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. . , <br /> lheEvergreer - C�STRUCTION � ��� <br /> CITY OF <br /> everett PERMIT PERMIT NO. 0756�I <br /> CITV HALL 259�B745 <br /> EVERET�.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ' OWN'cR MPILA�OPE55 C�11' Z�P PHONE <br /> RnhPrt C Wilson 1123 Rucker Fverett 98201 252-1247 <br /> RRCNRWT OF OESIGNER Mlll�ODNE55 CITY ZiF PMONE <br /> GENENAL CONT0.4CTOR MRR AD�RE55 CITY 21P PMONE l CENSE I <br /> �•ner <br /> MECMANICALCONTMCTOR MAIL ApDRESS CITY ZIP PHONE LICENSE� <br /> PlUM81NG GONTRACTOR MMl�ODRE55 GTY Z�F PMONE LIGENSE I <br /> CUSS OF WOPK <br /> �IEW ❑ADDITION ❑ALTEHATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAHAGE <br /> VRlU�T10N OF WORI! � <br /> s 7 500.0� <br /> �ESCRIBE WORK <br /> New ara e 24x30 <br /> PNOPOSEO USE Oi BWLO�NG <br /> GaTdqE I HEREBY CERT�FY THAT I HAVE READ AND EXAMINED THIS AP- <br /> lEOAL�ESLHiFTIONOFMNPlRTY�SMOW BEIOK'ORATiPCH FOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ioT 5&6�� t Ofc 7 Blk 222 H2i htS Add ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GFlANTING UF A PERMIT DOES NOT <br /> 8 ex ldt rEC VO1 3 Of latS PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> pci 40 ReC SIIO CO. CONSTRUCTION R THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDNE55 SIGN HiRR OROP�UtNpR1I A(p GENT OAtE <br /> C V��fCti.l� <br /> PLI�M�INO MECMANICAL <br /> - N0. TYPE OF fll(TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> � WATER CLOSET OILE AIR CAND.UNITS—H.P.EA. <br /> 811THTU8 REFFi1GERATION UNITS--H.P.EA <br /> U�ATORV ASH BASIN BOIlERS—H P.EA. <br /> $rypyyEp GAS FIRED A.C.UNITS—TONNAGE EA. � <br /> KITCHEN SINK 6 DISR FORCEG NIP SYSTEMS—B T.U. M EA. <br /> DISMWASHER WALI HEATERS—B.T.U. M <br /> UUNDRV TMY UNIT MEATERS—B.T.U. M � <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAI VENTILAiION FAN <br /> DRINKING FOUNTAIN RANG[NOOD <br /> FLOOR DRAIN AIR MANDIING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—MINLEADERS METAI FIREPLACE 8 CHIMNEY ' <br /> SINK(SERVICE—BAR,ETC� � <br /> SUlTOTAL SUBTOTAI t <br /> PERMR i PERMIT f � <br /> TOTAL FEE i T0T111 FEE <br /> SIDE YARD SETBACK STREET SETBFCK REAR VARD SETBACK PLAN CHCCK NUM�ER PLAN CHECK FEE <br /> 1 t 7SG7 FtE ZZ.00 RECEIPTNO <br /> USE ZONE LOi AREA VACANT SITE <br /> ❑vE5 C�lO FEES �ALUATION <br /> T'PE OF CANST. OCCUPANCY GROUP NO.Of DWELLING UNITS , <br /> V-N M-1 ----- <br /> SIZEOPBLDG. NO.OFSTORIES MAX.00G.IOAD BUILDING S7SOO.00 44 OO <br /> 24 'x30' 1 ----- PLUMBING <br /> FIRE ZONE OASEMENT qEOUIRED kLERS MECHANICAL <br /> 3 ------ OYES O <br /> AVPIIOVAl8 EY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK UST pENAL7V U B.C. <br /> SEC.303(a) <br /> 2. BUILDING P�ANS <br /> 3. FIREHYDRANT �T�� 49 �0 <br /> 1. FIRE Pr70TECT10N SYSTEM PERMIT VALIDATION <br /> WMEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YfOUR PERMIT <br /> 5. GRADIN� � 4 9 Q + O ��.O O �� � <br /> 6. DRAINAGE (Q <br /> 7. ENVIRONMENTALIMFACTSTATEMENT ' � � <br /> B. HALTH DISTRICT YU U R REC E I PT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.POR ISuUANC:BY <br /> �� i}t�l�K '�Qi�' � <br /> v.c. ., . .. � <br />