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the Evergreen <br />CO N ST R U CT I O t' <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.09918 <br />CITY HALL 259 8745 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT. WA 98201 <br />OWNLR <br />MAIL ADUPLs6 CITY <br />PI' <br />PHONE <br />Olympic Bank <br />Trustee P.O. Box 65 Everett <br />98206 <br />258-3828 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />I ZONE <br />GENERAL CONTRACTOR <br />PHONE LICENSE <br />MAIL ADDRESS CITY <br />ZIP <br />Same <br />MECHANICAL CONTRACTOR <br />_ MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE IF <br />PLUMBING CONTRACTOR <br />PHONE LICENSE I <br />MAIL ADDRESS CITY <br />ZIP <br />CLASS OF WUHR <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR WMOLITION ❑FENCE ❑SIGN ❑GAflAGE <br />S <br />U emEJ 11 S(I S1nl]1C L41I111 LCS1 LLC nuo <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />17-1gLaK Bg,2 Everett <br />Div. "A" <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />L0T <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 AUTHORIZED AGENT DATE <br />1 O 19 81 <br />JOB ADDRESS <br />3432 Wetmore <br />PLUMBING <br />EC LAICAL <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 />GAS FIRED A.C. UNITS — TONNAGE EA. <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 />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT — C F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL f <br />SUBTOTAL <br />PERMIT = <br />PERMIT <br />S <br />TOTAL FEE <br />$ <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />NT SITE <br />FEES <br />VALUATION <br />FEE <br />S ONO <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />OF DWELLING UNITS <br />BUILDING <br />S <br />00 <br />00 <br />fFIRE <br />SIZE OF BLDG. <br />NO. OF STORIES <br />OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />UIRED <br />SPRINKLERS <br />MECHANICAL <br />I IYES <br />I]NO <br />OTHER <br />BY <br />DATE <br />_ <br />i. ENVIRONMENTAPENALTY <br />U BC. <br />SEC. 303 (a) <br />2. BUILDING PLAN <br />TOTAL <br />00 <br />00 <br />3. FIRE HYDRANT <br />VALIDATION <br />4. FIRE PROTECTIPERMIT <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Om <br />6. GRADINu <br />v � <br />M19YAPPR. <br />6. DRAINAGE <br />07 <br />7. ENVIRONMENTENT <br />� <br />CD <br />B. HEALTH DISTRI <br />APPLICATION ACCCHECKED <br />BY <br />APPR. FOR ISSUANCE BY <br />w ADDRESS FILE <br />