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d�c lSvergreen � ���T R����M � <br /> CITY OF �� <br /> p`j'�1'�i� PERMIT pERMiT NO. Og25O <br /> i. <br /> GTY HALL 259�87n5 <br /> EVERETf.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> CITY ZIP �'�IONE <br /> �na�nnoHEss 98203 25g-4G39 <br /> °`''"�" Everett <br /> William Tracy 702 47th Street Z�P PHone <br /> pRpHITECT OH DESCIIkR <br /> rnm�aoor+ess �'T� <br /> CITY 21P YHONE LIGENS[� <br /> GENEBA6CONTRACTOR <br /> IdAtL AD�PESS g g 2 0 3 <br /> H & G Glass Co. Inc. 6502� Evergreen Way ZiP pHONE ucEN��, <br /> 61ECH/NICAL GOtJTqACTOR <br /> MaIL ADDAE55 GT� <br /> MAIL AOOAESS <br /> CITV ZIP PNONE UCENSE r <br /> PLJM9ING COIRFACfOFl <br /> CLASS OF WOPK <br /> ❑NEW ❑ADDITION ❑A�TEFATION a�IHEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARP.GE <br /> VAWATION OF WORY, <br /> E 9 , 000. 00 — <br /> oescaioe woaK <br /> �idinq and thermopane and insulation <br /> PROPOSED USE 0'r BUILDING <br /> I HEREBY CERTIFY THAT.I HAVE READ AND EXAMINED THIS A � <br /> PLIC/�TION AND KNOW THE SAME TO BE TRUE AND CORRECI. <br /> LEG/LDESGFIPTIONOF PROPEfiTY15MOW 6ELOW OF ATTACH FOURCOPIFS� ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> i�, e�ocK__oF TYPE OF WORK WILL 8E COMPIIED WITH WHETHER SPECIFI[L <br /> HEREIN OR NOT. THE GP,ANTING OF A PERMIT DOES NOT <br /> 31 29 �5 PRESUMETOGNEAUTHOF�IT'fTOVIOLAT[ORCAN(ELTHEPRO- <br /> VISIONS OF ANY OTHER STAT� OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCTION. <br /> SIGNATUR[OF CA��IRACTOF OR/.UTHORIZ[D AGENi 5/12/81 <br /> J0��.D[PE55 X <br /> 7C2 47th Street <br /> MECHANICAL <br /> PLUMBING FEE <br /> —Np, TYPE OF FIXTURE OR ITEM FEE N�� qiR COND.urvYPS OH.p�AIPMENT <br /> 1"JA7Efl CLOSET QOIIEf) HEFPIGERAtION U�JITS—H.P.EA -- <br /> B�TNTUB A01�_cR5—H.P.EA. <br /> LAVATORY(WASH BASIN) GAS FIRED AA UNITS—TONNAGE FA. — <br /> SHOWER FORCED A!R SYSTE�^S—B.T.U. M�+� <br /> KITCHENSINK&DISP. y;q�LHFAiERS—B.T.�. M <br /> DISHWASHER UNITHEATERS—BT.U, M — <br /> LAUNORY TRAY EVAPOflATIVE COOLERS — <br /> CLOTHES WASHER CLOTHES DRYERS — <br /> WATER HFATER VEN7IU+TION FAN -- <br /> URINAL RANGE H000 —' <br /> DRINKING FOUNTPIN AIR HANOLING UNIT— QF.M. — <br /> FLOOR DRAIN STOVE -- <br /> VACUUM BFEAKERS ME7q�FIPEPLAC@&CHIMNEY -- <br /> ROOF DRAI'VS—RAINLEADERS <br /> SINK(SERVICE—�AR,EfC.) <br /> SUBTOTAL S <br /> :UB TOTAI pERMIT S <br /> PEHMIT = S <br /> TOTAL FEE <br /> TOTAL FEE S pLAN CHECK FEE <br /> SIDE YARD SETDACK STREET SETBACK REAR YARD SETBACK PWN CHECK NUM�ER FEE RECEIPT NO. <br /> USE ZONE LOT qREA VACANT SRE FEES VALUATION FEE <br /> ❑VES ❑NO <br /> TYPE OF CON57. OCCUPANCY GROUP N0.OF�WELIING UNITS 74 S O <br /> BUILDING 59000 . 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FiRE ZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> PWUIRED <br /> i7YES CNO <br /> APPROVALS <br /> BY DATE O7HER <br /> PENALTY U B.C. <br /> t. ENVIRONMENTAL CHECK LIST SEC.303(a) <br /> ^_. �UILDING PLANS TOTAL 7 4 S 0 <br /> 3. FIRE HYDRANT <br /> PERMIT VALIDATION i <br /> a. FIflE PROTECTION SVSTEM WHEN PFOPEflLY VALIDATED IIN THIS SPACE)THI�'G YOUR PeRA11T <br /> 5 GAA�ING l �i � J .��' �� 1 ��. �J � —L(J <br /> G. DRAINAGE N <br /> 7. 1:NVIRONMENTAL IMPACT STATEMENT � <br /> 8. I-EALTH Di�TR;Ci . . .. . � I C'r Q �. <br /> qoo�ICATION ACC B1' �NS CNECKED BY APPR.FOR ISSUANCE BY . , . � I <br /> ____�- , � , i 1.� 1 <br /> , . I . <br /> �DDRESS FI� " <br /> � <br />