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� rONSTRUCTION - r <br /> the Evergrcen <br /> QTY OF <br /> everett PERMlT pERMIT NO. Og665 <br /> CITV HALL 259�B/a5 � COMBINATION ��UILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT VJA PH7�1 <br /> ��jy Z�p PHONE <br /> OWNER MAR ADOR[55 <br /> H. 5. Ledbetter 2307 Wetmore Everett 962�1 Z5z-„��189 <br /> ARCNITECi EP DCSIGNER <br /> MAIL ADDRE55 CITY ZIP <br /> GENERPL CONiR:'.GiOR MAII A�DRE55 <br /> GiY 21P PIION[ LICENSE I <br /> Same <br /> ��T� Z�p PMONE UCENSE� <br /> MECHANICAL CANiRnCiOR MPIL ADDREES <br /> �in, z�p P�iONE LILENSE� <br /> PIUMBING CANiPACTOR MAIL A�DRE55 <br /> CLA55 OF V/ORK <br /> ❑NEW ❑ADDITION ❑AUEFATION �EPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAWAiION OP WORN <br /> S 390.00 <br /> DESCFIBE WORN <br /> Repair existing porch <br /> aaocoseo use or eui�owe <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7HIS � <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �ecn�oescaiariori oF eaovEaTv isHow oE�ow oA A**pcM FcuacoeiEs� ALL PROVISIONS OF LAWS AhD ORDINANCES GOVERNING TNIS <br /> �or 3-4 e�ocK 49�vF Everett TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIC-D <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 57ATE OR LOCAL LAW REGULATING <br /> CONSTR TION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 9GNAT F CONiPAGTO RULMO IZ i OPTE <br /> JOBADpFE� wetmore 19�81 <br /> L.tU <br /> MECF�ANICAL <br /> PLUMBIN6 FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE N� qiR COND.UNY SE OP EQOIPMENT — <br /> WATER ClOSET QO�LET) REFRIG[RATION CNI i 5—NP.EA — <br /> BK(MTUB BOI�ERS--H P.EA. <br /> LAVATORY(WASH BASIN) GAS PIAED�C UNITS—TUNNAGE EA <br /> SHOWER FORCLD AN SYSTEMS—B i.U. N EA. <br /> K17CHEN SINK 8 DISP. �yq�L HE�TEPS—0 T.U_ M <br /> DISHWASHEfl UNIT HEATEPS�—B,i.U. M <br /> LAUNDRYTRAY EVAPORATIVECOOLERS <br /> CLpTNES WASHER CLOTHES DFVERS <br /> WATER MEATER VENTILAiION FAN <br /> URINAL RANGE HOOD - <br /> DRINK�NG FOUNTAIN qiq HANDLING UNIi— C F M. _ <br /> FLOO(i DRAIN S10VE — <br /> VACUUM BREAKERS METAL FIPEPLACE 8 CHIMNEY <br /> ROOF ORAINS—AA�NLEADEflS <br /> SINK�SERVICE—BAR ETC.) <br /> SUB TOTAL s <br /> SUBTOTAI pENMIT s <br /> PERMIT f 70iALFEE _ <br /> TOTAL FEE = pLAN CH[CK PEB <br /> SIDE VARD SEiBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUM�ER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> L]VES GNO <br /> TYPE OF CO�.T. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUIIDING �390.00 1� 0� <br /> SIZE Of BLDG. NO.OF STORIES MFX.00C.LOAD <br /> PLUM�ING <br /> FIRE ZONE BASEMENI FIRE SPRINKLERS MECHANICAL _ <br /> REOUIPED <br /> IIVES ❑NO <br /> qpPROVALS <br /> BY DATE OTHER _ <br /> 1. ENVIRONMENTAL CHECK LIST p�Np�Ty 5 8 C303(a) <br /> 2. BUILDI�GPLANS LO OO <br /> TOTAL <br /> 3. FIRE HYDRANT <br /> PEH�717 VAIIDATION <br /> 4. FIRE PROiECTION SYSTEM WHE4 PROPERLY VALIDATED(IN THIS SPACE)THIS 19'fOUfl PERMIT <br /> I ,. , a • , � (� � n _— {C) <br /> 5. GFADING - ' � � �� � � <br /> G. ORAINAGE � <br /> 7. ENVIPONMENTALIMPACTSTATEMENi � <br /> 8. HEALTN DISTRICT � � � O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPP.FOR ISSUANCE BV � � � � ,; <br /> � ) I <br /> ADDRESS FILE <br /> � � �i'L����' N. <br />