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du� c,e,c.e�n <br />c.itr or <br />ever�tt <br />GTY HALL 259�fl7d5 <br />EVEflETT, WA 902G1 <br />^ONSTF�U�TIO�' <br />PERMIT <br />❑ COMBINATION fl BUILDING ❑ MECHANICAL <br />PERMIT N0. 1� 1. ' 3 <br />❑ PlUM81NG <br />OWNER MRIL��DRE55 ���� 21P PHONE <br />Fra Club #17C b802 Beverly Blvd. Everett _ 98203 353-2600 <br />ARCM17ECT OR OESIGNER MAIL ADDRE55 (:ILV ZIP PNONE <br />GENER�L GONiR�GTOR MRIL R�DRE55 CITY ZiP PNONE LICENSE � <br />Riverside Roof Co. 2916 State St. Everett _ 98201 °58-4646_RIVERR 30.mo <br />CITV ZIP <br />PLUMBING CONTP�CTOR MAIL ADORE55 GIiY ZIP PNONE LILENSE � <br />❑ NEW � ADDI710N ❑ AL�ERATION fCJ REPAIR O OEMOU710N ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEFT <br />f 9 101 00 -- <br />OESCPIBE WORK <br />Refoof exhhx existing building _ <br />Club <br />LOT__BLCCK_OF <br />6802 Beverly BLvd. <br />PLUMBIN6 <br />�- FIXTURE OH <br />BATMTUB <br />LAVATORY�WA�iM BASIN) <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISMWASHEN <br />LAUNDRYTRAY <br />CLUTHES WASMER _ <br />WATEfi HEATER <br />UR�NAL <br />DRINKING FOUNTAIN <br />FLJOR ORAIN <br />VACUUM BREAKERS <br />FlOOF DRAINS — RA�NLEAIERS <br />muvie[omeF _ RGR FTC. <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />I HEREBY CERTfFY TfiAT I HAVE READ AND EXAMINEO THIS <br />AF'PLICATION AND KNOW THE SAME TO BE TRUF AND <br />FTTACHFOURCOPIES� �ORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOJERNING 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 />LOOCALN LAW REGUOLA'TI�NGSC�ONSTRUOCTHON SORT THE <br />PERFO ANCE OF CONSTRUCTION. <br />�pNp7��jryTR/�TONQRAUTHOR12EDAGENT DRTE <br />, �/..�/.c <br />f�Ci��lt�. � Qi <br />1. ENVIRONMENTAL CHECK UST <br />2. 6UILDING PLANS <br />3. FIRE MYDRANT <br />4. FIRE PRUTECTION SYSTEM_ <br />5. GRADING <br />fi. ORAIM1AGE <br />7.ENVIRONMENTALIMPhCTSTATEMENT . <br />M.M. <br />s <br />S <br />YF:S . MO <br />OCC. <br />TYPE OF E�]UIPMENT <br />AIR COND. UNITS — H.7. EA. <br />REFRIGERATION llN1T5 — M.P. EA. <br />BOILERS — M.P. 6�. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. K EA. <br />WALL HtATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />FVAPORATIVE COOLERS _ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIP HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE e. CHIMNEY <br />FIREPL/10E INSERi <br />HEAT PUMP <br />FEES <br />BUILDING <br />PLUMDING <br />MECMANICAL <br />OTMER <br />PENALTV <br />SUB70TAL f <br />PEflMIT f <br />TOTAL FEE S <br />PLAN CNECK FEE <br />FEE RECEIPT N0. <br />VALUA710N FFE <br />59,101.00 80 50 <br />U.B.C. <br />SEC. 703 �al <br />70TAL � I _= <br />PEPMIT VALIDATION <br />WMEN PROPERLY VALIDATED pN TMIS SPACEI TMIS IS YOUR PERMIT <br />APPq.FORISSUANCE BY <br />L.C. <br />ADDRESS FILF <br />.. .. <br />�� <br />«� -i <br />N 2 <br />m <br />co <br />m� <br />-i c <br />o �3 <br />-r z <br />m� <br />o z <br />C <br />D —1 <br />rx <br />... .. <br />K N <br />�'1 <br />O � <br />�y <br />-r m <br />2 <br />m .-+ <br />N <br />O <br />or <br />�m <br />C N <br />m N <br />z c� <br />�� <br />A <br />A <br />� <br />2 <br />a <br />z <br />-a <br />x <br />.. <br />N <br />z <br />0 <br />--I <br />f'f <br />m <br />