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(hC Ct�Pq7rPPn , - ♦ O � V ■ � l � �/ ■ � O �' <br />Grtv GF � <br />everett PERMIT PERMIT NO. 13��Z <br />CITV HALL 259-8745 <br />EVERET7, WA y8201 � COMBINATION ❑ BUILDING � MECFIANICAL � PtiUMEING <br />OWNER MAIL ADDRESS LITV Z1P PMONC <br />Steuart Seafood 1520 West Marine View Drive Everett 98201 258-2546 <br />ARLHITECT OR DESIGNER MRIL ADORE55 CITY �IP PHONE <br />GENERAL CONTNRGTOR NAIL ADDRE55 CITY ZIP PHONE LICENSE � <br />MECMRNICAI CONTfl�CTOR MAIL RDDRE55 CITY 21P PHONE LICENSE M <br />Same <br />PLUMBING CONTRACTOR MPIL AD�flESS GiTY .:IP PMONt UCENSE � <br />Same <br />CLASS UF WORK <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VRLUATION OF WORK <br />S %.5�.00 _ _ _ <br />l0T _BLOCK <br />1520 West Marine View Drive <br />PLUMBINO <br />OF FIXTURE <br />WATER CLOSE7 (701LE11 <br />BA7':7UB <br />L4VATORY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />I ROOF ORAINS — RAINLEAOERS <br />j SINK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />PENMIT <br />70TALFEE <br />SIDE <br />SIZE OF <br />FIHE <br />APPROVALS <br />1. ENVIPONMBNTAL CHECK LIST <br />2. BUILDING PLl.NS N <br />9.FIFEHYDRANT �„ <br />4. FIRE PROTEG710N SYSTEM <br />5. GRADING �� <br />�6: ORAINAGE �' <br />!- � <br />�Y.ENVIPONMENTALIMPACTSTATEMENT : <br />8. HEALTH OISTRIGT — <br />f. � � <br />�_ _� <br />�- '[] I <br />2 ( <br />i 6 i <br />s 3 f <br />s 9 ( <br />EAR YARD SETBAC <br />'ACANT SITE <br />YES :.NO <br />10. OF DWELLING L <br />nnx.occ.�ono <br />'IRE SPRINKLERS <br />lEOUIRED <br />VES NO <br />BY DATE <br />.� <br />•, <br />pPPp. FOR ISSUAN <br />c� <br />- i I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISICNS OF iAWS AND OFiDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHEH STPTE OR <br />LOCAL LAW R�GULATING CONSTRUCTION OR THE <br />PERFORMANCEOFCONSTRUCTION. <br />51(:NATURE�FWNTRACTORORAUTHORIZEDFGENT Jor�E /._� <br />: c'1 �i/e/%I%�� '�/i•i%o% <br />X� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR CUND. UNITS �- H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. ZSO 000 <br />CAS FIRED A.C. UNI7S — iONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS �- B.T.U. M <br />UNIT HEATERS — B.T.U. M _ <br />EVAPORATIVE GOOLERS <br />CLOTHES DRYERS _ <br />VENTILATION FAN <br />RANGEHOOD — <br />AIR HAN�LING UNIT — C.F.M. _ <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT Pl1MP <br />SUB TOTAL S 9 <br />PERMIT S <br />TOTALFEE f 19 <br />FEE FECEIPT NO. <br />VALUATION FEE <br />BUILDING S7$G.00 14 50 <br />PLUMBING 9 OO <br />MECHANICnL 19 O <br />OTHER <br />U.B.C. <br />PENALTV SEG. 303 (a) <br />R$XX & <br />TOTAL <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN TH166PA6E) THI�'IS�Y,OUA REflM1T C�'SY. <br />! 7 / U 'J �� <br />,,.y. <br />l•) <br />, _ ._C:iIFI' t-? <br />�, 1� <br />� I . V <br />nni�c'.'. rllt. <br />r <br />• �1 i' . <br />H F <br />y h <br />� � <br />NO �: <br />�i � <br />H C: <br />O � <br />� ~ <br />Cy % <br />C :'` <br />H� <br />H U, <br />K <br />O t' <br />� r: <br />E' <br />� " <br />G: <br />i'. <br />[ <br />f' <br />: �- <br />0 <br />