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�r -� <br /> lhelrerRrcen �aNSTRUCTIOfV � - <br /> Cliv OF � <br /> everett PERMIT � <br /> PERMIT NO. ZO573 <br /> CITY HALL 259�0745 <br /> EVERETT.WA 98201 ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> Ov�NF.R MARI.DDRE55 Giiv ZiP CNOrvt <br /> Ray Tretwold 1619 Broadway Everett 98201 252-5263 <br /> iqCNiTECT OP DESiGNEA MAIL RDDRE55 Giv Zb' PNONE <br /> GCNEBAL CAN1RAGi0R MAR ADDRLSS CITY ZIP FMONE I�CCNSE/ <br /> � Same � <br /> MECHANiCALfANiPACTOR MFILFDURE55 diV ZIP PHONE IICENSE� <br /> PlUA1BINGCANTPACTOR MhILA0DHL55 , CITY 21P MONE �ICENSE� <br /> CtA55 OF WOFK <br /> ❑NEW ❑ADDITION ❑ALTERATION �fiEPA1R ❑DEMOLITION ❑FENCE ❑SIGN ❑GARP.GE <br /> YALUATION OF WORK j -- <br /> S 30�. 0� <br /> OESGRiBE WORK <br /> repair Marquee <br /> PROMSEO USE OF BURDING � <br /> restaurant I HER[BY CERTIFY THAT I HAVE RF:AD AND EXAMINED THIS AP� <br /> �¢�a�oescaivrior+ovPnoaearrisNowee�owoannacHFovacoaiEsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 10—N 17' 11 335 Everett Div. N ALL PROVISIONS OF LAWS AND OFiDINAN�ES GOVERNING THIS <br /> �or eioc�oF TYPE OF WORK WILL DE 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 /> CONSTRUCTION OR THE PERPORMANCE OF CONSTRUCTION. <br /> SIG11AiUR60 CiORORAUiHOFIZF > CNi D41f <br /> JO:+AD�R[55 <br /> 1619 Broadway X 5/20/82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUfPMENT FEE <br /> WAiER C GSET(iOILEn AIR CQND.UNITS—N P.Ei <br /> BATHNE PEFRIGLRATION UNITS—HP EA <br /> LFVATORY(WASH BASIN) BOILER$—HP.EA. <br /> SHOWEF GAS FlRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK;DISP. FORCED AIR SVSTEMS—BT.U. M EA. <br /> DISH\NASNER WALL HEATERS—DT.U. M <br /> LAUNOP�iRAY UNITHEATERS—BT.U. M <br /> CLOiHES WAShLF EVAPORATNE COOLERS <br /> WATER N[ATER CLOTHES DRYERS _ <br /> URINAL VEWTILA710N FAN <br /> DRINKING FOUNTAIN ' RANG[HOOD <br /> FLOOR DPAIN AIR HANDI.ING UNI7— C.FM. <br /> VACUUM BR[AKEflS STOVE <br /> ROOF DNAINS—RAINLEADERS METAL PIREPLACE&CHIk1NEV <br /> SINK(SERVICE—BAR,EiC) <br /> � SUBTOTAL SUBTOTAL f <br /> P¢RMIT S PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBEP PLAN CHECK FEE <br /> FE[ RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE 8 Z�1 O S�$ 6. S O S��B 1 <br /> LIYES ❑NO FEES VALUATION FEE <br /> NPL OF CONSL OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V—N Alt.—Rep B-2 pUILDING �300. 10 00 <br /> SIZE OF BLDG NO.OF STCFIES MAX.OCC.LOAD <br /> •� PLUMBING � <br /> L- FlRE ZONE BASEMEk� qEpUIREO KLERS MECHANICA� <br /> I�l'ES IlNO <br /> APPROVALS BY DATE OTHER <br /> 1. f:NVIRONMENTAL CHECK LIST pEryq�ry U.B G. I <br /> SEC.303fa� , <br /> 2. BUILDINGPIANS LO OO <br /> 70TAL � <br /> 3. FIRE NVDRANT <br /> ` d. FlRE PROT[CTION SYSTEM PEHMIT VALIDATION <br /> _ WHEN PROPERLV VAUDATED pN THIS SNl�F��11�'S YO�f7�E��T 0 II ��.��- <br /> 5. GRADING [ 2S U � x Y V <br /> 6. DRAINAGE � � �, <br /> 7. ENVIRONMENTALIMPACTSTATEMENT ��p� R RECEIP�' <br /> B. HEALTH DISTRICT T�� /�� <br /> APPLIGATION ACC.BV PLANS CMIiCKED 8V APPR FOR ISSUANCE BY ,p F.4i��K Y O�� <br /> i <br /> HWM ' �..7"' r . . <br /> ' } Onar 8� <br /> ADDRE55 FILE --. � <br />