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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 <br />CONSTRUCTIC ' I <br />PERMIT <br />❑ COMBINATION 12L BUILDING MECHANICAL <br />PERMIT NO. 14099 <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />LP <br />PHONE <br />R. A. Sperline <br />23006 107th Place West <br />Edmonds <br />98020 <br />542-8054 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />Citt <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE4 <br />Same <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 4 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 4 <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR QC}CDEMOLITION ❑FENCE ❑ SIGt ❑ WOOD STOVEIFIREPLACE INSERT <br />3 <br />DESCRIBE WORN <br />_a ----- wnri aaraae <br />wmu,l au a ,-, - rmn y ---------_ <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR AT FOUR 1011E-I <br />23-24 791 Everett Div. <br />A <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT _ BLOCK —OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUC- 10 . <br />SIGNATUR TR TOR ORAU1H IZEI P 'EN D^TI- <br />10/4/84 <br />JOB ADDRESS <br />XM 3314 Wetmore <br />X w <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />_ <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />_ <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS - B.T.U. M <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEAOERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />.:YES :'.NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />OO <br />OO <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE LONE <br />BASEMENT <br />FARE SPRINKLERS <br />MECHANICALREQ <br />— <br />OTHER <br />YES :.IRED <br />NO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />OO <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACI7 THS�V(�Uo P�f�11T Cr <br />S.GRADING <br />i. �ff UU �Uf l•.l➢ <br />O <br />,'. NI.C� I 1q T <br />. <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BV <br />U <br />ADDRESS FILE <br />