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TMP EVCrgren <br />CC-lSTRUCTION <br />everett <br />PERMIT <br />PERMIT NO.06221 <br />CITY HALL 259-8745 <br />WA <br />❑ COMBINATION ❑ BUILDING U MECHANICAL <br />IJ PLUMBING <br />EVERETT. 99201 <br />OWNER <br />MAIL ADDRESS % in <br />LIP <br />PHONE <br />S. e L Construction <br />ARCHITECT DR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />RIONE LICENSE f <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE F <br />Same <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE F <br />CLASS OF WORK <br />ONEW ❑ADDITION ❑ALTERATION ❑REPAIR []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />f <br />DESCRIBE WORK <br />Factory Ruilt FireGlaca <br />PROPOSED IISE 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 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 />CONS CTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU CONTRACTOR OR IZ GENT DATE <br />X 6/14/79 <br />LEGAL DEWAIPTIONOFPROPERTY (SHOW BELOW OR ATTACH FOUR COMES) <br />LOr BLOCK_OF <br />JOB ADDRESS <br />2119 74th St. 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 — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS — N.P. EA. <br />_ <br />SHOWER <br />GAS FIRED A UNITS —TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS —8T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS -- B.T.U. M <br />CLOTHES WASHER <br />I EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />_ <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR DANDLING UNIT — C F M <br />VACUUM BPEAKE9S <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />3 <br />00 <br />SINK (SERVICE — BAR. ETC.) <br />_ <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />S <br />_ <br />PERMIT f <br />3 <br />00 <br />TOTAL FEE <br />f <br />TOTAL <br />FEE $1 <br />6 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />('YES ONO - <br />FEES <br />VALUATION <br />FEE <br />S <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDI,..i <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUI 'JING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />1 ]YES HNO <br />MECHANICAL <br />- <br />6 <br />— <br />00 <br />_ <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (A) <br />2. BUILDING PLANS <br />TOTAL <br />6 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 16 I[OO O �PERMIT <br />. 2 Y O O A <br />- <br />N <br />(V <br />YOUR RECEfft ca <br />C <br />THANK YQU <br />8. DRAINAGE <br />T. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION AOC. BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />ADDRESS FILE <br />