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r- <br /> �. <br /> rhe Eeergrecn C�'�`ST R U CTI�N <br /> qTY OF <br /> everett P�ERMIT <br /> CITY HALL 259�8745 PERMIT N0. 11 G 7 8 <br /> EVERETT.WA g8p01 ❑ COMBINATION g� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O W NEF MAtI ADDPE55 ' <br /> DIARGARET M. RICHARDSON 2315 - 71st Avenue Everett lVA 98205 ^E334-3844 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS ��JY <br /> Z�P CMONE <br /> GEN[RALfANTRA�TOR MAILADORE55 CILY 21P <br /> PHONE IICENSE� <br /> wner <br /> MECNANICAL CONTNppTOR MAq ADDNESS CITY <br /> Z�P PNONE LiGENSE I � <br /> r <br /> � FLUMBING CANTPA�TON MAIL pDDNESS - � <br /> pTY ZIP PNONE LICf��SE I <br /> ClASS OF WOAK <br /> ❑NEW ❑ADDITION �]ALTERATION ❑REPAIR ❑DEMOU710N ❑FENCE ❑SIGN ❑GARAGE � <br /> VAIUATION OF WORR <br /> f 1��. <br /> DESCRIBE WORK <br /> Adding door <br /> �pOPOSED USE OF BUILDING I <br /> Off ice SpHCC I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> L[GALOESCHIPiIONOFPROPERiY�5H0V:BELOWORRTTACNPOUflCA�lES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ior 11-1�i� 6K 76 oF plat of fiverett D1V 3 ALL PROVISIONS OF LAWS AND ORDI��ANC[S GOVERNING THIS <br /> TYPE OF V✓ORK WILL BE COMPLIED WITH WHETHEF SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISInNS OF ANY OTHER STATE OR LOCAL LAW REGUTAT;NG <br /> CONSTRUCTION OH THE PERFORMANCE CP CONSTRUCTION. <br /> JOBFDDRE55 SIGNAIUP[OfCONiqq�tUR09AUjHORIZE�AGENT pATE <br /> 2931 - ?.939 Bond X'�y „ �,n .-.� 4/6/83 <br /> PLUMBIN6 MECHANI L <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR fAND UNITS—N.R EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORV�WASH BASIN� �OILERS—H P.EA. <br /> SHOWER GAS FlRFD A.C.UNITS—TONNAGE EA. <br /> KITCHtt!SINK 8 DISR FORCEO Alf�SVSTEMS—8 T.U. M EA. <br /> DISHWASNER WAIL HEATERS—B.T.U. M <br /> LAUNDRV Tfl'-�' UMT HEATEFS—�.T.U. M <br /> CLOTHES WASNER EVAf'0l7AiWE COOLERS <br /> \NATER HEATER CLOTHES�RVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUIITAIN RANGE HOOD <br /> FLOOR URAIN AIP HANDLING UNIT— C.EM. <br /> VACUUM�REAKERS STOVE <br /> POCF CRMNS—RAINLEADERS METAL FIREP�qCE&CHIMNEY <br /> SINK�SERVICE—BAR,ETCJ <br /> SUBTOTAL SUB TOTAL { <br /> y _ PEAMIT S FERMIT S <br /> TOYAL FEE f TOTAL iEE f <br /> SIDE VARD SETBACK STNtCTSET�ACK REPRVARD SETBACK PLAN CHECK NUMBER PLAN CHECH FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LJT AfiEA VFCANT SITE <br /> 17YE5 ❑NO FEES VAI.UATION FEE <br /> TVPE OF CANST. OCCUPANCV GROUP N0.OF DWELIING UNITS <br /> BUILDING E lOO. LO OO <br /> 52E OF BLDG. NO.OF STORIES MAX.UCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FINE SPRII:KLERS <br /> REOUIRED MECHANICAL � <br /> L , Ci1'ES [lN0 <br /> APPROVALS BV DATE OTHER <br /> L ENVIRONMENTALCHECNLIST <br /> PENALTY UB.C. <br /> 2. BUILDING PLANS SEG.303�al <br />� 3. FIRE HypRANT TOTAL <br /> 1� �� <br /> I 4. FIRE PP.OTECTION SYSTEM PERMIT VALIDATION <br /> (y 5. GFAUIWG WHEN opOPERLY VALIDATED(IN TMIS FPACE)THIS 15 VOUR P[RMIT <br /> I 6. DRAIIJAGE . � <br />' L ENVIRONMENiAL IMPACT 6TATEMENT 5 3 91 S O � O.O O � �' <br /> 6. HEALTH DISTRICT r+ <br />,� APPLICATION ACC.BV PLANS CHECKED DV APPR.FOR ISSUANCG BV ' YO U 2 �e C E f PT <br /> H�vnf TF-iANK YOU <br /> ADDRE55 FILE <br /> - ti et� R� <br />� � � <br />