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the Eve <br />rgreen <br />OF CC N ST R U CTI O N <br />CITY OF <br />everett PERMIT PERMIT NO.07311 <br />CITY HALL 259 8745 <br />EVERETT• WA 98201 ® COMBINATION El BUILDING MECHANICAL III PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP FHOW <br />Evergreen Medical Dental Building 3327 Colby 98201 259-3168 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP FHDNt <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CAI:TRAGTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CUSS OF WORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />7,000.00 <br />remodel existing residence <br />PROPOSED USE OF BUILDING <br />single family residence <br />LEGAL DESCRIPTION OF PROPSRTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />1017-18 BLOCK 7910E Everett Div. A <br />JOB ADDRESS <br />ii70 Wetmore <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIO14S OF LAWS AND ORDINANCES GOVERNING THIS <br />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 />SIGNAT*) OF/CONTRACTOR OR AUTHORIZED AGE DATE <br />3/28/80 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />2 <br />QO <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />1 <br />LAVATORY (WASH BASIN) <br />2 <br />O <br />BOILERS — H P. EA. <br />SHOWER <br />GAS FIRED A . UNITS —TONNAGE EA. <br />1 <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />2 <br />OO <br />FORCED AIR SYSTEMS — B T U M EA. <br />WALL HEATERS —BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS —BT.U. M <br />— <br />1 <br />CLOTHES WASHER <br />2 <br />OO <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />2 <br />On <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />I <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />8 <br />00 <br />SUBTOTAL _ f <br />2 <br />00 <br />PERMIT f <br />TOTAI FEE f <br />R <br />F1 <br />PERMIT f <br />TOTAL FEE f <br />2 <br />OO <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />7311 <br />PLAN CHECK <br />FEE 20.00 <br />FEE <br />REct�g. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />F'cES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />f 7,000. <br />40 <br />00 <br />SIZE OF BLDG. <br />Remodel <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />B <br />00 <br />FIRE ZONE 2 <br />BASEMENT <br />FIRE SPRINKLERS <br />IYESx0 <br />MECHANICAL <br />- <br />2 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 3031a) <br />2. BUILDING PLANS G <br />TOTAL <br />SO <br />00 <br />3. FIRE HYDRANT t <br />4. FIRE PROTECSION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />-- <br />O S. O O— 3 D 2 4 9 SON 0. 0 0cy <br />r <br />r1 _ <br />IV I C F I FIT YOUR REv E I PT <br />'UTHANK YOU <br />. GRADING '_ <br />DRAINAGE p —2 <br />4 <br />7. ENVIR NM AL IMPAGASTATEMENT <br />8. HEALTH DISTRICT <br />•fFLANS <br />L=APPLICATNiN 1 . BY <br />V <br />CHECKED BY <br />APPR. FOR ISS ANCE AY' <br />N <br />