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, , <br /> , � <br /> �he�vergreen r <br /> �,TYOF V CONSTRUCTION - <br /> everett PERMiT pERMIT NO. 07399 <br /> GTY HALL 259�8745 <br /> EVERETT.WA 9B2�i ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILP�ORE55 CITY ZIP PMONE <br /> Cascade Chapter National Electrical Contractors Assoc. 1314 26th St. Everett 353-3000 <br /> APCMIiECT OR DESIGNER NAIL ADDFE55 CITY ZIP PHONE <br /> GcN[flFICONTRACiOR MAILAODFE55 CRY ZIP PNW1E LICENSE/ <br /> Sanford Wright P.O. Box 809 Everett 98206 259-4138 <br /> MECHANICAI CANTPACTOR MAIL AO�RE55 CITY ZIP PH@JE LIGENSE� <br /> PLUMBINGCONiRNCiOR MPILAOOFESS GIiY 21P PHONE LICENSEI <br />' CLASSOF WORK <br /> r ❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEMOU710N ❑FEN(,E ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f 20���0.�� <br /> DESCRIBE WOflK <br /> Interior alteration <br /> PROF'OSED USE OF BUILOING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMIPJED THIS AP- <br />�� IEGAL D�SC�Ioi'n'1 OF PPOPENTV ISMOW pELOW OR ATTAGH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 615 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> iot eiaK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> W.38.43' Lots 28-29-30 and E 24' 3 & 4 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> t PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VIS�ONS OF ANY OTHER STATE OR LOCAL LAW REGULAlING <br />, COWSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRnCTOR OR AUTHOP12E0 NGENT OFTE <br /> Idoe nooaess 4/3/80 <br />� 1314 26th Street X <br />� PLUMBING MECHANICAL I <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE � <br /> WATER CLOSET(TOILE�) NIR COND.UNITS—H.P.EA. I <br /> I BATHiUB HEFRIGERATION UNITS—H.P.EA <br /> � LAVATORY(WASH BASIN) BOILERS—H.P.EA. i <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. � <br />! KITCHEN SINK 8 DISR FORCED AIR SVSTEMS—B T.U. M EA l <br /> DISHWASHER WALL HEATERS—8 T.U. M <br />� ' LAUNDRV TRAY UNI7 HEATERS—B.T.U. h7 I <br /> ' CLOTHES WASHER EVAPOHATIVE COOL[RS <br /> � WATER HEATER CLOTHES DRYERS Y <br />� URINAL VENTILATION FHN <br />� URINKING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN AIR HANDtING UNIT— C.F.M. <br />. VACUUM BREAKERS STOVE ' <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br />� <br /> SINK�SERVICE—BAR.E7C.1 <br />' _ ' — <br /> SUBTOTAL SUI3TOTAL S <br />' PERMIT S PERMIT S <br /> 1 TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETfACK STREET SETBACK REAR YARD SEfBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 80�7399 FEE 5�.80 NECEIPTNO. <br /> USE ZONE LGT AREA VACANT SITE FEES VALUATION FEE <br /> R�S OYES ❑NO � <br /> ��g��NST. OCCUPANCY GROUP NO.OF DWELLING UNI75 ' <br />' V-1 Hr. BZ OUILDING S 20�000. 92 00 <br /> SIZE OF BLDG N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE z BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br />� ❑YES pGNO <br /> 1 <br />' APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST pENALTY U.B.C. <br />� SEC.303(a) <br />�� 2. BWLDINGPLANS � <br /> iOrAl 92 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTEC710N SYSTEM PEflM1T VALIUATION <br /> WI/EN PROPE(iLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING p ■ <br /> 6. DRAINAGE O y y � � O � �• O O ' � � <br /> 7. ENVIRONMENTALIMPACT STATEMEN7 . M <br /> N <br /> B. HEAITH DISTRICT YC)U R REC E I�PT o <br /> APPLICATION ACC.BY °LANS CHECKED BY APPR.FOR ISSUANCE OY . . - , ' <br /> �,� . THANK YOU • <br />