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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />"ONSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING JE MECHANICAL <br />PERMIT NO. 09981 <br />U PLUMBING <br />OWNER MAIL ADDRESS OTY ZIP DHOW <br />O'Donne'.1 Brigham 9725 S.E. 36th Street Mercer Island 98040 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY 21P PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PRONE LICENSE IT <br />MECHANIGL CONTRACTOR MAIL ADDRESS CITY Z.P PHONE LICENSE <br />MacDonald Miller Co. 11063 Pacific Highway South 98168 763-9400 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />MA CD OM *24SJ9 <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN El GARAGE <br />VALUATION OF WORK <br />f <br />DESCRIBE WORK <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 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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X Check #681 11/5/81 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OD ATTACK FOUR COPIESI <br />LOT_ BLOCK —Of <br />JOB ADDRESS - <br />1620 75th Street S.W. Building 9 <br />PLUMBIN7 <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 - H P. EA, <br />SHOWER <br />GAS FIRED AC. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS - B T.U. M <br />LAUNDRY TRAY <br />4 <br />UNIT HEATERS - B.T U. M <br />CLOTHES WASHER <br />I EVAPORATIVE COOLERS <br />WATER HEATER <br />ICLOTHES DRYERS <br />URINAL <br />2 <br />1 VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR. ETC. <br />SUB TOTAL <br />SUB TOTAL S <br />QQ_ <br />PERMIT f <br />PERMIT IT <br />_ <br />TOTAL FEE S <br />TOTAL <br />FEE <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 />(!YES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF OONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REOUIRED <br />11YES <br />SPRINKLERS <br />(]NO <br />MECHANICAL <br />43 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC 3D31a1 <br />- <br />2, BUILDING PLANS <br />TOTAL I <br />L <br />4 3 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />. <br />5GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACLI TI,I S M YOUR RLRLIIT <br />00 <br />CI7 <br />I' R Cr) <br />8 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />APPLICATION ACC. BY I <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />I <br />J <br />ADDRESS FILE <br />