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'r �1 <br />� d�e E��er�rcrn 1 <br /> e�eret� � CO�NSTRUCTIO� <br /> PERMIT PERMIT N0. 12512 <br /> CITY MALL 259�8745 <br /> EVERETf,WA9B201 �] COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOCRE55 CIiY 21P �MONE <br /> Don White Bookkeeping 1624 Br�adway Everett 98201 259-9126 <br /> ARGMITECT OR DESIGNER MAIL AODRE55 CITY IIP PMONE <br /> OENERAL GONTRAGTON MAIL ADORESS Cltt LP PNONE LICENSE� <br /> Jay's Builders P.O. Bcx 1051 Everett 98206 259-7070 � <br /> � MECMRNICALCONTRACTOR MAILAD]PE55 LITV ZIP PHOUE LIGENSE� <br /> JAYSBR193RA <br /> PLUTABING CANTRACTOR MAIL AOJiiESS CITY 21P PMONE LILENS[r <br /> CLASS OF WORN <br />. ❑NEW �ADOI710N ❑ ALTERATIUN ❑REPAIP O DEMOLITION ❑ FENCE ❑ SI(iN ❑ WOOD SiOVFJFIREPLACE INSER7 <br /> VRLUATION OF WORK <br /> S 8�000.00 <br /> DESCHIfiE WORK <br /> Construct storeroo�i to existing building <br />' PPOPOSED USE OF BUII�ING <br /> 1 HE9EBY CERiIFY THAT I HAVE READ AND EXAMINED THIS <br /> �omnercial APPLICATIO�� AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESGRIFTIONOFPROPEiiTY�tiMOWOELOWORATfACMFOUPCOPtES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />� GOVERNIN3 THIS TYPE OF WORK WILL BE COMPLIED WI�H <br /> �or_o�ocK_oF �iHETHER SPECIFIED HEREIN OP NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIULATE <br /> OR CANCEL THE PROVISIONS OF AN'Y OTHER STP7E OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br />� PERFORMANCE F CONSTRUCTION. <br /> JOB 40DRE55 SIGNAT OF NTRA TO AUTMORIZEO AGENT / / OATE <br /> 1624 Broada•sy X /O�`� �� <br /> I � PLUMBING MECH ICAL <br />� Y0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEN i FEE <br />� WA7ERCLOSET(TO�,LE7) AIR COND.UNI75 — H.P. EA. <br />' BA7HTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASINI BOILERS— H.P. EA. <br /> I� SHOWER GA3 FIRE�A.Q UNIiS—TONNAGE EA. <br />' KITCHEN SINK d DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br />' �ISHWASHEFi WALL HEATERS— B.T.U. M <br />� LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> I'I CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEA7ER CLOTHES DRYER° <br />� URINAI VENTILATION FAN <br /> OFINKING FOUNTAIN PANGE HOOD <br /> IFLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br />, VACUUM BPEAKERS STOVE—WOOD <br /> ROOF DRAINS— FAINLEAOERS METAL FIREPLACE 6 CHIMNEV _ <br /> F SINK(SEFV!C[ — BAR,ETQ) FIREPLACE WSERT <br />� HE4T PUMP <br /> I — <br /> i' y <br /> I SUB TOTAL i SUB TOTAL S <br />� PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SE7BAGK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 83/12470 FEE 44.53 64,�E��EIPT NO. <br /> USE ZONE LOT AFEA VACANT SITE FEES VAIUATION FEE <br /> �:VES CNO <br /> TYPE OF CONST. OCGUPANCY GfiOUP NO.OF DWELLING UNITS <br /> BUILDING s 8,000. 68 50 , <br /> � SIZE OF BLDG. NO.OF STOFiIES MAX.OCC.LOAD — _— "�� <br /> PLUMBING <br /> FIREZONE BASEMENT REOUSRED KLERS MECHANICAL <br /> �.�.YES : NO <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.6.C. <br /> SEC.J03 Ia) <br /> 2.BUILDING PLANS TOTAL 68 50 <br /> �+ 3.FIREHYDRANT <br /> 4.FIRE PROTECTION SVSI"EM PEflM1T VALII'iATION <br /> G.GRADING WMEN PROPERIY VALIOATED pN TFif�6f'46E�TNI�Ipvplpi.f�Ef�AIT � <br /> b � U U 0 J U <br /> 6.DRAINAGE Ln <br /> 7.ENVIRONMENTALIMPAl:TS7ATEMENT N <br /> B.HEALTM DISTRICT Y 7 �� f� R EC E I PT � <br /> APPLICA710N ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ' �'t.^N K YO U <br /> STG D� � <br /> -�--- - 6 �t 8 S <br /> ADDRE55 FIIE � <br />