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. . . <br /> theEvergreen . ��NSTRUCTION � � <br /> � � �,. <br /> CITY OF <br /> . everetf PERMIT pERMIT NO. 0�9�2 <br /> CITV HALL 259�Bi45 <br /> EVERETT.WN 98201 ❑ COMBINATION � BUILDINO ❑ MECHANICAL PLUMBING <br /> l'WNEF MFILADORE55 C�TV ZIP PHONE <br /> Everett School District 4730 Colby Avenue Everett 98203 342-7400 <br /> APGHrtELT OH DESIGNER MRII.AOOR[SS CITV 21f PMON[ <br /> GENEN4L CANTRFGTOP MAIL AODRE55 CITV 21V PMONE LICENSE 1 <br /> Same <br /> MECNANICNLCANTRRCTOR MRILADDRE55 GITY ZIP PMONE LICENS[� <br /> PIUMBING CANTPACTOR MAIL ADDR[SS CITV ZIP PMONE LICENSE I <br /> GW55OF WORK <br /> ❑NEW ❑ADDITION ❑AL7EHATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE gQlocation <br /> VI.LUFTION OF WORK <br /> S <br /> DESCRIBE WORK <br /> relocate portable building from 801 Casino FDad to 1715 Rockefeller <br /> PROPOSED USE Of BUIL�ING <br /> class room I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAI OESCRI�T10N OF PROPERTY(SHOW BELOW OR FTTACM FOURCAPIL51 PLICATION AND KkOVJ THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eia«_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITI'TO\'IOLATE UR CANCEL THE PRO- <br /> . VISIONS OF ANY OTHER SJAT�' LOCAL LAW REGULATING <br /> CO UCTI�/N OR THE.P�RFORM NCE OF CONSTRUCTION. <br /> S NATURE OF COt{IIiN R iMOR12ED NT DNTE <br /> JOB ADDRE55 <br /> 1715 Rockefeller X , � ,it-n"' 7 10 80 <br /> PLUMBINO MECMANI AL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR C04D.UNITS—H.P.EA. _ _ <br /> BATHTUB AEFRIGERATI�4 UNITS—H.P.EA <br /> �AVATORY ASM BASIN) 301LLRS- F..P.EA � <br /> SHOWER GAS FIRED 4 C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FOFCED AIR SYSiEMS—B T.LI M EA. <br /> DISHWASHER W..LLHEATENS—�T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B T.LL M <br /> C101'HES WASHER EVAPORATNE COOLERS <br /> WRTER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD _ <br /> FLOOR DRA�N AIR HANDLING UNIT— C F.M. <br /> VACUUM BFEAKERS STOVE <br /> ROOF DRAIhS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK SERYICE—BAR,E7C.) <br /> 6UlTOTAL SUBTOTAL S <br /> PEIIMIT i PERMIT t <br /> TOTAIFEE { TOTALFEE <br /> SIDE YARD SE78ACK STREET SETBACK PEAR VARD SETBACK PLAN CHEnI(NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> I]YES ❑NO <br /> 7YPE OF CONST. OIX:UPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 SO 00 <br /> SIZE OF BLDG. NO.OF STORIF3 MAR.OCC.LOAD — <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> �YES ❑NO <br /> APPROVAlB BY DATE OTHER <br /> � 1. ENVIRONMENTAL CHECK LIST PENAL7y U B.C. <br /> SEC.3031a) <br /> 2. BUILDING PLANS <br /> TOTAL 50 00 <br /> 3. FIRE HY�RANT <br /> 4. FIRE PROTECTION SYSTEM PEPMIT VAl1UATION <br /> WHEN PROPEtiLY VALIDATED(IN THIS SPACE)THIS IS YO�1UR PERMIT <br /> 5. GRADING 4 5 8 6 �Q O 5 Q.O O �CV � <br /> 6. DRAINAGE N <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> B. HEALTH�ISTRICT YOUR RECEIP� <br /> ;PpLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY �M AN K Y O U <br /> L.C. • . <br /> 1 0 ,� 80 <br /> ADDRESS FILE <br />