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r <br /> the Evergreen <br /> CITYOFF CrNSTRUCTION <br /> CITY <br /> everett PERMIT PERMIT NO. 10539 <br /> I CITY HALL 2598745 <br /> EVERETT.WA 98201 ❑ COMBINATION ki BUILDING I ! MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS un Im PHONE <br /> David R. Murvin 117 79th Pleas S.E . Everett 355-7220 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> r— Same <br /> MECHANICAL CONTRACIOR MAL.ADDRESS CITY Z:P PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORK EJ <br /> ❑NEW ❑ADD1710N ❑ALTERATION ❑REPAIR LJDEMOLIiION ❑FENCE O61ON ❑GARAGE <br /> VALUATION OF WORK <br /> t <br /> DESCRIBE WORK <br /> Place 140 cu. ydB fill <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESOMMION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> AU PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOCK _OF TYVE 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 /> CONST OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS - BIGNAT ���AU OARED AGENT D_AIE <br /> 117 79th Place S.E. X ,�r _� �I <br /> PLUMBING MECHANICAL 92 <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CONO.UNITS—M.P.EA. <br /> BATHTUB REFRIGERATION UNITS—M.P.EA <br /> LAVATORY(WASH BASIN) BOILERS-H EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> Kl':HEN SINK 6 DISP. FORCED AIR SYSTEMS--8 T U. M EA. <br /> DISHWASHER WALL HEATERS-BT.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS _ <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK SERVICE-BAR.ETC) <br /> BUB TOTAL SUBTOTAL f <br /> PERMIT { PERMIT f <br /> TOTAL FEE { TOTAL FEE 3 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> I IYES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNITS <br /> 612E OF BL00. NO.OF STORIES MAX.OCC LOAD BUILDING 140 Cu. Ye 22 00 <br /> PLUMBING <br /> FIRE <br /> — <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REQUIRED MECHANICAL <br /> 11YE5 (!NO <br /> APPROVALS BY _DATE OTHER <br /> I ENVIRONMENTAL CHECK LIST PENALTY Us C. <br /> SEC.303 111) <br /> 2 BUILDING PLANS <br /> L TOTAL <br /> 3. FIRE HYDRANT <br /> l 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. GRADING <br /> 8DRAINAGE2309 1027. 00 _- <br /> . <br /> 7. ENVIRONMENTAL IMPACT STAIEMENT L0 <br /> B. HEALTH DISTRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BYV,').lIiR ,R EC G I PT .-I <br /> 7� 1"Mr YOU <br /> I 1 i <br /> ADDRESSFILL1 ( () UY 8Z <br />