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the F: I erivfw <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />QRNSTRUCTION i s <br />PERMIT PERMIT NO.06864 <br />0 COMBINATION BUILDING XUMECHANICAL L 1 PLUMBING <br />OWNER MAn s.. :1, "(0.1 <br />William Carrington 1800 73rd Street 98203 353-1527 <br />ARCHITECT OR DESIGNLR MAIL AODHESS CITY ZIP PHON1. <br />GENERAL C.GNTAACT011 MAIL ADDRESS CITY :IP PHONT. LIfENSE0 <br />MECHANICAL <br />LL99CIIOI111NTTRACTOR MAIL ADDRESS CITY !I^ PHONT. LICENSE <br />Evergreen Sheet Metal <br />PLUMBING CONIPACT04 MAIL AODAESS CITY ZIP PHONE LICENSE f <br />CLASS OF WORK <br />❑NEW ❑ADDITION rJALTERATION ❑REPAIR [JDFIAOLITION LIFENCE IJSIGN CJ GARAGE <br />f <br />PI OPOSED 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'VILL 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 />SIGNAIURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />a 0/19/79 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR r.OrLSI <br />wT_�_BtaK_oF <br />JOB ADDRESS <br />1800 73rd Street S.E. <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 — HP EA <br />BATHTUB <br />REFRIGERATION UNITS — HP EA <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS -- H.P EA <br />SHOWER <br />GAS FIRED AC UNITS -- TONNAGE EA <br />_ <br />KITCHEN SINK b DISP <br />FORCED AIR SYSTEMS — B T U K' EA <br />DISHWASHER <br />WALL HEAT ITS — 8 T U IA <br />LAUNDRY TRAY <br />UNIT HEATERS — [IT U FT <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HAIJDLING UNIT -- C F M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADEPS <br />METAL FIREPLACE b CHIMNEY <br />SINK )SERVICE — BAR, ETC 1 <br />1 <br />Heat Pump <br />SUB TOTAL <br />SUB TOTAL t <br />4 <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />HEAR YANG 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 />]YES [:NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONS) <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE. OF BLDG <br />FIRE ZONE <br />N0. OF STORIES <br />BASEMENT <br />MAX DOC LOAD <br />FIRE SPRINKLERS <br />IJYES LINO <br />PLUMBING <br />MECHANICAL <br />7 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C <br />SEC, 303(a) <br />2- BUILDING PLANS <br />TOTAL <br />7 <br />00 <br />3. FIRE HYDRANT <br />— <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOURPERMIT <br />d D 9 7 if IT 0 � <br />OO <br />YOUR RECEIPTo <br />THANK YOU <br />b GRADING <br />B DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATL MENT <br />B. HEALTH DISTRICT <br />APPLICATION AL.0 BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />1 8 0a .17 <br />ADDR <br />