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-- . -, - �T--�� ,. � <br />� � <br /> the Evergreen �' � CC��� �ST R U CTI O N � <br />' CITY OF <br />' everett �ERMIT <br /> PERMIT NO. 06629 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING I <br /> OWNER MAI�AD�PESS GIiY ZIP PHONE <br /> 1;alter E. Schmid 2812 24th St. Everett 98201 252-0825 <br /> ARCNiTECT OR DESIGNEF MAII ADDPESS CITY ZIP PNONE <br />` GENEPALCANiRACTOP MAILADDRE55 CI7Y ZIP PHONE UCENSEI . <br /> I ' <br /> Self <br /> MECMFNICAL CANTflACTOR MAIL ApDPE55 GTY ZIP PHONE UCENSE I <br /> PLUMBINGCONTRAGTOR MAILADDRE55 CI7Y ZIP PMONE LIGENSEI <br />( CIASS OF WORK <br /> E ❑NEW L�ADDITION ❑AL7ERATION L�LREPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VPWATIONOi WORK <br /> i f J��Q• 0� . . <br /> O[SLRIBE WORK <br />� New roof sidinq , sqi�.are u back corners _ <br />� PROPOSED USE OF BUIL[11NG . <br /> � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />� LEGAL OESCFIPTION OF PflOPERTY(SHOW BELOW OR 4TTACH FOUR COPIES) � <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT31&32B�aK 541oF Currie's Add to Everett TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />� , HEREIN OR MOT. THE GRANTING OF A PERMIT DOES NOT <br /> L LesS the Edst 76 theYOf PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br />` VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE RFOFI'�JIA E OF CONSTRUCTIQN. <br /> JOB ADDRESS SIG`�UR[OF �NTRP OR t OPIZED AG t DATE <br /> I a � � <br />` X�,. <br /> I <br />� PLUMBING MECHANICAL - <br />� NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE . <br />� WATER CLOSET(�OILET) AIF.COND.UNITS—H.F.EA. <br /> h &4THTU8 REFRIGFRATION UNITS—H.P.EA <br />' LAVATORY(WASH&451N) BOILERS—H.P.EA. <br /> 1 SHOWER GAS FIRED A.C.1R11TS—TONNAGE EA. <br />� � KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.i.U. b1 <br />� LAUNDRY TRAY UNI7 HEA7ER5—B.T.U. M <br />� EVAPORAiIVE COOLERS <br /> CLOTHES WASHER _ i <br /> � WATER HEATER CLOTHES DRYERS �� <br />� URINAL VENTILA710N FAN � • <br />� DRINKING FUUN7AIN RANGE HOOD <br />�� FLOOR JRAIN AIR HANDLING UNIi— GF.M. <br /> VACUUM BNEAKERS STOVE � <br /> ROOF DRAINS—RAINLEADERS _ METAL FIREPLACE 8 CHIMNEY <br />� SINK(SERVICE—BAR,E7C.) — <br />� SUBTOTAL SUBTOTAL S <br />� PERMIT f PENMIT S <br /> TOTALFEE S TOTAL FEE f <br />( SIDE YARD SETBACK STREETSETBACK REAP.�APD SETBACK VLAN CHECK NUMBER PLAN CHECK FEE • <br /> FEE RECEIPT NO. <br />' USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YFS C�10 <br /> "� <br /> TYPE OF CANST. �CCUPANCY GROUP tv0.OF DWELLING UNI7S 1 <br />; V-N R-3 ' 1 BUILDING $ 5000.00 32 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD — � <br /> 7XZ O 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br />� REOI�IREp� MECHANICAL <br />, 3 NO ❑YES UilO <br />� APPHOVALS BY- DATE OTHER `� <br /> 1. ENVIRONMENTAL CHECK LIST PENALN U.B C. <br /> SEC.303(a) <br /> 2. BUILDINGPLANS TOTAL !' 32 OO 1 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEflMIT VAIIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING 1 7 T� S 0 3�2.V� � � <br />' 6. DRAINAGE <V <br /> 7. ENVIRONMENTAIIMPPGTSTATEMENT . c, � � <br /> 8. HEALTHDISTRICT �V•�.R RGC*E/� Q , <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ;. �� ,A�� YO•V � :� <br />� . . . . � , , _ . _ _C.'` _ _ _ . _ <br />