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r- <br />i <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING Q MECHANICAL <br />PERMIT No. 11393 <br />❑ PLUMBING <br />OWMAIL ADDRESS CITY ZIP PHONE <br />UMQFreight Inc. 2716 McDougal Ave. Everett 98201 259-5527 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Langs Mechanical F.O. Box 68853 Seattle 98168 248-3808 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />LA NG SM 202N7 <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />PROPOSED USE OF BUILDING <br />Commercial <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW 1HE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMFL'ED 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 />SIGN 1 E OF CONTRACTOR OR AUTH IIIIEO AGBN DATE <br />X 1 6 82 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK --OF <br />JOB ADDRESS <br />2716 McDougal <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEC <br />WATER CLOSET (TOILET) <br />AIR COND. '!NITS — H.P. EA, <br />BATHTUB <br />REFRIGERA71ON UNITS — H.P. EA <br />LAVATCHY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />1 <br />UNIT HEATERS — B.T.U. M <br />6 <br />QO_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />JRINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />_ <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL S <br />6 <br />00 <br />PERMIT <br />S <br />PERMIT $ <br />_ <br />TOTAL FEE <br />S <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />'UYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />SIZE OF BLDG. <br />FIRE ZONE <br />Nn OF STORIES <br />BASEMENT <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES 0140 <br />PLUMBING <br />MECHANICAL <br />16 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />16 <br />00 <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPf.Ca)m IS 4"I"o O <br />r <br />L 1 , ' CT <br />youU.g 9ECEIPT� <br />" <br />T i-1 AN K YQ U <br />t uU 4 i <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />7 <br />