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!lte Evergreen � � ,N ST R U CT I O I� <br /> CITv OF <br /> everett PERMIT pERM1T k0. OH44O <br /> CITY HALL 259�8745 �\ <br /> eveaerr wn sezoi ❑ COMBINATIGN K� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> CWHER IAAIL/�DRE55 CITY . FMONE <br /> Gerald & Christy Painter <br /> <RGIRECTOPDESIGNER MAI!ADDRESS [IiY $IP PHONE <br /> GDIERALCONiRPCiOR MAILApDRE55 CIiY plP PMON[ UG[NSEI <br /> Robert Kincaid Const. inc. 258— 670 <br /> AIEC11hNICALCONTRACiOR MAILADDRE55 qiY �IP P40NE UCENSEI <br /> PWMBINGCANiRACTOR MAiLADDRE55 CITv ZIP CHONC UCENSE� <br /> C1A55 OF WORK <br /> ❑NEW ❑AL'GIiION C�l�.TERATION ❑PEPAIR ❑DF.MOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> �aLsnT�pr UUUp. �0 <br /> i5 <br /> DkSCRiBE WORv. <br /> Add to permit #8185 <br /> ruoroseo�ise oF ewionic — <br /> I HEREBY C[RTIFY THAT I HAVE READ AND EXAMIPIED THIS.4P� <br /> �ecni.�escnivnorvoFvaoaea*r�sMowee�owoannncHFouacowes� PLICATION AND KNOW TH� SAME TO BE TRUE AND CORHECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> wr eix�oc TYPE OF WORK WILL BE COMPLIED WITFI WHETHER SPECIFIED <br /> IiER[IN OR NOT. 1HE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STAT[ OR LOCAL LAW REGULATINa <br /> CON-��TRUCTIO OR THE PERFORMANCE OF pNSTRUCTION. <br /> JOOADDRE6S +iGNATURE � �NjRAC . i2EDAGENI y � OniE <br /> 1521 wetmore X. .% i � 10/16/80 <br /> PIUMBIN6 ME@F� <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYP OF E�UIPMENT FEE <br /> \NAiER CLOSET(TOILET) PIR COND UIJI'� —HP EP. <br /> 1 �AiHTUB qEfHIG[RATION UNITS—HP.[A <br /> LAVAIORY(WASH BASIN) UOILERS—HP EA. <br /> ShOWER GASFIf1ED4C U�lITS-70NNAGEEA <br /> KITCHEN SINK 8 DISP. FOflC[D AIR SYST[1d5—U T.0 M EA. <br /> DISHWASHER WALLHEAiERS—BT.U. M <br /> IAUNDRVTRAY UNITHEATERS—BTU. M <br /> CLOTN65 WASHER EVAPOFAiIVECO0lER5 <br /> WATLR HEATEf? CLO i HES ORYERS <br /> UPINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE I100D <br /> hLUuh UHAIN AIR HANDLWG UNIT— C.FM. <br /> VACUUM UREAKERS STOVE <br /> ROOF DRAMS—RAINLEADERS METAL f IREPLACE 8 CHIMNEV <br /> SINK ISERVICE—BAR RG� <br /> SUB TOTAL OO SUB TOTAL S <br /> PEHMIT = PERMIT S <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE VARO SEiBACK STRLET SFTpACK R[AR VAHD SETBACK PLAN CHECK NUMO[R PLAN CHECK FEE <br /> FFE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SRE _ <br /> I.iYES i-:NO PEES VALUATION FEE <br /> � TYPE OF CONSi. OCCUPANCY GROUP IJO.OF DWRLING UNITS <br /> PUILDM� 5 32 �0 <br /> SIZE OF BLDG. NO.OF STORIES . IdA%.00C.LOAD <br /> PLUMDING Z OO <br /> FIRE ZONE BASF.MENT FIRE SPRINKLERS <br /> FiWUIRED M[CHANICAL <br /> f1YE5 I'NO <br /> APPROVALS BY DATE OTIIER <br /> 1. ENVIRONMENTAI CHECK 115T PENALTY U B C. <br /> 2. �UILDING�'LANS SEC.303(a� <br /> 3. PIR[HYDRANT � TOTAL 34 �� <br /> G PIR[PROTECTION S1'S7{M PERMIT VALIDATION <br /> L„� \NHEN PROPERLY VALIDAtED dIJ THIS SPACEI THI515 VOUR PERMIT <br /> S CRADING� Q q <br /> '_ G DRAINAGE S C G S �D O � L. O O —�� <br /> "� Z ENVIRONMENTAI IM4�AC�Y STATEMENT � <br /> <: <br /> �� 8. HEALTH DI iRICi o � <br /> -r <br /> � AFPLICATION ACC BY • PLAN$CNECKED BV APPfi POR ISSUANCE BV ' � " � �� I��T� <br /> p "-. (�� C �. . .. :� <br /> r'� � <br /> L � <br /> —{ <br /> - .'i r . I i�ii <br /> �.1� . _. . �.._ -�.'i i � ... � <br />