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the Evergreen Co m' I ST R U CT I O N <br />CITY OF PERMIT <br />M IT <br />everett PERMIT NO.07948 <br />CITY HALL 259-8745 ® COMBINATION El BUILDING [xl MECHANICAL k PLUMBING <br />EVERETT. WA 98201 PIioNE <br />MML ADORESG <br />Cliv <br />9g204 453-5454 <br />OWNER <br />855 106th Avenue N.E. 8c1 <br />evue <br />ZIP PHONE <br />821 Assoc. <br />MAIL ADDRESS <br />urY <br />ARCHITCCT OR OESIdNER <br />PHONE LICENSE ! <br />MAIL ADDRESS <br />CITY 2iY <br />GENERAL CONTRACTOR <br />PHONE LICENSE ! <br />821 Assoc. <br />MAIL ADDRESS <br />CITY 21p <br />MECHANICAL W NTRACTOR <br />PHONE -LICENSE ! <br />MAIL ADDRESS <br />CITY IIP <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />ADDITION [I ALTERATION ❑REPAIR <br />❑DEMOLITION ❑FENCE DEIGN GARAGE <br />[I NEW <br />VALUATION DF WORK <br />-- <br />s 80,280.00 _ <br />DESCRIBE WORK <br />Recreation Buildin <br />I HAVE READ AND EXAMINED THIS AP - <br />PROPOSED USE OF 8wLmNG <br />I HEREBY CERTIFY THAT <br />SAMF TO BE TRUE AND CORRECT. <br />Recreation facility <br />PLICATION AND KNOW THE <br />ORDINANCES GOVERNING THIS <br />DEPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />ALL PROVISIONS OF LAWS AND <br />COMPLIED WITH WHETHER SPECIFIED <br />LEGAL <br />TYPE OF WORK WILL BE <br />THE GRANTING OF A PERMIT DOES NOT <br />LOT BLOCK -OF <br />HEREIN OR NOT. <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />PRESUME <br />E OR LOCAL LAW REGULATING <br />13 - 2 B - 4 <br />VISIONS OF ANY OTHER <br />MANCE OF CONSTRUCTION. <br />CONST ON OR TH ER <br />11DAT <br />SIGNAT CO ACTOR OR A THORI D A Ni <br />JOB ADDRESS <br />- 8515 Sth Avenue West <br />X <br />MECHANICAL <br />FEE <br />PLUMBING FEE <br />EQMENT <br />N0. TYPE OF UIP <br />NO. TYPED FIXTURE OR ITEM <br />AIR COND. UNITS — H.P. EA. <br />2 WATER CLOSET OILE <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />BOILERS — HP. EA. <br />A C UNITS —TONNAGE EA <br />2 IAVATORY ASH BASINI <br />GAS FIRED <br />FORCED AIR SYSTEMS — B.T.V. M EA <br />SHOWER <br />KITCHEN SINK A DISP. <br />WALL HEATERS — B T.U. <br />_ _. _... _..... <br />• um MRATFRS —BTU. M <br />vI ...� <br />SETBACK <br />REAR YARD SETBACK <br />P <br />FEQ61.85 RECEIPT NO. <br />E YARD SETBACK <br />STREET <br />7948 <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION E <br />E ZONE <br />L]YES LINO <br />R-3 <br />PE OF CONST <br />MCLIPANCY GROUP <br />NO. OF DWELLING UNITS <br />f 80,280 249 00 <br />V-1 H <br />A-3 <br />BUILDING <br />!E OF BLDG. <br />NO OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />16 00 <br />2676 SQ• Ft <br />2 <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />6 00 <br />TE ZONE <br />REQUIRED <br />3 <br />none <br />AYES L <br />^ <br />APPROVALS - -- U B.0 <br />PENALTY SEC. 3D31B) <br />1. ENVIRONMENTAL CHEC. LIST _—_ 271 00 <br />2. BUILDING <br />TOTAL <br />8, FIRE HYDRANT o` PERMIT VALIDATION r� JjFt Pf.P O <br />PROPEDATI ALIDATED (IN THIS P ) HI515 4 9 0 <br />A. FIRE PROTECTIQN SYSTE 16 O � •.Z <br />CKI <br />S. GRADING,' U m <br />f7') <br />PbDRAtNAa; ::; YOUR RECEIPTo <br />ENVIRONMNTAL IMPACT—TEMFNT :C U I PT <br />HEALTM I T Ipt - dd 11..I;• NK YO U <br />LICATtO V D=CIIICKII)4PPR. FUR ISSUANC�Y, YC' U 1 9 Auc 80 12 AM ED <br />A ADDRESS FILE <br />D <br />