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The Evergreen ?' O N ST R U CT I O N <br />CITY OF <br />everett PERMIT PERMIT NO. 08933 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 © COMBINATION ® BUILDING 91 MECHANICAL ® PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Washington State Patrol 4242 Martin Way Olympia, Wa. 98504 753-6851 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />1 <br />GE <br />ERA CONTRACTOR <br />MAIL ADDRESS <br />605 <br />OITY <br />Snohomish <br />CIY <br />98290 <br />Y" Ul.. . <br />568-3177 <br />pirtley-Cole <br />P.O. Box <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />KI <br />PHONE LICENSE! <br />RT LC A272RF <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WUHK <br />❑NEW LNAiDDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 142,789.00 <br />nn,__nnI .."t.-M 1,.'_V nnc ci-nry nAAifinn <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />W.S.P. Crime Laboratory <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />11-16 411 Saint Nicholas Add. <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOr BLGCK_OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS 9f . HE STATE OR LOCAL LAW REGULATING <br />CONST T ERFORMANCE OF CONSTRUCTION. <br />KT/ <br />SIG TU OF OFlT(ITHORIZE1 AGENT DATE <br />JOB ADDRESS <br />3200 JCklNNXXMY 20th Street <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE _ <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />SHOWER <br />9 <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />KITCHEN SINK 8 DISP. <br />1 <br />DISHWASHER <br />2 <br />0 0 <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />6 <br />OO <br />URINAL <br />2 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />I <br />RANGE HOOD <br />4 <br />50 <br />2 <br />FLOOR DRAIN _ <br />4 <br />00 <br />AIR HANDLING LC F M <br />— <br />VACUUM BREAKERS <br />4 <br />00 <br />STOVE <br />6 <br />00 <br />ROOF DRAINS — RAINLEADERS <br />12 <br />METAL FIREPLACE 8 CHIMNEY <br />4 <br />00 <br />1 <br />61,400 BTU Heat Pump <br />2 <br />SINK(SERVICE — BAR. ETC.) <br />SUB TOTAL <br />28 <br />00 <br />SUB TOTAL $ 16 <br />5 0 <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$1 <br />28 <br />00 <br />1 <br />1 OTAL FEE $ 16 <br />50 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />81/8933 <br />FEE 378.95 <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />SITE <br />E7 <br />S XXO <br />FEES <br />VALUATION <br />529 <br />AL RTYPE <br />R- 2 <br />OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />V-1 Hr. <br />Addit'n B-2 <br />0 <br />BUILDING <br />$142,789. <br />512 <br />00 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />600 Sq. Ft. Add <br />PLUMBING <br />28 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />MECHANICAL <br />16 <br />50 <br />❑YES )ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS " <br />TOTAL <br />5 5 6 <br />5 0 <br />- <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN �LY VALIDAiD (IN THIS SPACE) THIS IS YOUR <br />—5. GRADING <br />�PERMIT <br />Cy <br />Cr <br />--6. DRAINAGE ,_� <br />7. ENVIRONMENTAL IMPAOTSTATEMENT <br />I r _, <br />II I <br />cce. <br />HEALTH DISTRICT <br />—APPLICATION ACC. BY . BLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />7� <br />i <br />HWM <br />V <br />�) <br />1 3;'3 t1 <br />ADDRESS FILE <br />