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Me Evergreen ''Q N ST R U CTI ® N <br />" III <br />everett PERMIT PERMIT NO. 10317 <br />CITY HALL :'If 8745 <br />EYLRLrT. WBezoT El COMBINATION Ll BUILDING MECHANICAL L] PLUMBING I <br />OWNER MAIL ADDRESS LI'. ZIP PINNL <br />Rick K. Dennison 628 61st Street Everett 98203 353-7072 <br />ARCHITECT OR DESIGNER NAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR !AIL ADDRESS CITY ZIP PHO,S LICENSEE <br />MECHANICAL CONTRACTOR VAIL ADDRESS CITY ZIP PHONE LICENSi E <br />same _ <br />PLUMBING CONTRACTOR M'ML ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORN <br />❑NEW ❑ADUIIIUN LJ ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE []SIGN ❑GARAGE <br />I <br />DESCRIBE WORN <br />PROPOSED USE Of BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OP. 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 />E IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />Check #1241 3/11/82 <br />X <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BILLOW OR ATTACH FOURCOrim <br />LOT RLOCN_OF <br />JOB ADDRESS <br />628 61st Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />_ <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />TYPE OF EOUIPMENT <br />FEES <br />AIR COND. UNITS — H P. EA. <br />REFRIGERATION UNITS — H.F. EA <br />WATER CLOSET (TOILET) <br />_ <br />_ <br />BATHTUB <br />BOILERS — N.P. EA <br />LAVATORY ASH BASIN) <br />_ <br />_ <br />_ <br />_ <br />GAS FIRED AC UNITS —TONNAGE EA <br />SHOWER <br />1.ORCED AIR SYSTEMS — BT LI M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS — BT U. M <br />DISHWASHER <br />UNIT HEATERS — (IT U M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />IENTILATION FAN <br />- <br />_ <br />WATER HEATER <br />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FLGOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLFADERS <br />__ <br />_ <br />- <br />_ <br />RANGE HOOD <br />AIR HANDLING UNIT — C F.M. <br />STOVE ed <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC) <br />—' <br />SUB TOTAL f <br />PERMIT f <br />7 <br />10 <br />5.O <br />O <br />SUB TOTAL <br />PERMIT 81 <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />11 <br />REAR YARD SETBACK <br />TOTAL <br />PLAN CHECK NUMBER <br />FEE <br />PLAN CHECK <br />FEE <br />FEE <br />PIECE ITT NO. <br />USE ZOW <br />LOT AREA <br />VSITE <br />JACANT YES ❑NO <br />FEE9 <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG <br />NO OF STORIES <br />SIAK OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />HEOUIRED <br />AYES ['NO <br />MECHANICAL <br />17 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />URC <br />SEC. 303 (B) <br />i <br />17 <br />_.• <br />50 <br />2. BUILDING PLANS <br />3 FIRE HYDRANT <br />TOTAL <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />HIS 6PACE17HIS IS YOUR PE <br />WHEN I'ROPERLV VALIDATED (IN THIS <br />9 7 9 9 s Q 1 1, 5 0---- <br />cle <br />'Y4'J R R IEC [ I PT �- <br />' 1, /,, NI l Y ^ U <br />5. GRADING <br />6 DRAINAGE <br />7. ENVIRONMF NTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC, SY <br />PUNS CHECKED BY <br />APPR FOR ISSUANCE BY <br />