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� <br />. 1he L�rrrtr�er, <br /> ca�vsrRucric �v <br /> everett o <br /> cirv Hai.�2ss.e�as <br /> PERMiT PERMIT NO. 13 � 33 <br /> EveaerT,wn 9ezoi ❑ COMBINATION �C BUILDING �i MECHANICAL ❑ PLUIIfiF31NG <br /> OWNER M4ILADDNE55 QiY Z�P GMOYE <br /> Arco 1802 Broadway �erett 98201 <br /> � ARCMRECT OR OESIGNER MAIL ADDRE55 CITY ZIP PMpNE <br /> GENER�L C� �fl4GTOF MRIL ApDRE55 CITY ZIP PMONE IIGENSE I <br /> Henth N.W. Znc. 11605 N.E. 116th Kirkland 98034 623-3100 <br /> MEGXANiGqL fANTRACTOF MRIL ADDRESS GItY IIP PHONE tICENSE♦ <br />� HEATHt1*330R7 <br /> PIUMBINCa CONTRRGTON MRIL ApDRE55 GTY ZIP PNONE LICENSE• <br />�' ~I <br /> CU55OF WORN <br /> O NEW ❑ADDITION ❑ ALTERATION ❑HEPAIR ❑ DEMOLI710N O FENCE �}61GN ❑ WOOD STOVFIF�REPLACE INSEq7 <br /> VNLUATION OF WORN <br /> _ �.rJ�O.�� <br /> �ESCRIBF WORN <br /> install eigne ' Zlluminated <br /> PROPUSED USE OF BWLDIY6 <br /> i HEREBY CERTIFY ThAT I FIAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESGRIFt10NOFPpOPEFTY�SHOWBELOWORATiACMFOURfAPIES) CORRECT. ALL PROVISIONS OF LAVJS AND ORDINANCES <br /> LOT_BLpCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHEH STATE OR <br /> � LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> J09 n00AE55 SiGNAi OF CONiRACTOP OR AUiH IZCD AGE pniE <br /> 1802 Broadway X • � <br /> PLUMdING MECHANICAL <br /> NO. T�PE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> INATER CLOSET(TOILET) AIR CON[].UNITS— M.P. EA. <br /> BATHTUB qEFRIGERATION UNITS— H.P. EA. <br /> LAVATORV(WASMBASIN) BOILERS — M.P. EA. <br /> SMOWER GAS FIRED A.C. UNITS— TONNl.GE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> OISHWASHER WALL MEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT NEATERS— B.T.U. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> WATER NEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DkINKING FOUNTAIN RANGE NOOD <br /> FLOOR DRAIN q�q HANDLING UNIT— QP.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS — RAWLEADEPS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE— BRR, ETCJ FIREPI.,CCE INSERi <br /> MEAT PUMP <br /> SUB TO7AL f SUB TOTAL f <br /> PEFMIi E PERMIi S <br /> iOTAL FE� f TOTAL FEE f <br /> SIDEYARD SETBACK STREET SETBhCK REAH VARD SETBACK PLAN CMECN NUMBER PLAN CMECK FEE <br /> (EE RECEIPT NO. <br /> USE ZONE LOT AREA VACRNT SITE <br /> . .YES - NO FEES VALUATION FEE <br /> 7rPE OF CONST. OCCUPANCY GROUP NO.OF DWEIIRIG UNITS <br /> eUILDING f 1500. 9 00 <br /> SIZE OF BLDG. NO. OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> fIFEZONE BASEMENf FIRE SPRINKLERS MECHANICAL <br /> REOUIREO <br /> VES NO <br /> � <br /> ` APPROVALS BY DATE OTHER <br /> 1.ENVIFONMENTA!.CHECK LIST U B C. <br /> . PENALTY SEC.3031e) <br /> 2.BUILDINfi PLANS <br /> 3.FIRE HVDRANT TOTAL 9 OO <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN TM)S SPACE)THIS IS VOU�i PERMIT (� <br /> 6.OR�INAGE ' n � . • . n ��� ..—' � <br /> � � <br /> 7.EN\'IRONM_nTALIMPAGTSTATEMENT _ r_ <br /> B.HEALTH OISTRICT <br /> APPLICATION ACC. BV PLANS CHECNED BV APPR. FOF!ISSUANGE ftV � ��` � � i � � <br /> � �/� , <br /> nonr>ess Fu� <br />