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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. W 98201 <br />r INSTRUCTION <br />PERMIT <br />❑ COMBINATION ®{BUILDING LJ MECHANICAL <br />PERMIT NO. 10537 <br />L] PLUMBING <br />OWNER MAIL ADDFES9 CITY a PHONE <br />Edith IiarBtad 1802 62nd Everett 353-7373 <br />ARCHITECT ORE iSIGNER MAIL, DDIIs?1- CITY IIP FIgNE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />ATONE <br />LICENSE F <br />Three Lakes Construction <br />6523 171st Avenue <br />S.E. <br />Snohomish <br />98290 568-4616 <br />MECHANICAL CONTRACTOR <br />MAIL ADOFESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />TH RE <br />EL 5202P4 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE. <br />LICENSE F <br />❑NEW ❑ADDITION ❑ALTERATION XlREPAIR ❑DEMOLITION ❑FENCE ❑SIGN OGARAGE <br />VALUATION OF WORK <br />s 3795.00 <br />Chip Rehab -Repair <br />PROPOSED USE OF BUILDING <br />SinQTP 1.ami1v RPc1APHPA <br />IHEREBY CERTIFY THAT IHAVE 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 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 />TqV OR AUTHORIZED AGENT DATE <br />X 5/10/82 <br />I FOAL DESCRIPT ION OF PRO L )SHOW BELOW OR ATTACH FOUR COPIES) <br />15 Mountain View <br />OT_---BLocK_oF <br />l BADDRESS <br />1802 62nd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <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 ASH BASIN) <br />BOILERS — HP EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />KITCHEN SINK 6 DISC. <br />FORCED AIR SYSTEMS — B T U. M EA <br />_ <br />DISHWASHER <br />WALL HEATERS — B.T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />_ <br />WATER HEATER <br />CLOTHES D9YERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />_ <br />AIR HANDLING UNIT — C F.M. <br />VACUUM BREAKERS <br />_ <br />_ <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEI <br />SINK (SERVICE — BAR, ETC.) <br />BUS TOTAL _ <br />PERMIT J <br />SUBTOTAL f <br />PERMIT f <br />_ <br />TOTALFEE f <br />_ <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LIYEC LINO <br />FEES <br />VALUATION <br />_ <br />FEE <br />_ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />s 3795. <br />44 <br />50 <br />SIZE OF BLDG <br />NO OF STORIES <br />MAK.00C LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />CIYES <br />SPRINKLERS <br />LINO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.8C <br />SEC, 307IeI <br />2. BUILDING PLANS <br />3 FIRE HYDRANT <br />TOTAL <br />4 4E50 <br />4, FIRE PROTECTION SYSTEM <br />.. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN :HIS SPACE) THIS IS YOUR PERMIT <br />{. FL ~ <br />2297 4 �. O '�� rj <br />CD <br />r-4 <br />YOUR RECEIPT <br />I THANK YOU <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC BY <br />7HECKED BY <br />APPR FOR ISSUANCE 0Y <br />