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� � <br /> - � <br /> �he Ecertireen ; �O N ST R U CT I O P' I <br /> c v G�' <br /> ev�rett PERMIT PERMIT NO. 157 �5 ' <br /> CITY MALL 259E745 <br /> EVERETT.WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> Q,yNEq MALL ADDRESS CITY ZIP VHONE <br /> John Poyser 4931 State Rd 92 Lake Stevens 98258 339-1570 <br /> APGNIiEGi OR DESIGNEH MAIL ADDFESS GTY 2iP PHONE <br /> GENERALCONTRAGtOR �+FILAUDRE55 CITY ZIP PHONf LICE�3EM � <br /> MEGHRNICFL CONTNAGTOR MAIL ADDRE55 CITY ZIP PHONE LIGENSE M <br /> ��Ty 21P PMONE ULENSE� � <br /> PLUMBING GONTRALTOR MAIL ADDRE55 i <br /> GLA55OF WORK <br /> ❑ryEW ❑ ADDITION ❑ ALTERATION ❑REPAIF �(DEMOLITION ❑ fENCE O SIGN ❑ WOUD STOVEIFIREPLACE INSER7 <br /> VPIUAiION OF WORK <br /> s _ I <br /> DESGPIBE WORN <br /> Remove garage <br /> PPOPOSF�USEOf BUIL�iNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> qPPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCNIPTIDNOFPNOPEFTYISMOWBELOWORATTACHFOURGOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES ZO <br /> 11 & 12 Z87 Hiltons Second Addition :o GOVERNING THIS TYPE OF WORK WILL BE CGMPLIED WITH � <br /> �or_e�ocrc_oF - WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A '-' <br /> Everett PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE m <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STAI'E OR <br /> LOCAL LAW REGULAT ONSTRUCTION OR THE ,,,, <br /> PERFO ANCE F CO TRUCT ON. -� '� <br /> JOB RD�RESS SIGNATUPE F GONTR C R OR AUTMOR12 AGENT DATE �„� � <br /> Vf 2 <br /> 1421 Sroadway X 11/21/85 o m <br /> PLUMBINQ MECHANICAL m o <br /> FEE � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT o 3 <br /> WATERCLOSETITOILET) AIR COND.UNITS- H.P. EA. � _ . <br /> BATHTUB REFIiIGERATION UNITS- H.P. EA. m '-� <br /> LAVATORY�WASH BASIN� BOILERS- M.P.EA. Q Z <br /> SMOWEF GAS FIRED A.C.UNITS- TONNAGF EA. C � <br /> KITCMEN SINK 8�ISP. FOPCED AIR SYSTEMS- 8?.U. M EA. _ � M <br /> DISHWASMER WALL HEATERS- B.T.U. M -� N <br /> K <br /> LAUNDRY TRAV UNIT MEATERS— B.T.U. M � <br /> CLOTNES WASMER EVhPORATIVE COOLERS � � <br /> CLOTHES DRVERS � m <br /> WATER HEA7ER — m M <br /> URINAL VENTILATION FAN N � <br /> ORINKING FOUNTAIN RANGE MOOD O r <br /> FLOOR DRAIN AIH HANDLING UNIT - C.F.M. C N <br /> STOVE -WOOD � <br /> VACUUM BREAKERS m <br /> ROOF DRAINS- RAINLEADERS MI:TAL FIREPLACE 8 CHIMNEY Z n <br /> .� m <br /> SINK�SERVICE - BAR.ETC.) FIREPLACEINSER7 n <br /> HEAT PUMP � <br /> 1 <br /> 2 <br /> a <br /> z <br /> -i <br /> SUB TO7AL f SUB TOTAL f � <br /> PEPMIT S PERMIi : � <br /> TO7Al FEE S TOIAL FEE 3 O <br /> SIDE YARD SETBACK STREET SE79ACK REAR YARD SETBACK PLAN GHECK NUMBER PLAN CHECK FEE -� . <br /> FEE RECEIPT NO. �j , <br /> m <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> �. �.YES "-.NO <br /> TYPE OF CONST. OCCUPANCY GROUP F0.OF DWELLING UNITS _ <br /> BWLDING S - O - - 0 <br /> SIZE OP BLDG. N0.OF STORIES MAX.OCC.lOAD � <br /> PLUMBING ._ <br /> FIREZONE BASEMENT REOUSRED KLERS MECHANICAL <br /> vES : .NO <br /> APPROVALS 6V DATE <br /> OTHER <br /> U.B.C. <br /> 1.ENVIRONMENTAL CMECK LISf PENALTY SEC.J0�(a) <br /> 2.BUILDING PLANS TO7AL ' � <br /> J.FIRE HYDR�NT <br /> 4.FIHE PROTECTION SYSTEM PERMIT VALIOATION <br /> WMEN PROPERLV VALI�ATED�1N THISrSPJ�GFj,TMIS I�`{Q�iRE�T ___.. � <br /> 5.GRADING � � � � �) �� �� .� <br /> G.ORAINAGE ��"' <br /> LENVIRONMENTALIMPACTSTATEMENT ���� <br /> i <br /> B.MEALTN�ISTflICT , ,. I. . �•--����� �� ' <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> . �. � . . .. �j �-•� I� <br /> M.M. <br /> / � I,li U J <br /> ADDRESS f-ILE <br />