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, . , <br /> lheEvergreen �-�� (��NSTRUCTION � ''�� <br /> CITY OF <br /> everett P�RMIT pERMIT NO. O�9Z2 <br /> GTY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION Gc� BUILDING ❑ MECHANICAL PLUMBINCi <br /> OWNER MAII ApDRESS CITY ZIP PMONE <br /> Everatt School District 4730 Colby Avenue Everett 98203 342-7400 <br /> qRCHITECTORUESIGNER MAI�qDDPE55 CITY TIP PHONE <br /> GENEN�L CANTflACTOR MAIL RDDRESS CITY ZIP PNONE LIGENSE� <br /> Same <br /> MECNPNICALfANTRACTOP MRILADDFESS CITY I.IP PNO4E LIC[NSE� <br /> PWMBINGCANiRACiOR MAILADDRE55 CiTV ZIP 1'MONE UCENSEI <br /> CLA550i WORK <br /> ❑4EW ❑ADDI710N ❑AITERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE gElOCdt10i1 <br /> VALUATION OF WORI( <br /> f <br /> DESCHIBE WORK <br /> relocate portable building from 801 Caeino Road to 1715 Rockefeller <br /> PROPOSED USE OF BUIIDING <br /> class room I IiEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS AP� <br /> �rcnioesceir*ior+oFrAovERrv�sNowraowoRnr.ACNFouacoaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND OHDIPJANCES GOVERNING THIS <br /> ior a�orK oc TYPE OF WORK WILL PE COMPLIED WITH WHETHER SPECiFIED <br /> HFREIN OR fJOT. TH� GRANTIP;G OF A PERMIT DOES NOT <br /> PRESUA E TO GIVE AUTHORITY TO VIOLATE OA CANCEL THf PRO� <br /> VISIONS OF i,NY OTHER�S-�A7f�_-0R LOCAL LAW FlEGULATING <br /> CO UCTIj��)� OR THE RFORM NCE OF CONSTRUCTION. <br /> 5 NATbREOFCAN141�f.iOPj1 TNORI2ED Ni OATE <br /> .qBn�DRESS - /i / <br /> 1715 Rockefeller X Ji�-�' 7 10 80 <br /> PLUMlINO MECHANI AL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET OILETI AiR CAND.UNII'S—H P.EA. <br /> BATHTUB FEFRIGERATION UNITS—HP EA _ <br /> LAVATORY ASH BASIN) BOILEPS—H.R EA. <br /> SHOWER GAS FIRED AL.UNITS—TONNAGE EA. _ _ <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATEFS—B T.U. M <br /> UUNDRV TMV UNIT HE4TER5—BT.U. M _ <br /> CLOTHES WASHER CVnPURATIVE CAOLERS <br /> WA�A H��R CLOTHES DRYERS <br /> URINAL VENTILA710N FAN <br /> l ORINKINO FOUN(AIN RANGE HOOD <br />� � FIOOR ORAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKEFS SiOVE <br />� POOF DRAINS—RAINIEADERS � METAL F�FEPLACE 6 CHIMNEV _ <br /> SMK(SERVICE—BAR.E7C.1 <br /> SUlTOTAI SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTAIFEE t TOTALFEE f <br /> SIDE VARD SETBACK STREET SEfBACK REAR YARD SETOACK PLAN CHECK NUMEER PLAN CHECK FFE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA Vj SNT SINE� FEES VALUATION FEE _ <br /> TYPE OF CONSI. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 8 50 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENi FIRE SPRINKLERS ME�"�NICAL <br /> REOUIREU <br /> OYES ❑NO <br /> APPROVALS sY DATE OTHER <br /> � 7. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> . SEC.303(a) <br /> 2. BUILDING PLANS TpTA� SO 00 <br /> 3. FIRE MYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOfUR PERMIT <br /> 5. GRADING _ � S H S + O �a•O O �N � � <br /> 6. DRAINAGE N <br /> 7. ENVIRONMENiAL IMPACT STATEMENT � <br /> 8. MEALTM DISTRICT YO U R RECE!PS <br /> APPLIG1i IOM ACC,BY PIANS CMECKEG BY APPH.FOR ISSUANCE BY T H AN K Y O U <br /> L.C. � <br />