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¢u <br /> I�y <br />� <br /> I <br /> theEvergreen . �ONSTRUCTION ; .� <br /> GTY OF <br /> �verett P�RMIT pERMIZ N0. 09135 <br />� . CITY HALL 259�8745 � COMBINATIOPJ �t BUILDING ❑ MECHANICAL ❑ PLUMBING <br />� EVERETT.WA 98207 <br /> OWNER <br /> MAIL A�DFE55 GITY ZIP PHONE <br />� Deborah McDonald 2707 25th Everett <br /> ARCHITELT OR OESIGNER <br /> MAILAD�RE55 (:i�: ZIP PHONE <br /> — MAIt FODRE55 GITY ZIP PHONE LIGENSE I <br /> � qALGONTRACTOR 98290 568-7702 <br /> ,i .W. Contracting 719 Baird Snohomish PHONE LI�ENSEI <br /> MECHANICALCANTRACTOR MAILAODPE55 CITY �� <br /> JW SC 0 222 DS <br /> PIUMBING GONTRACTOR <br /> MAI�ApDPE$S CIiY ZIP PMONE UCENSE� <br /> CLASS Oi WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIF ❑DEMOLITION ❑F[NCE ❑SIGN GARAGC <br /> VALUATION OF WORK <br /> s 3 ,coo. 00 <br /> DESCRIBE WOPK <br /> interior repair - <br /> PROPOSED USE OF BUILOING <br /> sinyle family resience I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDfSCRIPTIONOF PflOPEPTYISHOW BELOW OFATTAGH FOlIRGO°IES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�oc�_oF - TYPE OF WGHK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> 20 29 5 HEREIN OR NOT. THE GRANTING OF A F_RMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE Ofi CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIPlG <br /> CONSTRUCTION OR THE PERFORMANCE�OF CONSTRUG(ION. <br /> — SiGNA E OF CONiPPCTpR OR AUTIIOAi2E0 AGENT DATE <br /> JOB AD�FESS 4/15/81 <br /> 2707 25th Street �' <br /> PLUMBING - ECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> FEE <br /> . NlATER CLOSET(TOIIET) AIR COND.UNITa—NP.EA <br /> REFRIGERATION UNITS—H.F.EA <br /> BATHTUB <br /> LAVATORY(WASH BASIN) BOILERS--H.P.EA. <br /> G�5 FIREO A C.UNITS—TOWNAGE EA. <br /> SHOWEF <br /> FORCED AIH SYSTEMS—B T.LL ��EA- <br /> K�7CHEN SINK 8 DISP. <br /> 'JJALL HEATERS—B T.U. h� <br /> DISHWASHEFl <br /> UN�T HF.FTERS—G.TL. M <br /> LAUNDRYTPAY <br /> CLOTHES WASHER EVAPORNTNE COOLERS <br /> CLOTHES DRY[RS <br /> WATER HEATER <br /> VENTILATION FAN <br /> URINAL _ — <br /> DRINKING FOUNTAIN RANGE HOOD __ _ <br /> AIR HANDLING UNIT— C F.M. <br /> FLOOR DRAIN <br /> VACUUM BREAFEHS STOVE <br /> ROOF DRAINS—flAMLFAUEflS MEiAL FIREPLACE 8 CHIMNEY <br /> SINK(SEHVICE—bAR,ETC.� <br /> � SURTOTAL S _ <br /> SUBTOTAL <br /> PEflM1T 5 PERMIi s <br /> TOTAL FEE S TOTALFEE S <br /> PLAN CHECK FEE <br /> SIDE YAFD SETBACK STREET SETBACK �EAR YAP.�SETDACK PLAN CHECK NUMBER rEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE pEES VALUATION FEc <br /> ❑YES ❑NO <br /> TYPE OP CONST. OCCUFANCY GROUP N0.OF OWELLING UNITS <br /> BUILDING g ,000 . 00 38 SO <br /> SIZE OF BLDG. NO.OF STORIES MN(.OCC.LOAD <br /> PLUMBWF <br /> FIflE ZO�E BASEMENi FIRE SPRINKLERS MECHANICAL <br /> REOUIRcD <br /> ❑YES ❑NO <br /> APPROVALS <br /> BY DATE �THER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.BC <br /> SEC.3D3(a) <br /> 2. BUILDINGPLANS TOTAL 38 50 <br /> 3. FIRE HYDRANT <br /> 4, FIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> WHEN PflOPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> � <br /> 5. GRADING �, / i' ] � � z 0, C O _ '1... <br /> 6. DRAINAGE J 0 � }'+ <br /> c-I <br /> 7. ENVIRONM[N7AL IMPACT STA7EMEN7 (f'� <br /> B. HEALTH DISTRICT � - , - T � <br /> APPLICATION ACC.BY F�ANS CHECKED BY APPR.FOR ISSUANCE BY '` � � ' �' I <br /> ' � I <br /> . . � <br /> ADDRE55 FILE � ) �`�'� � I <br />