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theCITYF 4) CONSTRUCTION <br />RUCTION <br />everett PERMIT PERMIT NO.OG7OS <br />CITY HALL 259�8745 <br />EVERETT, WA 96201 ❑ COMBINATION ❑ BUILDING xa MECHANICAL ❑ PLUMBING <br />OWNER "AIL ADDRLSs <br />Z1Y "'o"° <br />Jim Tiearne <br />Y 4910 West View Drive <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITv ZIP PHONE <br />GENERAL CONTRACTOR <br />MAI„ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSEE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRES.� <br />McGinty Elect <br />Electric <br />CITY <br />ZIP <br />PHUNE <br />UCENSL. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE E <br />❑NEW []ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED 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 />SIGNATURE OF CONTRACTOR UTHORI AGENT DATE <br />..f r 9/18/79 <br />LEGAL DESCRIPTION OF PROPERTY IS HOW BELOW OR ATTACH FOUR COPIES) <br />Lor BLaK_oF <br />JOB ADDRESS <br />4910 West View Drive <br />PLUMBING <br />MECHANICAL <br />NO.NAOM <br />TYPE OF FIXTURE OR ITEM <br />SET (T04ET) <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />AIR COND UNITS —H.P. [A. <br />FEE <br />REFRIGERATION UNITS — H.P. EA <br />ASH BASIN) <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />K B DISP. <br />FORCED AIR SYSTEMS — B T.0 M EA. <br />WALL HEATERS — B.T UM <br />4 <br />OR <br />AY <br />UNIT HEATERS — B T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER NEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT —CFM. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE h CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUS TOTAL <br />SUB TOTAL f <br />4 <br />00 <br />PERMIT f <br />PERMIT f <br />SIDE YARD SETBACK <br />TOTAL FEE <br />STREET SETBACK <br />f <br />REAR YARD SETBACK <br />TOTAL <br />PLAN CHECK NIMBEH <br />FEE f 7 <br />PLAN CHECK FEE <br />f EE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />[]YES UNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. DOC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMEN, <br />FIRE SPRINKLERS <br />REQUIRED <br />AYES FIND <br />MECHANICAL <br />7 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />PENALTY <br />UB <br />SECC303 (a) <br />3. FIRE HYDRANT <br />TOTAL <br />9 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />2399 . S-0 Q 7. U D -rocA <br />C:) <br />/ ti <br />Y O U R EC E I Pi'`-° <br />YOUR,R - U <br />TH' ANK YOU <br />5. GRADING <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />6. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE 18 SEP .19 <br />