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. . , <br /> fheEvergreen --� (�1NSTRUCTION �� - <br /> CITY OF <br /> everett PERMIT pERMIT NO. OH62Z <br /> qT�HPLL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION 7� BUILDINO ❑ MECHANICAL L� PIUMBING <br /> OWNEP MRILADDRESS Cltt 21P PHONE <br /> Virqinia Groesman 1630 Rucker Everett 98201 252-0087 <br /> ARCNRECT OP DESIGNER M�IL ADDPESS CITY ZIP FMONE <br /> OENEFM CANTRAGTOR MMl AODRE55 GITY ZIP FMONE UGENSE I <br /> Rlvereide Roof Co. 2916 State Street Everett 98201 258-4646 <br /> MECH�NICAL CONTRACTOR MML�DORESS GITV ZIP PMONE LICENSE� <br /> RI VE RR *'302T0 <br /> PIUMBINGCANTRALTOR MAIIADDPE55 CITY 21P PMONE LICENSE� <br /> C1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION `�PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GANAGE <br /> VAWATION OF WdM <br /> f �218. 0� <br /> oescraec wam <br /> re-roof <br /> MqPOSED USE OF BUILDING <br /> eingle family zeeidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �[pkpESCq�pfpNOFFiqPENTY�SHOW BELOWOFATTACHFOURCAP1E51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 17-19 343 Everett ALL PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS , <br /> �or P�p�l�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HFREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AI�THORITY TO VIOIATE OR CANCEL THE PRO• <br /> � VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br /> CONSTRUCTION OR TtiE PERFORMANCE OF CONSTRUCTION. <br /> SIGNPTJNE OF CONTRACiOR ON RUTHORIZEO AGENi DATE <br /> � ,pBADDRE65 LL�ZG�BO <br /> 1630 Rucker 1lvenue X <br /> RUMNNO MECHANICAL <br /> � 11p, TrrE OF FlXTUIIE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WA7ER CLOSEi OiL AIR COND.UNITS—H.P.EA. <br /> �TM�B REfRIGERATION lIN1T5—H.P.EA <br /> UVATORV ASH&SIN BOILERS—H P.EA. <br /> SMOWER GAS FIREO A.C.UNITS—TONNAGE EA. <br /> KITCMEN 61NK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWA6HER WALL HEATERS—B.T.U. M <br /> UUNDFV THAY UNIT HEATERS—B.T.U. M <br /> CLOiNES WASFIER EVAPORATIVE COOLERS <br /> - WATER MEATER CLOTMES DRYEPS <br /> URINAL VENTILATION FAN <br /> DRINKINO FOUNTAIN RANGE HOOD <br /> FLOOR DMIN AIR NANOLING UNIT— GF.M. <br /> ' VACUUM BfiEAKERS STO�E <br /> ROOF DRAINS—�AINLEADERS METAL FlREPIACE d CHIMNEY _ <br /> ' SINK SERVICE—BAR.ETC. <br /> ���T�� SUE TOTAL f <br /> PEIIMR t PERMIT f <br /> TOT11l FEE i TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PIAN CHECK NUMBER PLAN CHEGK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑VES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS � <br /> BUILDING E 2 � Z18� 38 50 <br /> � SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMtlING <br /> FIRE ZONE BASEMENT qEOUIRED KlERS MECHANICAL <br /> ❑YES ❑NO <br /> AP�RQVALS !Y U11TE OTHER <br /> 1. ENVIRONMENTALCMECKLIST pENp�ry U.B.C. <br /> SEC.3U9(a) <br /> 2. BUILDINGPIANS TOT�L 38 50 <br /> 3. FIRE IIYDRANT <br /> a. FIRE PROTECTION SVSTEM PENMIT VALIDATON <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING O � 4 I � 0 3 8. 5 0 � C�I <br /> 6 DRAINAGE <br /> L ENVIRONMENTAL IMPACT STATEMENT � <br /> � <br /> 8. HEALTH DISTflICT <br /> APPUCATION ACC.9Y PLANS CMECKED BV APPR.FOR ISSUANCE BY 1' - , '` R�.�C f-I PT O <br /> : =�.'•,�; � <br /> YC;U <br />