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, . , <br /> the£vergreen --�� c��NSTRUCTION � ,� � �� <br /> CIIY GF <br /> everett PERMIT pERMIT NO. 08638 <br /> CITY HALL 259�8745 � COMBINATION ❑ BUILDIN(i �MECHANICAL ❑ PLUMBINO <br /> EVERETT,WA 98201 <br /> ' OWNER MML�ODPE55 QTY <br /> 1521 Rucker 98201P 259-2488 <br /> Thomas M. Tredway Zip PNONE <br /> ARGNREGT OR DESiGNEP <br /> M�IL RDDRESS dTY <br /> GENER�L CANTMCTOR M�IL ADDRE55 CITV ZIP MONE LICENSE� <br /> Same <br /> MEGHANIUL CONTRAG-OP <br /> MAILADDRE55 C4Y ZIP R10NE LILENSEI <br /> PLUAIBING CONTRAGTCH MAIL�ODRE55 CITY ZIP PNONE LIGENSE I ' <br /> C1�550F WOHK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑FEPAIR ❑DEMOLITION ❑FENCf ❑SIGN GARAGE <br /> VAIUAT10N OF WOAK <br /> f <br /> OESCRIP�WOR�( <br /> PAOPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS AP- <br /> LEG/AOESGRIPTIONOFPHOPERTVISMOWBEIOWOAATTACHFOURCOCIE51 PUCATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> ioT ai�,�_aF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <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 IOCAI LAW RF_GULATING <br /> CONSTRUCTI N OR THE PERFORMANCE OF CONSTRiiCTION. <br /> SIGHRTURE OF RAQOR ON PUTHORIZE� i D�iE <br /> .pB�DDRE55 1 Z�S.�8 O <br /> 1521 Rucker Avenue x � ' <br /> PLUM�INO MECHANICAL _ <br /> NO. TYPE OF FI7(TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE � <br /> WATER CLOSET OIL. AIR CAND.UNRS—N P.EA. <br /> PEFRIGERATION UNITS—H.P.EA <br /> BATHTUB <br /> UVATOFY ASH BMSIN) 800.ER5—H P.EA. <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SMOWER <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEMS—B T U. <br /> WALL HEATERS—8 T.U. M <br /> DISHWASMER <br /> UNIT HEATERS—B T.U. M � <br /> UUNDRY TRAY <br /> CIOTHES WASMFR EVAPORATNECOOLERS . <br /> WATER HEATEP CIOTHES ORVERS <br /> VENTILATION FAN , <br /> URIN�L <br /> DRINKING FOUNTRIN RANGE HOOD <br /> . AIR HANDLING UNIT— C F M. � <br /> FLOOR DMIN � <br /> ' VACUUM BREAKEflS STOVE <br /> ' qpOF DRAINS—RAINLFADERS METAI FIREPU+CE 8 CHIMNEV <br /> i SINK SERVICE—BAR,E7CJ <br /> SUS TOTAL SUB TOTAL f 6 0 0 � <br /> PEIIMIT f PERMIT f 3 00 <br /> TOTIIL FEE <br /> TOTAIFEE t � <br /> PLAN GHECK FEE <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT ARFA VACANT SITE FEES ���UATION �E <br /> ❑YES ❑NO <br /> TVPE OF CONS7. OCCUPANCY GROUP NO.OF DWEILING UNITS <br /> / <br /> BUILDING s <br /> SIZE OF BLDG. NO.OF STORIES AIA%.OCC.LOAD p�UMBING <br /> FIRE ZONE BASEMENT pEOUIRED KLERS MECHANICAL B OO <br /> ❑YES ❑NO <br /> APPNOVALS <br /> er DI1TE OTHEH <br /> 1. ENVIRONMENTAL CHECK IIST PENALN U.B C . <br /> SEC.3031a) <br /> 2. BUILDINGPLANS TOTAL 9 00 <br /> 3. FIRE HYDMNT <br /> 4. FlRE PROTECTION SYSTEM PERMR V�LIDIITION <br /> WHEN PR::PERIY VALIDATED pN THIS I PI O 1�HIS IS Y a O � O O —�� <br /> 5. GRADING � <br /> 6. DRAINAGE <br /> � <br /> 7. ENVIRONMENTAL IMPACT STATEIAENT p p <br /> 8. MEALTH DISTRICT � � �� n "r'��'t�T O <br /> APPLICATION ACC.B� PIANS CMECKED BY APPR.FOR ISSUANCE BY ; � , ���,���;� ��C U <br />