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i <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />"ONSTRUCTION <br />PERMIT <br />❑ COMBINATION I. 1 BUILDING IJ MECHANICAL <br />PERMIT NO. OU49 <br />I 1 PLUMBING <br />MAIL ALIU4k5: <br />LIM1 <br />n. iryl <br />OWNER <br />821 Associates <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />MAIL AOOREBS <br />-- <br />CITY <br />ZIP <br />PNONE <br />LICENSt 1 <br />GENERAL CONTI UrC10R <br />Western Aquatech <br />Poole P.O. <br />Box 1746 Bellevue <br />98004 <br />455-1971 <br />MAIL AUDRE6S <br />CIT:' <br />ZIP <br />PHONE <br />LICENSE 1 <br />MECHANICAL CONTRACTOR <br />WE SIT ER <br />P259JB <br />FLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />CLASS OF -WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />VALUATION OF WORN <br />E <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 />LEGAL DESCRiPTIONOF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOr BLOCK_OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLA 7E OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OF CONTRACTOR OR AU )ZED AGENT DATE <br />X 1 D 3 B D <br />JOB ADDRESS <br />8515 5th Avenue West <br />MECHANICAL <br />PLUMBING <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIR COND. UNITS - H.P. EA. <br />`HATER CLOSET (TOILED <br />REFRIGERATION UNITS - H.P. EA <br />BOILERS H P EA <br />BATHTUB <br />LAVATORY ASH BASIN <br />(N6 FIRED C UNITS -TONNAGE FA. <br />SHOWER <br />FORCED AIR SYSTEMS - B T.0 M EA. <br />KITCHEN SINK 6 D16P. <br />WALL HEATERS - B T U M <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAI <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLA.CF S CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC. <br />;PERMIT <br />MS <br />BLAB TOTAL <br />PERMIT <br />S <br />TOTALFEE <br />SIDE YARD SETBACK STREET SETBACK <br />S <br />REAR YARD SETBACK <br />PUN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />_ <br />80/8349 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />L)YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF OWELLING UNITO <br />BUILDING <br />S 19,500. <br />50 <br />00 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />REQUIRED <br />KLERa <br />MECHANICAL <br />❑YES <br />LAND <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC 303 (L) <br />2 BUILDING PUNS <br />TOTAL <br />50 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />8975 $050.00- k <br />ICY <br />a <br />�'` , I� r FC E I DT C <br />ff 1 <br />5. GRADING <br />S DRAINAGE <br />__ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />_ <br />B. HEALTH DISTRICT <br />APPLICATION ACC. By <br />PLANS CHECKED BY <br />U <br />APFOR ISSUANCE BY <br />PR <br />V.C. <br />ADDRESS FILE - 4 OCT 80 <br />