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the Evergreen <br />CITY OF <br />everett <br />CRY HALL 259 0745 <br />EVERETT WA 98201 <br />CrNSTRUCTION <br />PERMIT <br />I COMBINATION 1 BUILDING D MECHANICAL <br />PERMIT NO. 06817 <br />❑ PLUMBING <br />MAIL ADDRESS <br />tilr <br />ZIP <br />98203 <br />PRONE <br />353-2476 <br />OWNER <br />Will Olson <br />2201 74th Street S.E. <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />CITY <br />SIP <br />PHONE IICENSEF <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Same <br />CITY <br />ZIP <br />PHONE LICENSE 1 <br />MECNANX'AL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />RIONE LrENSEF <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTEPATION ❑REPAIR ®MEMOLITION ❑FENCE ❑SIGN CIGARAGE <br />VALUATION OF WORK <br />s e <br />DESCRIBE WORK D Y% <br />.. _ lrt i <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 A14D CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL -DESCRIMIOWO' 7F5WR­Ty(E"OW BELOW OR ATTACH FOUR CONFER <br />17-18 42 Pinehurst Div. D <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK -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 OF ANY OTHER STATE OR LOCAI LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF .JNSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUT RIZED GENT 10, DA? <br />79 <br />X <br />'� Aff'rth Street S.E. <br />MECHANI <br />AL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />AIR COND. UNITS — H.P. EA. <br />WATER CLOSET OILET <br />_ <br />RE FRIGERATION UNITS — H.P. EA <br />BATHTUB <br />BOILERS H P. EA. <br />LAVATORY ASH BASINJ <br />GAS FIREDAC. UNITE —TONNAGE EA. <br />IN <br />SHOWER <br />D AIR SYSTEMS — B T.U. M EA <br />WALL HEATERS — B LU. M <br />WALL. <br />KITCHEN SINK 6 DISP. <br />_ <br />DISHWASHER <br />UI(IT HEATERS — 8311. M <br />LAUNDRY TRAY <br />EL'APORATIVE COOLERS <br />T_ <br />CLOTHES WASHER <br />CI OTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C F M <br />FLOOR DRAIN <br />S1 OVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 6 CHIMNEY <br />_ <br />ROOF DRAINS — RAINLFADERS <br />SINK SERVICE — BAR. ETC. <br />SUB <br />TOTAL f <br />SUB TOTAL <br />PERMIT <br />IF <br />PERMIT f <br />TOTAL <br />FEE f <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PL N CHECK FEE <br />FEE RECEIPT NO <br />USE ZONE <br />LOT AREA <br />nvs'T ONE <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />E <br />00 <br />00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE R QUSPRINKLERS <br />IRED <br />MECHANICAL <br />I IYES <br />IIND <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />US C. <br />SEC. 303 (a) <br />2, BUILDING PLANS <br />TOTAL 00 00 <br />3. FIRE HYDRANT <br />, <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLI VALIDATED (IN THIS SPtACEI THIS IS YOUR PERMIT <br />.7 9 I : s10 O 4• O P 'rlli <br />S. GRADING <br />— <br />B. DRAINAGE <br />_ <br />I i ; <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />u <br />V6U R RECEIPT c <br />U <br />THANK YOU <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PUNS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />—_ <br />I S <br />