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_I <br />the Et,ergreen <br />^FO N ST R U GTI O N <br />rin (I <br />everett <br />PERMIT <br />PERMIT NO.11026 <br />�1.. null ".,90745 <br />I VERETT. WA 95201 <br />❑ COIABINATION ❑ BUILDING L_�)JIECHANICAL <br />❑ PLUMBING <br />PHONE <br />_ <br />OIALR Brag er MAIL ADDRESS 01Y <br />George BCitdWgdW 911 88th Street S.E. Everett <br />ZIP <br />98204 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />PHONE LX)ENSE F <br />GENERAL CONTRACTOR <br />MF.IL ADDRESS CITY <br />71P <br />ZIP PHONE LICENSE F <br />98201 258-2441 -1 <br />MECHANICAL CONTRACTOR <br />Natural Gas <br />MAIL ADDRESS CITY <br />Equipment 1611 East Grand Everett <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE F <br />❑NEW []ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN OGARAGE <br />f _ <br />DESCRIBE WORK — <br />PPOPOSEO 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 DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <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 VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, <br />SIGNAT E OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />JOB ADDRESS <br />X F. 9�20�82 <br />911 88th Street S E. <br />- <br />PLUMBING <br />_ <br />MECH <br />NICAL _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND UNITS — H P EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P EA <br />— <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS — H P EA <br />SHOWER <br />GAS FIRED A C UNITS -- TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T U M EA. <br />DISHWASHER <br />WALL HEATERS — D T U M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR GRAIN <br />AIR HANDLING UNIT — C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (E. RVICE — BAH, ETC) <br />SUB TOTAL <br />SUB TOTAL f <br />2 <br />O <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />5 <br />Do <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />i IYES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST, <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />MECHANICAL <br />5 <br />00 <br />(IYES LINO <br />OTHER <br />APPRO.'ALS <br />BY <br />DATE <br />I. ENVIRCNMF•.tAL CHECK LI, T <br />PENALTY <br />UBC <br />SEC 3031n1 <br />TOTAL <br />5 <br />00 <br />2 SUILD':.G PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION 6YSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />7707 05. 0 0 --�Jl <br />f Ey <br />RECEIPT <br />YOUR RECEII T <br />6 GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT—� <br />S HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FfISSUANCEY <br />TI•iANK YOU <br />ADDRESS FILE 7 0 SEP 82 <br />