAO�RESS CITV ZIP FHONE UCENSEI <br /> � A4550F WORK <br /> �IEW ❑ADDITION ❑ALTEPATION ❑REPAIR ❑DEMOLITiON ❑FENCE ❑SIGN ❑GARAGE <br /> V, RTIONOFWORN <br /> O( 'IOE WORK � <br /> PROh D USE OF BUIL�ING <br /> I HERE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �een�oescnianoNOFraoreaTv�sNawoe�owonnTrncHrour�coaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT e�ocK_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 CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIN6 <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUBEOFCANiRACi0f10RAUiHORIZEDAGENi �AiE <br /> .wenooaess CNECK # 22586 5/8/S1 <br /> 3105 Pine Street X <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM PEE N0. TYPE OF EOUIPMENT ,FEE-- �--� <br /> WATER CLOSET QOILET) 1 3 AIN COND.UNITS—H.P.EA. S <br /> �ATNT�� REFNIGERATION UNIiS—H.P.EA <br /> LAVATOF�'IWASH BASIN) BOILEFS—H P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISR FORCED AIR SYSTEMS—B.T.U. M EA. <br /> �ISHWASHEfl \YALLHEATERS—DT.U. M <br /> IAUNDRY TPAY UNIT HEATERS—B.T.U. M — <br /> CIOTHES WASNER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATICN FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS SiJVE <br /> ROOF DRAINS—RAWLEADEPS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE—DAR,ETC.) <br /> SUBTOTAL SUB70TRL f S <br /> PERMIT f PERMI7 s <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SET�ACK REAR YARD SETBACK PLAN CIIECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA f7 ES TONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING E <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE20NE BASEMENT REOUIREDKLERS MECHANICAL 6B SO <br /> ❑YES ❑NO <br /> APPROVALS BY DATE �THER <br /> 1. ENVIRONMENTALCHECKUST PENA�ry U.B.C. <br /> SEC.303(n) <br /> 2. BUILDING PLANS <br /> ioini 6 8 5 0 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WMEN PROPERLY VALIDATED(IN THIS SPACE)THI515 YOUR PERI.IIT <br /> 5. GRADING ] � E � � ',J ry 8. 5 O f(,+{t �� <br /> fi. ORAINAGE <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> a H��T„o�STR��T ': :�:C f I PT O <br /> 1 qppLICATION ACC.BY PLANS CHECNED BV APPR.FOR ISSUANCE BY <br /> i•i '� � U <br /> � <br /> BW KC <br /> ' p :;�,� U � <br /> ADDRESS FILE <br />