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6 <br />� <br />`'"�`"�""�"° ^ONSTRUCTIO�° <br />everett P E R M I'� <br />CIT� HALL 259�H745 <br />eveHetT. wn 9ezo, ❑ COMBINATION �� B�1ILDING LJ MECHP.�ICAL <br />VNEN __._ .. <br />FRA 6ranch 170 "P.O. Box 232G <br />PERMIT N0. 1� 13 3 <br />L� PLUMBING <br />ett 98203 353- <br />nrve�rteer or� ueo�w��� <br />GENEPAL LONTHACIOR IABR AULRE55 <br />C'TY 2iP PMONF LIGENSE � <br />Waynes H�Y.k%ifttXK Construction `317 S�uth 2nd Everett 98203 252-5212 <br />MAIL AOOHE55 CIiY 21a PIIONE 10.N15E I <br />MEGNRNICAlCOI1TRAG10P �JAYNESC 31958 <br />PLUMBING CONiRACiOR MAIL ADDRE55 <br />CIiY ZIP PNONE ULCNSE � <br />C�N55 OF \YORK <br />❑ NEW ❑ A�DITION }Q ALTERATION ❑ AEPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WGOO STOVEIFIREPLA�E INS — <br />S 1rOOO.00 <br />in�tall additional fire exit to club room <br />raovoseo use oF em�mwc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />commercial APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />iecn�oescNiPnoNovvaooenrrisnowee�owor+nrracMFouacoc�esi CpRRECT. ALL PHOVISIONS OF LAWS AND ORDINANCES <br />Beverlv Hi�,.l.s Div GCVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH <br />�or A BLOLN 1 or WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />�LOCALN LAW REGUOLATIONS OONSTRU�CTION SOR TH�E <br />PERF MANCE OF CON R TION. � onre <br />SiG AiUR JF CONiRnCTOR OP P HORI EO AGENT <br />JO� /•D�AE55 6 24 8 � <br />6802 Beverly Bl��d. X <br />PLUMBING <br />N0. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTUO <br />LAVATORY�WASM BASINI <br />3HOWER �_ <br />KITCHEN SINK d DISP. <br />DISHWASMER <br />LAUNDRYIRAV <br />CIOTMc'SWASNER _ <br />WATER I�EATEF <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR ORAIh <br />VACUUM BREAnERS <br />RO�F DRAINS - RAINLEADERS <br />SINKISEPVICE - �pR.ETG� _ <br />SUBTDTAL <br />PEViM1T <br />TOTAL FfE <br />NO <br />APPROVALS ___ <br />1. ENVIFONMENTAL CMfLR LI57 _ <br />4. BUILDIhd PLANS _. <br />3. FIRE HYDRANT ___ __ , <br />a. FIAE PFOTECTION SYSTEM __ <br />5. GRADING _ <br />6.�RAINFGE _ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. ME4L1M OISTRICT <br />eooi iCATION ACG BV PLANS CMECNED I <br />f <br />S <br />Np, TYPE OF Eouirmervi <br />Alfl COND. UNITS - N.P. EA. <br />REFflIGERATION UNITS - H.P. EA <br />BOILERS - H.P. CA. <br />GAS FIRE� A.C. UNITS - TONNAGE EA. <br />POFCED AIR SYSTEMS - B T.U. M EA. <br />�,vALL HEATERS - B.T.U. M <br />UNIT NEATERS - B.T.U. M <br />EVAPORATIVE CQOLERS <br />CLOTMES DAYERS _ <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — \hOOD <br />METAL FIREPLACE 8 CHIMNEY _ <br />FIREPLACEINSERT _ <br />HEAT PUMP <br />YES NO <br />NO OF DWEL <br />NO <br />OATE <br />FORISSUANCE BY <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />l NUM�EF PLP.N CI <br />FEE � <br />PEES VA�UATION �_ <br />BUILDING <br />PLUMBING <br />IdECHANICAL <br />OTMEN <br />PENALTY <br />TOTAL <br />S 1,000 <br />703 lal <br />FEE <br />HECEIPT NO. <br />FEE <br />17 � SO <br />17 I 50 <br />PERMII vwuuwn�n <br />WMEN PFOPERLY VALIDATED �IN THI�S� L OE) THI�I�Yp�.P�F��11T � <br />� I U <br />r--� <br />�� <br />`;';U2 RGCtIPT�: <br />;'!�,��� YOU <br />;,i,nr�e; rii�� <br />') I� .r�,i 83 <br />