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� <br /> d�cL�rerxrern �-- �OR1�i�RUCTl� � 1 <br /> arv oF � � <br /> everett F�ERMIT PERMIT N0. 14110 <br /> CITY MALL 259�8745 <br /> EVERETT,WA 98201 � COMBINATION L� BUILDING ❑ MECHANICAL ❑ PLUMBiNG <br /> OWNEN MAIL A�ORE55 CIiY 2iP PNONE <br /> Catholic Community Services 1410 Broadway Everett 259-9188 <br /> RRGMITEGT OF DESIGHEP MRIL AD�RE55 GTY ZIP PHONE ` <br /> I � <br /> GENERALGONTRAGiOR MAILPD�RESS CITY ZIP PNONE LICENSEN <br /> Mel Forrey 7532 Lower Ridqe Road Everett 98203 353-4659 <br /> MEGHRNIGRL CONiPRGTOR MAIL AODRESS CITY ZIP PMDNE LICENSE X <br /> FORREMJ322L4 <br /> ' PWMBING fANTPALTOR MAIL ADORE55 CITY ZIP VMONE LICENSE N <br /> ( <br /> GLF55 OF WOHK <br /> O NEW ❑ ADDI710N �ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOYEIFIREPLACE INSERT <br /> WLUATION OF WONK <br /> S 5�50�.�� <br /> pESCRiBE WORN <br /> Interior rem�del . <br /> PROPOSED USE OF 9UILDiNG <br /> O£fice I IIEREBY CERTIFY TNAT I HAVE READ ANIJ EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESC91PfIONOFPROPENTY�SMOWbELOWORATiACHFOUFCOVIE51 CORRECT. ALL PROVISIONS OF LAWS Pl�D ORDINANG[S <br /> �i'Z�-�.ocK 288 ov P�wers 2t.d GOVERNING THIS TYPE OF WORK WILL BE COMPUED 1NITH <br /> WHETHCR SPECIFIED HERE�N OR NOT.iHE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAI E <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPT[ CR <br /> LOCAL LAW REGULATWG CONSTRUCTION OR THE <br /> PERFORNANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNfQUR[OF COY FPGiOR B AUTHORIZED AGENT � �AT- <br /> 141� Broadway X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. ?YPE OF EOUIPME T FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.R EA, _ <br /> BATIiTUB REFRIGEFATION UNITS— H.P. EA. <br /> LAVA��ORY(WASHBASIN) B04EF5 — H.P. EA. <br /> SHOWEF GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KITCMEN SINK 8 DIS�. FOP.CED AIR SVSTEMS— 9.T.U. M EA. <br /> DISHWASHER WALL HFATERS— B.T.U. M <br /> LAUNDPY TRAY UNIT HEA�ERS— B T.U. M <br /> CLOiHES WASNER EVAPORATIVE COOLERS <br /> WATERIIEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> PRIIJKING FUUNTAIN RANGE MOOD _ <br /> FLOOR DRPIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— flAINLEAC cR5 METAL FIREPLACE 8 CMIMNEY <br /> SINK(SERVICE -- OAfi. ETG) FIREPLACE INSERT <br /> HEAT PUMP _ <br /> SUO TOTAL 3 SUBTO7AL f <br /> PERMIT f PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARD SETBACK STREET SE79ACK REAR VARD SETBACK PLAN CHECK NL'MOER PLAN CNEGK FEE <br /> N�p 8Q�1411� FEE 36.�3 fiECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE LSS� _ <br /> B—Z N/A r;vEs �j(O FEES VALUATION FEE <br /> TVPE OF CONSi. UCCUPANCV GROJP NO.OF DWELLING UNITS <br /> V-n B-2 � BUILDING E 5500. 56 50 <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCG LOAD -- <br /> 1 jo PLUMBiNG <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> HEOUIRED <br /> YES NO <br /> APPROVA�S �7Y DAIE OLHER � <br /> ' t ENVIRONMENTAL CHECK LIST _ PENALTY EEC 307(a) S6 SO_ <br /> 2.Bl11LDING PLANS <br /> TOTAL 113 l�� <br /> 3.FIRE HYDRANT <br /> <.FIRE PROTECTION SYSTEM PERMIi VALIDATION <br /> 5,GRADING WHLN PROPFRLV VALIDATED�IN TMIS.SPA�E�THIS IS V UR PERMIT � <br /> P; - ,j., <br /> 6.DRAINAGE � <br /> ' LENVIRONMENTALIMPACTSTATEMENT _ � � <br /> 8.HEALTM DISTflICT �. ' '��r '� <br /> �PPLICATION ACC.BY PLANS CHECKEO BV APPR.FOfl ISSUANCE BY � <br /> � <br /> JEF <br /> ,aoor:r:�._ ra� <br />