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nc� Hrnc�crn � CO N ST'R l;CT'�� <br /> evere�t PERMIT PERMIT NO. 1��z� <br /> C1iY HALL 15487d5 <br /> eveFerr,vaa yeao� ❑ COMBINATIOY XyG BUILDING r MECHANICAL ❑ PLUMBING <br /> OWNEA MhIL ADORE55 LITV LP PNONE <br /> K 6 H Frinters 1631 Broadway Everett 98201 __ <br /> ARCM�TECT OR DCS�iNER NPR ADDRE55 CITY 2�v GMONE <br /> GENF.AAL GOHiRACTOfl MAII ApORE55 GITY ZiP PMONE LICENSE I <br /> Tube Art Signs 2719 Maple Street Everett 98201 <br /> MA�L AGORESS CITY 21P PMONE LIGENSE�� <br /> MEGM4NICA�GONTR�CTOR TUBE ASI LCL �BM <br /> PLUMBING CONTFRGTOR MAIL RDDRE55 CITY ZIP PHONE LiGENSE• <br /> GUSSOF WOAN <br /> O NEW ❑ ADDITION ❑ ALTERATION O REPAIR O DEMOLITION ❑ PENCE �SIGN ❑ WOOD S70VE/FIREPLAGE INSE <br /> VALl/�T10N OF YJORIt <br /> : 3ioo.00 <br /> DESCRIBE WORN <br /> Install illuminated sign <br /> vROPO5E9 USEOF BUILDING I HEREBY CERTIFY THAT 1 HAVE PEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND Z <br /> LEWLOESCRIWIONOFPNOPEFTY�SHOWBELOWORIITTRCMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WCRK WILL BE COMPLIED WITH � <br /> LOT_BI.OLK_OF WH[THER SPECIFIED HEREIN OR NOT.THE GRANTING OF A c� <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE �^ <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW RE.GULATING CONSTRUCTION OR THE � � <br /> PERFORMANCE OF CONSTRUCTION. � � <br /> JOB PO�RESS uIGNATUR F CONiRnGTO OR A ED AGENi �A N m <br /> 1631 Broadway ' � � � / ' c o <br /> PLUMBIN6 MECHANICAL m� <br /> N0. TYPE '- FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE o m <br /> NATERCLOSET�TOILEn A�A COND.UNITS - H.P. EA. <br /> ' REFRIGERATION UNITS - H.P.EA. � <br /> BATHTUB m � <br /> LAVATORY'WASH BASIN) BOIIEFS- N.P. EA. .p Z <br /> GAS FIRED A.C.UNITS-T�NNAGE EA C <br /> SHOWER fa- S <br /> KITCNEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. .. .. <br /> WALL HEATEf75- B.TL. M --f N <br /> DISHWASHEFI � <br /> UNIT HEATERS- B T.U. M � <br /> LAUNDRV TRPY � 3 <br /> CLOTHES WASHER EVAPORATIVE COOIERS <br /> CLOTHES DRYERS 2 m <br /> WATER MEATEii I+1 �-+ <br /> VENTILATION FAN N <br /> URINAL O <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT- C.F.M. O m <br /> C N <br /> FLOOR DRAIN 3 N <br /> VACUUM BREAKERS STOVE -W�OD <br /> METAL FIREPLACE 8 CHIMNEV Z n <br /> ROOF DRAINS- RAINLEADERS � fr*I <br /> SINK�SERVICE- B�1R.ETC.) FIREPLAGE INSERT Y <br /> A <br /> HEAT PUMP <br /> �--I <br /> ' S <br /> a <br /> z <br /> —� <br /> _ M <br /> SUB TOTAL i SUBTOTAL f � <br /> PERMIT f <br /> VEHMIT f z <br /> 70TAL FEE S TOTALFEE f p <br /> PLAN CHECK PEE � <br /> SIpE YARD SETBACK STREET SETBAGK REAR YARD SETBACK PLAN CHECK NUMeER RECEIPT NO. n <br /> F[E m <br /> USE ZUNE LOT AREA VAGANT SITE FEES VALUATION FEE <br /> I.YES NO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 53100. 15 00 <br /> SIZE OF BLDG. �O.OF STORIES MAx.OCC. LOAD pLUMBING <br /> FIREZONE BASEMENT FIRESPRINNLERS MECMANICAL <br /> REOUIRED <br /> YES NO <br /> BY OATE OTHER <br /> APPROVALS U.B.G. <br /> 1.ENVIRONMENTAL CHECK UST PENALTY SEC.3031a) <br /> 2.BUILDING PLANS T�tp� 15 QO <br /> 3.FIRE HVDRANT <br /> a.FIRE PROTEC710N SVSTEM PERMIT VALIDRTION <br /> WHEN PROPERLV VALIDATED IIN THI�S('t��J THIS ��{O��F�MVT_i` � <br /> !i.GRAUING I I Y �J tl 'J <br /> 5.DRAINAGE + -� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT ��� <br /> 8.HEALTM DISTRICT �. . � ' �- ' I � � ' <br /> APPLICATION ACC. BV PLP.HS CHECKED BY APPR. FOR ISSUANCE DY , <br /> �, �.. . .. . .. ' I <br /> ,i I ilii U% <br /> ADDRESS HLE <br />