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� <br /> �he£rergrern �^ONSTRUCTION � " <br /> GTV OF <br /> everett PERMIT pERMIT NO. 1O34Z <br /> CITY HALL 259�8745 <br /> EVERETi,WA sazoi ❑ COM8INATION I�BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> CWNEF MRILADDHE55 piY ZIP %10NE <br /> Nioryan Sartlett 5902 268th N.W. Stanwood 98292 659-9714 <br /> ARLHIiECT OR DESiGNER AUIL AODRE55 CIiY 21P PHONE <br /> GENERAI CONTRALiOR MAI�AODPE55 GITY 21C PHONE LICENSE 1 <br /> Same <br /> M[CNANICAICONTRACTOR MAILA�DPESS CITV 21P PMONE LIGENSE/ <br /> PIUMBMG fANTR1CTOR MAI�ADCFE55 CITY 2iP PMONE IICENSE/ <br /> ClA55OF WORK <br /> ❑NEW ❑ADDITION �1YLTERATION ❑REPAIP ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUFTiON OP IVORK <br /> s 300. 00 <br /> OESCRIBE WORK <br /> interior remodel <br /> PROPOSED USE OF BUIt01NG <br /> re tai 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAlUESCRI�'ONOFPROPERTYISNOWOELOWORATiACNFOIIRCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 8-N�i 9 238 Broadway Land Co. ' S ls ALL PROVISIONS OF IAWS AND OFDINANCES GOVERNING THIS <br /> �or e�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CO RUCTI OR T PERFORMANCE OF CONSTRUCTION. <br /> :OBADDRE55 5� NAi F RA H ORiZLDRGENT DATE <br /> 12154 Broadway 3 22/82 <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE k0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� AIR CqND.UNITS—H.P.EA. <br /> BA7HiU8 REPNIGERATION UNITS—H P.EA <br /> LAVATORV IWASH BASIN� BOILERS—H.P.EA. <br /> SNOWEH GAS FIPED A.C.UNITS—TONNAGE EA. <br /> KITGHEN SINK B DISP. FOHCED AIR SYSTEMS—B T.U. M EA. <br /> DISMWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE CAOLERS <br /> WATEF HFi1TER CLOTHES�RYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— CF M. <br /> VACUUM BREAKERS STOV[ <br /> ROOF DRAINS—RAINLEADERS METAL FIREPUICE 8 CMIMNEY <br /> SINK(SERVICE—BAR.ETC.) _ <br /> SUB TOTAL SUBTOTAL f <br /> PEHMIT T PERMIi f <br /> TOTAL FCE f 70TAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> F[E RECEI?i NO. <br /> USE ZONE �O7 AREA VACAN7 SI7E <br /> OYES ❑NO FEES VALUATI�N FEE <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> SIZEOFBLOG. NO.OFSTORIES MAX.00C.LOAD BUILDING $ 900. 00 lO OO <br /> PLUM8ING <br /> FIPE 20NE BASEMENT FIRE SPRINKLERS <br /> PEOUIRED MECHANICAL <br /> IlYES ❑NO <br /> APPROVALS BY DATE �THER <br /> 1. ENVIRONMENTALCHECKL15T PENA�T� U.BC. <br /> SEC.303(al <br /> ?. OUILDIMG PLANS <br /> 3. FIRE NYORANT TOTAL 10 00 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PPOPERLY VALIDATED(IN TMIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING <br /> N <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTAI IMPACT STATEMENT O 2 I I � O I O. O O � <br /> 8. NEALTH DISTRICT <br /> � <br /> APPUCATION ACG DY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> s.w. l���l� � REC[IPT <br /> 7HANK YOU <br /> ADDRESS FILE <br />