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U�eC•vergmen � � ��N�TRUCTIO�I � � <br />CITY OF <br />��%el'�tt PERI��IT PERMIT NO. 0�660 <br />CITY HALL 259�0745 <br />EVERETT. WA 90201 ❑ COMBINATION C�CBUILDING ❑ MECHANICAL PLUMBING <br />OY/NEfl M1IAILAOOHE55 CIiV ZIP PNONE <br />David A. Brandvold P.O. Box 3066 Everett 98203 355-6000 <br />ARCHITECT OR DESIGNER MAIL ADDfiES$ CITY ZIP PMONE <br />GENERFLGONTRACiOR IAAILADDRE55 CIT� ZIP PMONE UCENSEI <br />Same <br />MECMANICALGONTRACiOR MAILAD�PE55 CITY 21P PMONE LICENSEI <br />PLUMBINGGONiPFCTOR MAILADDRE55 GITY ZIP PHONE IICEN5E1 <br />CLASS OF WOP.K <br />❑NEW ❑ADDI710N I�LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WOFN <br />S 815��.�0 <br />DESCRIBE WORK <br />Interior remadel <br />PROPOSED USE OF BUILDING <br />office <br />LEGAL DESCFIPTION OF PPOPEFTY (SHOV! <br />lOT BLOC�OF _ <br />7-28N 5 EWb1 <br />JOB PDDFE55 <br />7620 Evergreen Way <br />PLUM9ING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET QOILED <br />BATHTUB <br />LAVATORY (WASH OASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WnTER HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAINLEADERS <br />ciuv �coo�nrc _ RnR FiC 1 <br />SIDE VARD SETBACK <br />USE ZONE <br />TlPE OF CONST. <br />SIZE OF BLDG. <br />TO7AL FEE <br />STREET SETBACK <br />NO.OF <br />1. ENVIRONMENTALCHECKLIST <br />2 BUILDING PLA�'�S W <br />3. FIRE HYDPANT "� <br />4. PIRE PRU�.E <br />5. GRADiN `(, <br />� <br />4� 6. DRT----A�INF-6E�7� <br />L. 7. ENVIR�NM <br />� - <br />9. HE�LTH <br />� APPLtC�CTIQM <br />n m <br />^_ � <br />V SY67EM <br />G�4 <br />_ I l:T STATEMENT <br />T W <br />BYO PLANS CHECKED BY <br />0 <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIC'VS OF LAWS AND ORDIN,4NCES GOVERNING THIS <br />TYPE OF WOR}C WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR �JOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE ORyqC AL LAW REGULATING <br />CONS� ION OR THE PE F MIt�N�E OF CONSTRUCTION. <br />X N�� OF �)RqCiOR OR AU D�7T /y DATE <br />r il -� �� 6/9/80 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. FA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOIERS <br />CLOTHES DRYERS _ <br />VENTIL4TION FAN <br />RANGEHOOD <br />Z AIR HANOLING UNIT — C.F.M <br />REAR YARD SETBACK �FL <br />VACANT SITE <br />❑YES ❑NO <br />MAX. <br />DATE <br />80/7660 <br />FEES <br />UNITS <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />APPR. FOR ISSUANCE BY <br />atas <br />70TAL <br />FEE <br />rte <br />FEE 31.00 :�E��8/�4�� <br />5 <br />U.B.C. <br />SEC. 303 <br />PEPMIT VALIDATION <br />WHEN PROPERLV VALIDATEU (IN THIS SPACE) THIS IS YOUR PERMIT <br />3219 $0�{$.DO--� <br />� <br />YOU�R RE�G�EIPT�� <br />;�-I ,�, t�t v Y C U <br />