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r,-.a-.9-r-rs�rr <br />� eV(�1'ei.t PEl�MII� FERMIT NO. O957C <br /> CITY HALL 259�87n5 <br /> EVERETT.WA 98201 ❑ COMBINATION 1Ex� BUILDING ❑ MECHANICAL. ❑ PLUMBING <br /> OY/NER IdnILADOfiE55 ❑iV 1�N �'HOWE <br /> The Evans Co. 1452 130th Avenue N.E. Bellevu� 98005 454-823.� <br /> qRCriTEGTOPD[SiGNEA h1FIL�00HE55 CrtV ZIP P�fONE <br />� GENLRALCONTRACTOR MAILADDRE55 CIiY ZIP PHONE IICEIJSC r <br /> Same <br /> MECHANICAL(:ONTRACTOR IdAIL ADDRESS UTV ZIP PHONE LICENSL r <br />� PLUMBINGCONTRACTOR MAILADDRE55 CiTV ZIP FHONE LiGENSEf <br /> C1A550F WGRK <br /> ❑NEW ❑ADDITION ❑ALTERATION .�EPAIR ❑GEMCLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VPLUATION OF WOf1K <br /> S 5��. �0 <br /> OESGRIBE WOFK <br /> Ventilation in foundation area, masonary wor.k on east side of buildinq <br /> PROPOSED USE OF BUILDING <br /> apartment � I HEREBY CERTIFY THAT I HAVE READ AND EXAtiIINED THIS AP- <br /> LEGAL�ESCFIPTIONOPPFOPERTY�SHOWBELOWORATfACHFOURCOPIES) FLIi;ATIOIJ AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI� <br /> �o. oioc,��cF State _ 1';'PE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> h1EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> i'RESUME TO GNE AUTHORITY TO VIOLF.TE OR CANCEL THE PRO� <br /> A �- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATWG <br /> CONSTRUCTION OR THE PERFORMANCF OF CGNSTRUCTION. <br /> JOBADDRE55 +IG4ATURE OF CONiRACTOR ORAUtHOR¢EDFGENT D/iE <br /> 425 45th Street S.W. (Elm Street Bldg. X �„� ��'�f��- 7/28/81 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P. EA <br /> LAVATORY�WASH BASIN) ' BOILERS—H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FJRCED AIR SVSTEMS—B TL. M EA. <br /> DISHWASHEH WPLL HEATERS—BT.U. M <br /> LAUNDRYTRAV UNITHEATERS—B.T.U. M <br /> CLOTHESVlASHER EVAPORATIVE COOLERS <br /> WATER HEATER CIOTHES DRYERS <br /> UiiINAL VENTILATION FAN _ <br /> DRINKING FOUNTAIN RANG[I100D <br /> F�OOR ORAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS SiOVE <br /> ROGF DRAMS—RAINLEADEPS METAL FIqEPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR,ETC.) _ <br /> SUB TOTAL SUBTOTAL S _ <br /> PEHMIT S PERMIT S <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARD SETBACK STflEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPf NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑KO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 10 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS ' <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.B.0 <br /> SEC.3031a) <br /> 2. BUILDING PLANS <br /> 3. FIRE HYDRANT <br /> — TOTAL 1 O O 0 <br /> 4. FIRE PROTECTION SYSTElA PERMIT VALIDATION <br /> WHEN PROP[flLY VALIDA7ED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> G. DRAINAGE � � r � -- � <br /> I . ^ '�� � �. �, <br /> 7. ENVIFONMENTALIMPACTSTATEMENT � <br /> 8. HEALTH DISTRICT � � <br /> APPLICATION ACC.BY PLANS CHECKED BY APAR.FOR ISSUANCE BY . . � ;�' I O <br /> , I <br /> �DDRESS FILE � � <br />