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the Evergreen --�0 N ST R U CTI O 1�� �� � <br /> CITY OF J <br /> everett PERMIT pERMIT NO. 09546 <br /> CITY HALL 259�8745 <br /> EVE'n�TT. WA 98201 ❑ COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILhODRF35 CITY ZIP PHONE <br /> GORDON BJORD 4914 23rd Ave. W. EVERETT 98203 <br /> ARCMRECTORpE51GNER MAI�ADDRESS CITV ZIP PHONE <br /> GENERALCAI�TRAGTOR MAILAOOPE55 CITY ZIP PHONE UCENSE/ <br /> SAME <br /> MECHAKICAL CONTRACTOR MAIL AOpPE55 CITY ZIP PHONE LICENSE� <br /> PWMBINGCONTRACiOR MAIIAD�RE55 CITY ZIP PHONE �ICENSEI � <br /> C1A550F WORK 7 <br /> C}`NEW ❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION OFENCE ❑SIGN ❑G�RAGE <br /> VALUATION OF WORK <br /> ' nar n rF nc rnn emo gy7pQ=� <br /> OESGFIBE WORK <br /> PROPOSED USE OF BUILOING <br /> SINGLE FAMILY RES. I HEREBY CERTIFY THAT I iiAVE 9EAD AND EXAMINED THIS AP• <br /> LEGAL DESCRIPTION OF PflOPERTY ISHOW BELOW OR A7TACM FOUR fAPIES) PLICATION AND KNOW THE SAME ?0 BE TRUE AND CORRECT. <br /> 4 GRANADA SEAVIEW ESTATES ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT BLOC�OF 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 TU VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTIIER STATE OR LOCAL LAW REGULA�ING <br /> CONSTR CTI'ON OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB A�DRE55 SIGNA/UfiE F ,`0 JPAGT P AUTHORI ED AGENi DATE <br /> 4914 23rd ave. W X,� L � 7/24/81 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF PIXTUflE OR ITEM FEE N0. TYPF.OF UIPMENT FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(YJASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.G.UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED Alfl SYS7EMS—B.T.U. M EA. <br /> �ISHWASHER WALL HEA7ER5—B T.U. M <br /> LAUNDRY TRAY UNIi HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> WA1'ER HEATER CL074ES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FUUNTAIN RANGE HOOD <br /> FLOOFi DRhIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE&CHIMNFY <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT f PEHMIT S _ <br /> � TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECFIPT NO. <br /> USE ZONE LOT AREA VACANT SITE . � <br /> L1YES �NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS - <br /> BUILDING a 166 $� <br /> SIZC OF BLOG. N0.OF STORIES MAX.OCC.LOAD — <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> SEG 303(a) <br /> 2. BUILDING PLANS <br /> rorn� 16 6 5 0 <br /> 3. fIRE HY�RANT <br /> 4. FIPE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPEFL�VALIDATED(IN THIS SPACE)THIS IS YOUR PERA117 <br /> 5. GRADING <br /> f " '- � 'i I I (" � <br /> 6. DRAINAGE � �� �� � � � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT �� <br /> Q1 <br /> � 8. HEALTH DISTRICT � i�- �O <br /> APPLICATION ACC.BY PLANS CMECKED BY 4PPR.FOR ISSUANCE BV <br />