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the Evergreen co N ST RU CT I O N <br /> (11) (1F PERMIT NO.PERMIT 09641 <br /> everett �] MECHANICAL L] PLUMBING <br /> CITU HALL 2598745 ❑ COMBINATION BUILDING PHONE <br /> EVERETT.WA 98201 ulY 98203 355-7714 <br /> MAR ADDRESS �-•� <br /> OWNER ZIP pHglE <br /> Leslie McGriff 4 76th Street S•W• CITY <br /> MAIL ADDRESS <br /> ARCHITECT OH DESIONER RpNE--LICENSE 21P <br /> CITY <br /> MAIL ADDRESS IT <br /> GENERAL CONIRACTDR 21P <br /> PHONE LICENSE <br /> Same CITY <br /> MAIL ADDRESS LICENSE F <br /> MECHANICAL CONTRACTOR 21P PHONE <br /> CITY <br /> MAIL ADDRESS <br /> PLUMBING CONTR/LTOR <br /> CUSS OF WORK ❑NEW ❑ADDITION []ALTERATION NXEPAIR ❑DEMOLITION ❑FENCE ❑616N GARAGE <br /> ❑ <br /> vAIUATION OF WORK <br /> S 2 ,500.00 <br /> DESCRIBE WORK 08itiOR <br /> re-roof--comp <br /> Pg6p D USE OF BUILDIND I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> single family residence PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DESCRIPTION OF PROPERTY(SNOW BELOW OR AITACH FOUR COPIES( ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> COMP <br /> TYPE OF WORK WILL BE LIED WITH WHETHER SPECIFIED <br /> 'INGIO <br /> LOT—� ES NO <br /> B`a --OF HEREIN PRESUME TO GI EOR NOT. THE GRANIAUTHORITYTOVLATEORCANCEOF A PERMIT GUL TROT <br /> 3935-000-001-0102 VISIONS OF ANY OTHER STATE OR LOCAL IOW REGULATING <br /> CANSTRUCTION OR THE PERFOR�M�-,ANC�Ie CONSTRUCTION. <br /> N. <br /> 511 ATM RF OF CONT OR OR ACTNOR12F <br /> JOB A-65 X <br /> 4 76th Street S-WMECHANICAL FEE <br /> PLUMBING FEE NO. TYPE OF EQUIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM AIR COND.UNITS-H.P.EA. <br /> REFRIGERATION UNITS-H.P.EA <br /> WATER CLOSET OIL BOILERS-H P.FA. _ <br /> BATHTUB 0A$FIRED A C UNITE-TONNAGE EA. <br /> LAVATORY ASH BASIN <br /> SHOWER FORCED AIR SYSTEMS M <br /> KITCHEN SINK 6 DISP. WALL HEATERS-B.T.U. M <br /> DISHWASHER UNIT HEATERS-81D, <br /> DISHWASHER <br /> TRAY EVAPORATIVE COOLERS _ <br /> CLOTHES DRYERS <br /> CLOTHES WASHER VENTILATION FAN <br /> WATER HEATER RANGE HOOD <br /> C F M <br /> URINAL 7AIN AIR HANDLING UNIT- <br /> DRINKING FOUI IIN STOVE <br /> FLOOR DRA <br /> UM BREAKERS METAL FIREPLACE 6 CHIMNEY <br /> VACU — <br /> ROOF DRAINS-RAINLEAOERS <br /> SINK(SERVICE--BAR,ETC. <br /> gU9 TOTAL f <br /> PERMIT $ <br /> SUBTOTAL S TOTAL FEE f <br /> PERMIT PLAN CHECK FEE <br /> TOTAL FEE REAR YARD SETBACK LAN CHECK NUMBER FEE RECEIPT NO. <br /> SIDE YARD SETBACK STREET SETBACK — <br /> VACANT 617E FEES <br /> VALUATION FEE <br /> USE ZONE <br /> LOT AREA pYES ONO <br /> NO.OF DWELLING UNITS $2500.00 38 50 <br /> OCCUPAN^"GROUP -- <br /> TYPE OF CONST. BUILDING <br /> SIZE OF BLDG. <br /> NO,OF STORIES MAX.DOC.LOAD PLUMBING <br /> BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FIRE ZONE REOUIRED <br /> ❑YES UNO OTHER <br /> BY DATE UBC. <br /> APPROVALS PENALTY SEC,303 Is) <br /> 1. ENVIRONMENTAL CHECK LIST 3 8 5 0 <br /> 2 BUIL S <br /> TOTAL <br /> 3. FIRE HYDRANT PERMIT VAUDATION _ <br /> WHEN PROPERLY VALIDATED(IN TNI6 iPACE) 1616 fnUR PE HMI <br /> VIA <br /> A. FIRE PROTECTION SYSTEM LD o <br /> 5. GRADING a) <br /> 6. DRAINAGE Q <br /> 7 ENVIRONMENTAL IMPACT 6TATEMEFIT <br /> B. HEALTH DISTRICT APPR,FOR ISSUANCE BY <br /> APPLICATION ACO BY PIANS CHECKED BY <br /> i <br /> ADDRESS FILE <br />