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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />44,'f*0NSTRUf`,TI0I•' <br />PERMIT <br />❑ COMBINATION ii BUILDING ❑ MECHANICAL <br />PERMIT NO. 1 3 J <br />❑ PLUMBING <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />OWNER <br />PANAMA MACHINERY AND <br />FQDIpMx'NT Pin nnx 77f, <br />_>,�srl t1rWA�8205 <br />ZIP <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSES <br />GENERAL CONTRACTOR <br />MAIL ADORERS <br />Same <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />MECHANIOAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />PLUMBING CONTRACTOR <br />MAIL ADDRESR <br />CLASS OF WORK <br />ICSNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑ FENCE [I SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />S 2,500. <br />Galvanized siding enclosing exist: <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Storage <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIE51 <br />LEGAL <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT__BLOCK_OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />R/W in El/2 NW 1 4 & SW 1 4 NE 1 <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />_ <br />Twp 29 Rge 5 <br />PERFORM NCE OF CONSTRUCTION. <br />SIGNATURE O LONTRAGTAUTHORIZED AGENT DATE <br />OR R <br />10/10/83 <br />JOB ADDRESS <br />X <br />3126 Hill Street <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BATHTUB <br />- H.P. EA <br />_ <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />GAS <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS - B.T.U. M <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />_ <br />LAUNDRY TRAY <br />_ <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />- <br />VENTILATION FAN <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE FI WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE L CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />MEAT PUMP <br />- <br />SUB TOTAL S <br />SUB TOTAL f _ <br />PERMIT S <br />PERMIT f <br />S <br />TOTAL FEE S <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK REAR YARDS TBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />RECEIPT NO. <br />FEE <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />VALUATION <br />FEE <br />IJYES <br />GNO <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />OF DWELLING UNITS <br />BUILDING <br />f2 500. <br />SIZE OF 1 LDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE REQUIRED SPRINKLER$ <br />MECHANICAL <br />:YES NO <br />APPROVALS <br />BY DATE <br />OTHER <br />U.B.C. <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (R) <br />11 <br />2. BUILDING PLANS <br />TOTAL 36 150 <br />3. FIRE HYDRANT <br />PERMIT VALIDATION <br />T Lfa <br />4. FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS <br />5. GRADING <br />f jy�O�(JR�,(PEf[�� <br />2 7 5 g .p U .1 1+• / (In <br />Y,; ) L R RECEIPT <br />t•,I you <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKBY <br />APPR. FOR ISSUANCE BY <br />i , ,i I: <br />1 0 acT 8 3 <br />ADDRESS FILE <br />