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rheEvergreen � '`ONSTRUCTION � ^ <br />pTY OF <br />everett PERMIT PERMIT N0. O79Z3 <br />GTY HALL 259�8745 <br />EVERETf, \YA 98201 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br />OWNER MAIL.AD�qE55 pTY 21P PNONE <br />Everett School Diatrict No. 2 4730 Colby Everett 98203 342-7400 <br />ARCHITECT OR DESIGNER MAIL ADDRE55 CIiY ZIP PHONE <br />GENERAI fANTRACTOR MAIL ADDRESS pTV ZIP �MONE IICENSE � <br />$dII1@ <br />MECMANICAL CONTRACTOR MAR �DDRE55 CITY ZIP PHONE UCENSE � <br />PLUMOING CONTMCT08 M�IL ADDRE55 GITY ZIP FMOYE LICENSE � <br />CUSS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAFiAGE Relocation <br />VALUATION OF WOIiK <br />f <br />Move porta <br />PHOPOSED USE OF BUILDING <br />claeeroom <br />lEG . JESLNIPfION OF PROPERP <br />l0T__BLOCIL_OF <br />� ,pBADDRESS <br />1110 Poplar <br />i PLUM6ING <br />i <br />� i N0. TYPE C <br />_ I WATER CLOSET OII <br />BATHTUB <br />. � LAVATORY ASH 8� <br />j SHOWER <br />:j � <br />KITCHEN SINK 6 DIS <br />� <br />e <br />building from Cascade High School to 1110 Poplar <br />SIDE YARD SETBACK STREET <br />UEE ZONE LOT ARI <br />TYPE OF CONST. OCCUPI <br />SIZE OP BLDG. NO. OF <br />FIRE ZONE BASEMI <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDHANT <br />d. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMEN7 <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BV PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE qEAD AND EXAMINED THIS AP• <br />FOURfAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <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 VIOLATE OR CANCEL THE PRO- <br />VISI OTHER S LOCAL LAW REGULATING <br />CONSTRUCTION R TH RFORM NCE OF CANSrRUC:TION. <br />IGNATURE OF fAN TO,�y UTIIJR12E ENT OR'E <br />v ; i /� _� 7._ �,._._- 6 7/10/60 <br />REAR VARD SETBACK <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWELLING U� <br />MA%.00C.LOAD <br />APPR.FORISSUANCEBY <br />L.C. <br />TYPE OF E�UIPMENT <br />CAND. UNITS - H.P. EA. <br />RIGERATION UNITS - H.P. EA <br />.ERS - H.P. EA. <br />FIRED A.C. UNITS - 70NNAGE EA. <br />CED AIR SVSTEMS - B.T.U. M <br />.L HEATERS - B.T.U. M <br />i HEATERS - B.7.U. M <br />PORATIVE COOLERS <br />THES DFYEFS <br />TILATION FAN <br />IGE HOOD <br />HANDLING UNIT - C <br />PLAN CHECK NUMBER PLAN <br />FEE <br />FEES VALUATION <br />BUILDING S <br />PLUMBING � <br />►1ECHANICAL <br />PENALTY <br />U.B.C. <br />SEC.303(e) <br />FEE <br />RECEIPT NO. <br />FEE <br />� �� <br />TOTAL I I 50 I 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATEU (IN THIS4 CAC�E;TH�S IS VOUR PEHMIT <br />�O9 f050.00 - M <br />n� <br />� <br />1'OUR RECE�PT o <br />a NANK YOU <br />