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the Evergreen <br /> CITY of f CONSTRUCTION <br /> everett PERMIT PERMIT NO. 09372 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 El COMBINATION SIS BUILDING ❑ MECHANICAL El PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIV PHONE <br /> Leslie McGriff 4 76th Street S.W. Everett 98203 355-7714 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENE CON.RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> dame <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP FIIJIIE LICENS[ , <br /> PLUMBING CONTRACTOR ',AIL ADDRESS CIT' ZIP PHONE LICENSE <br /> CLASS OF WORK �A�d <br /> ❑NEW ❑ AI <br /> ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> $ 3,000. 00 <br /> DESCIIBE WORK <br /> Repair X201 foundation--Block <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> I EGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> I.Ot—_Bur. OF TYPE OF WORK WILL BE COMPLIED WITH WHETHFR SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> 3935-000-001-0102 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CON STR CT ON OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATU F NT O:ArTHOBIZE Nl DATE <br /> JOB ADDRESS � Sll6/16/81 <br /> 4 76th Street S .W. X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P EA. <br /> BATHTUB RE-RIGERATION UNITS—H P.EA <br /> LAVATORY ASH BASIN) BAILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 5 DI5P. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—BT.U. M <br /> lAU'IDRY TRAY UNIT HEATERS—BT.U. M <br /> CLOTHES WASHETI EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOL14TAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F,M. <br /> VACUUM BRE 4KERS STOVE <br /> ROOF DRAIN'i—RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK ISERVICE—BAR.ETC.) <br /> SUB TOTAL SUBTOTAL { <br /> PERMIT { PERMIT { <br /> TOTAL FEE { TOTAL FEE <br /> SIDE YARD SET3ACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEF <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA DYES SITE <br /> FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING $3,000. 38 50 <br /> SIZE OF BLDG NO.OF—STORIES MAX.GOC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> AYES ONO <br /> APPROVALS BY DATE OTHER <br /> 1, ENVIRONMENTAL CHECK LISTPENALTY U.BC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 38 0 <br /> J. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WF EN PROPERLY VALIDATED(IN THI3 SPACE)THIS IS YOUR PERMIT <br /> F� cy <br /> 5. GRADING --- i II ' 3 II 3 8. — N <br /> 8. ORAINAOE <br /> M <br /> 7. ENVIRONMENTAL IMPACT STATEMENT <br /> S. HEALTH DISTRICT O <br /> APPLICAh I' ACC 9V PUNS CHECKED BY APPR FOR ISSUANCE BY <br />