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���Evergreen0�- ,ONSTRUCTION <br />1 aTr � <br />QVQrett PERMIT PERMIT NO. 08637 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION )(E BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AOL..ESS CITY ZIP PHONE <br />New York Life 8th Floor EMIR 2936 F;etmore 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />Cascade Millwork <br />4716 College <br />98203 <br />252-4871 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE UCENSEIT <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑NEW []ADDITION '(ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE El SIGN ❑GARAGE <br />VALUATION CF WORK <br />s 900.00 <br />a F�a jai <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TrIIS 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 (SHOW BELOW OR ATTAOHFOUR COPIES) <br />BLGCK_GF <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOPITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER 6TATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR Kj1`H5RrzEQAGENT DATL <br />JOB ADDRESS <br />12 1 80 <br />2936 Wetmore <br />PLUMBING <br />MECHANICAL <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 />REFRIGERATION UNITS - H.P. EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />KITCHEN SINK A DISP. <br />WALL HEATERS-E.T.U. M <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_- <br />WATER HEATER <br />CLOTHES DRYERS <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 <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACES CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />SUB TOTAL <br />SUBTOTAL $ <br />_ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL <br />FEE $ <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 />DYES ENO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 900.00 <br />16 <br />00 <br />SIZE OF BLDG, <br />N0. OF STORIES <br />MAX. OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />REOUIPHI KLERS <br />MECHANICAL <br />❑YES ❑NO <br />OTHER <br />APPROVALS <br />BY <br />GATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />U.B.C. 3(8) <br />2. BUILDING PLANS <br />TOTAL <br />16 <br />_ <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 />p I� <br />I C :, 3 $ 0 I L 0 0 — <br />5. GRADING <br />6. DRAINAGE <br />cc <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />C.0 <br />B. HEALTH DISTRICT <br />C <br />j � RECF-IPT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR, FOR ISSUANCE BY <br />'.P.IiC 1'C'U <br />V.C. <br />