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�he Evergreen <br /> �,TYaF C^NSTRUCTION <br /> QV�i �.�.6 PERMIT pERMITNO. OH874 <br /> CITV HALL 259�87.5 <br /> EVERETf,WA 9820t ❑ COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING <br /> CWNER MAqADDRE55 CITY IIP PHONE <br /> Ted Westrom 1115 Pacific Everett 98201 252-1546 � <br /> ARGHITEGI OR DESIGNER MAIL ADDRE55 CITY TIP PHONE <br /> GENER�L fqNiqqCiOq MAiL qpDRE55 CIiY ZIp PHONE LICENSE/ <br /> Same <br /> MECHANIGAI CqNTMCiOR EIAII ADDRE55 �ItY ¢ip PHONE LICENSE/ <br /> VWAIBINGWNTRACTOR MAILADDRE55 CIiV ZIP PHONE LICENSEI <br /> C1A550F WOqK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑RFPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALWTION OP WORK <br /> S <br /> JESCNIBE WIXiY <br /> install wood stove <br /> PROPOSED USE GF BNLDINC <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCRIPTIONOF�ROPERTY�SHOWBELOWORATTRCHFOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PP.pVISIONS OF LAWS AND ORDINANCES GOVER'JING THIS <br /> ioT e�oc�ov TYPE OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CON CTION O�THE PERFORMANCE OF CONSTRUCTION. <br /> JJBADDRE55 SIGNqSUR' fCpNT^.�dOHAUTMORIZEDAGENT pqiE <br /> 1115 Pacific Ave. X � /� ���.,,�,�� 2/11/81 <br /> PLUMlIN� MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QORE7) AIR COND UNITS—HP.EA. <br /> BATHTU� q[FpiGERATION UN115—H.F.EA <br /> LAVATOIiV(WASM BASIN) BOILERS—HP.EP. <br /> SHOWER GAS FIRED A C.UNITS—TONNAGE EA. <br /> _ KITCHEN SINK 8 DISP. F09CED AIR SYST[MS—D.T U M EA. <br /> DISHWASHEF WALL H[ATERS—�T.U. M <br /> LAUNDRY TRAV UNIT HEAT[RS—B TL. M <br /> CLOTHES WASH[R EVAPOHAfNE COOLERS <br /> �WATER HEATEF CLOTHES ORVERS <br /> URINAL VEIJTILATIpN FAN <br /> _ DRINNING FOUNTAIN RAIJGE NOpO <br /> fLOOR DRAIN AIR NANDLING UNIT— <br /> C EM <br /> _ VACUUM DR[AK[RS STOVE <br /> FOOF DRAINS—RAINLEADERS ldETAI FlREPIACE 8 CHIMNEY <br /> SINK(SERViC[ —PAR,ETC� <br /> SUB {OTAL SUB TOTAL i 4 S 0 <br /> PF.RMIT f PERMIT f 00 <br /> TOTAL FEE f TOTAL FEE t 7 S O <br /> SIDE YARD SETBAGK iip[Ei SCT�ACK REAR VARD SETBACK P�.AN CH[CP.NUMBER PL4N CHECK F[E <br /> FLC RlCEIPT NO <br /> USE ZOIJE lGT AREA VACANT SITE <br /> GVES ❑NO FEES VALUATIqN FEE <br /> iYPE OF CANS7. OCGUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING fo <br /> Si2[OF BL�G. NO.OF STOPoES MAX.OCC.LOAD <br /> PLUMBING <br /> PIRE ZONE BASEMENT FIRE SPFINKLERS <br /> HEOUIRED MECHANICAL 7 S O <br /> !�iVES i'NO <br /> APPROYALS BY DATE OiHER <br /> I. [NVIRONMENTAL CHECK LIST P[NALTY I1.BL <br /> 2 BUILDING PLANS SEC.3D3(a) <br /> 3. FIRE HYDRANT TOTAL � S 0 <br /> a. �IAE PROTECTION SYSTFM PERMIT VAUOATION <br /> WHEIJ PROPERLV VALIDATED QN THIS SPACE)THIS IS YOUR PERlAIT <br /> 5 GRFDING <br /> 6 DRAINAGE � <br /> _ � <br /> 7 ENVIRONMENTALIMPAQ STATEMENT ' - ' ' / ' __._ �� <br /> N HEALTH DISTRICT Q, <br /> Ar'PUCATION ACC BY PLANS CHECKED BV APPR FOR ISSUANCE�Y 0 <br /> V.C. i <br />