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t <br /> �,: <br /> ;he£rrr.�reen <br /> ��-, �° r� �-CO(�STRUCTiv'' - <br /> everett PERMIT PERMIT N0. 1307� <br /> CITY MALL 259�B7d5 <br /> EVERETT,WA98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYfNER MRILAD�RE55 GITV ZIP VMONE <br /> STEVEN 6RIFFIN 1821 Broadway Ever * We aa�n1 �q 7 qF <br /> ARCNiTEGT OR DESIGNEP MAiL AOOPE55 GTY pIP PMONE <br /> GEHERnL GONTRApTON MAIL AD�RE55 GITY 21P PNONE LICENSE� <br /> OWNER <br /> MECMANIGAL CONTRACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE N <br /> PLUMBING CONTflACTOR MAIL RDORESS GITY ZIP PMONE L�:�ENSE� <br /> CLAS.,OF WORK <br /> O NEW KJ�ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WO00 STOVE/FIREPLA�E INSERT <br /> VAIUnTIpN OF WORK <br /> f ��f0�0. <br /> OESCRI9E WOHN <br /> Security wall , roof <br /> PROPOSED USE OF BUILOING <br /> $tOrage I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO 8E TRUE AND <br /> �EGRLOESGHIPTIONOFPROPERTY�SHOWBELOIYONATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or��e�ocK363 oF EVe1'0tt"N" OXCB lt N GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 6'71" thereof PERMITOOESNOTPRESUMETOCIVEAUTHORITYTOVIOLATE <br /> OR CANCEL THE PROVISIONS �F ANY OTHER STATE OR <br /> LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB A�DRESS SIGNITURE OF CONTRAGTOR OR AUiMOFIZED AGENT DAtE <br /> 1821 Broadway X 3 8 84 <br /> PLUM6ING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WPiERCLOSET�TOILEn AIR COND. UNIiS — H,P. EA. <br /> BAiMTUB qEFRIGERA710N UNITS— H.P. EA. <br /> LAVATORY(VJASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— 70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCEO AIR SVSTEMS— B.T.U. M EA. <br /> DISMWASHER WALL HEATERS— B.T.U. M <br /> LAUN�RV TRAY UNIT MEATERS— B.T.II. M <br /> CLOTHES N'ASHER EVAPORA7IVE COOLERS <br /> WATER HEATER CLOTNES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEV <br /> SINK(SERVICE— BAF, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB 70TAL S <br /> PERMIT S PERMIT S <br /> 70TA1 FEE f TOTAL FEE S <br /> SIPE YARD SETBACK STREEiSETBACK REAf1YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 84/13071 FEE g� _33 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE ]{�]_� <br /> . VES �_.NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S 20.000 00 190 SO <br /> S�ZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMDING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> VES .NO — <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONMENTAL CMECK LIST PENALTY U.2.C. <br /> 2.BUILDING PLANS SEC.3031a1 <br /> 3.FIRE MVDRANT TOTAL <br />, 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 6.DRA NIAGE �NH[N PROFEFLV VALIDATEO QN THIS�SRn[FJ THIS��OuF�[f7t.��T_� <br /> ) 4U 7U <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTH OISTRICT � � i`' n C I:I PT� <br /> APPUCATION ACC. BY PLANS CHECKED BY APPP.FOR ISSUANCE BY � � "�- <br /> STG JEF JEF � �� � !�� ��'. U <br />� - �; !,ir�,R 8 4 <br /> ADDRESS FILf <br />