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� � 1 <br /> G <br /> 1 J <br /> rheEvergreen � CO�ISTRUCTION - � <br /> CIiY OF <br /> everett PERMIT pERMIT N0. OT399 <br /> CfTY' HALL 259�?7a5 <br /> EVERETf,WA 98201 ❑ COMBINATION � BUlLDING ❑ MECHANICAL � oIUMBING <br /> OWNER MNILAODRE55 CIiY aY PHONE <br /> Cascade Chapter National Electrical Contrictors Assoc. 1314 26th St. Everett 353-3000 <br /> ARCHITECTOROESIGNER MAILAODRC55 � CITY ZIP PMONE <br /> GENERPICONTPACiOR MAILADDRESS CItY 21P PNONE �ICENSEI <br /> Sanford Wright Y.O. Box 809 Everett 98206 259- ' 3II <br /> MECHANICALCONiRACTOR MAiLADORE55 CITY ZIP . LICENSE� <br /> PWMBINGGONTRACTOF MAILADDRE55 CIiY 21P PNUo! 'iCENSEI <br /> CLa55 OF WORN <br /> ❑NEW ❑ADDITION �ALTERATION ❑RePAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> y 20�000.0� <br /> �ESCRIBE WORK <br /> Interior alteration <br /> PpOfqSED USE OF BUIL�ING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S AP� <br /> LEGALDESCFIPTIONOFPROPERTY�SMOWBELOWORA�ACHfOURCOPIEL'1 PLICATION AND KNOW THE SAME TO BE TFUE AND COFRECT. <br /> 615 Everett ALL PROVISIONS OF LAWS AND ORCINANCES GOVERNIN�a THIS <br /> �or e�a�aF TYPE OF WORK WILL BE COMPLIED N9TH WHETHER SPECiFIED <br /> W.38.93' I.ots 28-29-30 and E 24' 3 & 4 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAtUHE OF GONiBACiOR OP AUiHORIZEO AGENT DATE <br /> �oe nooaess 4/3/80 <br /> 1314 26th Street X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi QOILET) AIR COND.UNITS—H.P.EN. <br /> BATHTUB PEFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) 60ILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE[A. <br /> KITCHEN SINK&DISP. FORC[D AIR SVSiEMS—B T.U. M EA. � <br /> DISHWASHER WALL HEATERS—6 T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CIOTHES WASHEfl EVAPORATIVE COOLERS i <br /> WATER HEATEH CLOTHES DRVERS � <br /> URINAL VENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE HOOD ' <br /> FLOOR DRAIN AIR HPNDLING UNIT— QF.M. � <br /> VACUUM BREAKERS STOVF. i <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY � <br /> SINK ISEflVICE—BAR,ETC.) <br /> . I <br /> i <br /> SUBTOTAL SUBTOTAL S I <br /> PEHMIT S PERMIT S <br /> TOTALFEE f TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE , <br /> 80/7399 �EE 59.80 RECEIPTNO. <br /> USE ZONE LOT AREA VAGANT SITE <br /> R-5 ❑YES ❑NO FEES VALUATION FEE <br /> ��B��NST. OCCUPANCY GROUP NO.OF DWELLING UNITS _ <br /> V-1. HT. B2 BUILDING s20,000. 92 00 <br /> SIZE OF 6�DG. NO.OF STORIES MAX.OCC.LOAD <br /> P�UMBING <br /> FIRE ZONE BASEMENT FIRE SPFINKLEHS MECHANICAL <br /> Z 9EOUIRED <br /> ❑YES a➢E{0 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECK�IST PENA17Y U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING FLANS ``' <br /> TOTAL . 92 00 ' <br /> 3. FIRE HVDRANT <br /> 4. FIRE PROTECTION SYSTEM PEflMiT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GMDING b <br /> 6. DRAINAGE O a y ' � O � �• 0 � —_ � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT . M <br /> _. � 1 <br /> e. HEALTH DISTRICT YO U R RCC E I�P� � <br /> APPLICATION AC0.BY PL4NS CHECKED BY APPR.FOR ISSUANCE BY . . - <br /> �, , TNANK YOU � � <br /> . ,. . <br /> � ' ' _ �, <br /> . . . , -.: �, . <br /> ADDRESS FILE _ ' - '� p���. $Q_ __ <br />