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lhe Evergrecn <br />��T°°� '� �ONSTRUCTIOI� � <br />everett PERMIT PERMIT NO. 1644Z <br />CITY MALL 259�87�5 <br />EVERETT, WA 9g2pt ❑ COM8INATION � BUILDING ❑ MECMANICAL ❑ PLUMBING <br />OWNER MML nDOPE55 CITY ZIP PMONE <br />PATRifK OISON 4�14 SOIITH 4th AVF EVFRFTT WA 9890a 252-R262 <br />•PCMITEGTOflDE51GNEH M�ILAODRESS CI1Y ZIP PHONE <br />GENERRLGONTRRGTOR MRILADDRESS GiTY 21P PMONE LICENSE� <br />—snriE <br />MECM4NICRL CONTPRCTOR MqIL ApDRE55 LITV ZIP PI�ONE LICENS° � <br />PWMBING CONTRACTOR MAIL AODFESS CIiY ,•:p GHONE UGENSE � <br />CUSS OF WORK <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIq ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />URTION OF W <br />s 3,000. <br />Convert att.ic space to sleeping area <br />ce <br />LOTF.�_BLOCM 6 OF <br />JOB <br />PLUMBING <br />TYPE OF FI%TI <br />WCTER CLOSE7�TOILEn <br />BATI{TU� <br />LAVATORY�WASH�ASIN <br />SHOWEP <br />KITCHEN SINK 8 DISP. <br />DISMWASHEN <br />IAUN�RV�RAY <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL <br />�FINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLE <br />SINK (SERVICE — BAR, E <br />5' <br />R-2 <br />V-N <br />FUBTOTAL { <br />PEflMiT <br />TOTAL FEE <br />S STREET SETBA <br />20' <br />L0T AREA <br />OCCUPANCY G <br />R-3 <br />N0. OF STORIE <br />2 <br />BASEMENT <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK L�ST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIflONMENTALIMPACiSTATEMENT <br />B. HEAITH DISTRICT <br />APPUCATION AGC. BY <br />�C <br />PLANS <br />S�J <br />FEE <br />�f <br />REAR YARD SETBACK <br />20' <br />VACANT SITE <br />. �.YES J(NO <br />NO. OF DWELLING UN <br />Mnx. o :c �oao <br />�C <br />I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEFN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANT�NG OF P. <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />GR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR�qNCE OF CONSTRUCTION. <br />SIGNATU�Cg} C(]ryTRRCtOq OP RUjffORiZED RGENT DRTE <br />MECHANICAL v <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITd — H.P. EA. <br />REFRIGEflAT10N UNITS — H.P. EA. <br />BOILEHS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.�/, M <br />EVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />G.IR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />6442 IFEE 2S.O3 <br />FEES �p��q7�pN <br />BUILDING I $3 <br />PLUMOING <br />MECMAPiICAL <br />OTHER <br />PENALTV <br />TOTAL <br />U.B.C. <br />SEC. 303 lal <br />FFF <br />� <br />S <br />f <br />:HECK FEE <br />RECEIPT NO. <br />79125 <br />FEE <br />38 50 <br />:i�m <br />PERMIT VAIIDATION <br />WHEN PROPERLV VALIDATED (W THIS SPACE� THIS'S YOUf�PFji1f�1T � <br />i <br />i . ('� � .' _' ) (,. i '1 _— c I <br />�JJ <br />l. r l i �� <br />, .. '� <br />ADDRESS F!LE <br />