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the Evergreen CITY OF � OF 0O NSTRU CTIO N - <br />CI <br />everett PERMIT PERMIT NO.09751 <br />CITY HALL 259 8745 <br />EVERETT. WA 913201 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AUDRESS DIry ZIP PHONE <br />Jerry Bentz 9320 Sharron Drive Everett 9B204 355-1190 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PRONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS GTY ZIP PHONE LICENSE <br />aA, y Mr wvnn <br />❑NEW ❑ADDITION 4.3.ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />/ALUATION OF WORK <br />S 1,000.00 <br />DESCRIBE WORK <br />tenant improvement <br />PROPOSED USE OF BUILDING <br />beaut sho HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />LEGALDESCRIPTIONOFPROPERTYISHUWBELOWORATTACHFOUPCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT BLan_OF 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 OR AUTHCRNED AGENT DATE <br />JOB ADDRESS 9 / 4 / 81 <br />3511 Rucker Avenue X <br />PLUMBING ECHANI L <br />NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOU'PMENT FEE _ <br />WATER CLOSET (TOILET) AIR CORD. UNITS — N.P. EA. <br />BATHTUB REFRIGERATION UNITS — HP. EA _— <br />LAVATORY (WASH BASIN) BOILERS — H.P. EA. <br />SHOWER GAB FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK B DISP. FORCED AIR SYSTEMS — B T.U. M EA. <br />well uIATPPS—RT11 M <br />RANGE <br />8 <br />SIDE YARD SETBACK <br />STREET IETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />rinry A.ncw ra <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />DYES VACANT <br />FEES <br />VALUATION <br />FEE —_ <br />—_ <br />TYPE COCONST. <br />V-N <br />OCCUPANCI'GROUP <br />R-I <br />NO. OF DWELLING UNITS <br />I <br />BUILDING <br />S 1,000. <br />17 <br />Sib <br />SIZE OF BLDG. <br />NO. OF STORIES <br />I <br />MAX. OCC. LOAD <br />PLUMBING <br />-- <br />FIRE ZONE <br />BASEMENT <br />yes <br />REOUIRSIpNyKLERS <br />[]YES T'& <br />MECHANICAL <br />-- <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />_ <br />1. ENVIRONMENTAL. CHECK LIST <br />PENALTY <br />UBC <br />SEC. 30a (a) <br />2. BUILDING PLANS <br />TOTAL 17 50 <br />I. <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Commercial and I� apartme n�t]. - --• <br />Q <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5, GRADING <br />— <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />B, HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED By <br />V.C. <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />