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rgreen <br />CITY OF <br />.; verett-, <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />CINSTRUCTION <br />PERM r PERMIT NO. 06529 <br />❑ COMBINATION Ise BUILDING El MECHANICAL ❑PLUMBING <br />OWNER MAIL ADDRESS LIT, ZIP PIIONL <br />Ben Newland Box 958 98206 259-9191 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Newland Construction Co. Box 958 259-9191 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP NONE LICENSE IF <br />PLUMBING CONTRACTOR MAR r DDRESS CITY ZIP PHONE LICENSE <br />❑NEW WADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />$69,400.00 <br />ramnAal hITi lAinn <br />PROPOSED USE OF BUILDING <br />Commercial <br />I HEREBY CERTIFY 1HAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PPOVISIONS 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 VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIOREeG[COry SfTOR OR AUTHORIZED AGENT DATE <br />X C❑O RR NNUU 8/14/79 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 15-16 BLOCK 753TF EVerPtt TAnd C171 I St <br />TDB hTf Pine Street <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 CORD. UNITS - H 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 8 DISP. <br />FORCED AIR SYSTEMS - 0T.U. M EA <br />DISHWASHER <br />WALL HEATERS -BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - BT.U, Ni <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 11,1. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />79/477 <br />PLAN CHECK FEE <br />FEE 147. 55 RECEIPT NO. <br />42348 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$69,400.00 <br />227 <br />00 <br />SIZE OF BLDG. <br />NO. OF STURIES <br />MAX. OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED <br />OYES <br />SPRINKLERS <br />ONO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />- <br />TOTAL <br />227 <br />00 <br />1 FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />-• o <br />V_ C'U'R RECEIPT c <br />1 <br />HA tAI y YOU, <br />5, GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />HWM <br />APPR. FOR ISSUANCE BY <br />14 tuc 79 <br />ADDRESS FILE <br />