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. � <br /> ti <br /> d;c Ll�crx�rrrn <br /> evere�tt � ���NSTRUCTIO � . - <br /> PERMIT PERMIT NO. 12923 <br /> C�TY MALL 259�d7d5 <br /> EVERETT,WA90201 � COMBINATION � BUILDING Gt MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRE55 diY LP VHONE <br /> John Martinis 1913 Broadway Everett 98201 259-3056 <br /> ARCnRECT OR OESIGNER MAIL ADORE55 GIiY 21P PHONE <br /> GENERAL LONTqACiOR M�IL ADDRESS LITY 2iP PMONE LIGENSE• <br /> Riverside Roof Co. 2916 State Street Everett 9'8201 258-4646 <br /> MEGMFNILAL GONTRAGTOR MAIL ADDRE55 CITY c.^ P40NE LICENSE� <br /> RI VE RR k302T0 <br /> PLUMBING CANTRA�iOR MAI�AODRE55 QTY ZIP PnONE LICENSE♦ <br /> CLA55 OF WORN <br /> ❑NEW ❑ADOIiION O AITEHATION �REPAIR O DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD S70VFJFIREPLACE INSER7 <br /> VALUr1T10N OF WORI( <br /> S 4�819.00 <br /> UESCRIBE WORK <br /> Built-u re-roof <br /> PROPoSED USE OF BUILDING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGNLDESCRIPiIONOiPROPERTY�5MOW0ELOWORATTACHPOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRU[ AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLiED WI i H <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCA� LAW REGULATING CONSTRUCT�ON OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATUFE OF CONiRAGTOR OF AUTHORII[D AGEN7 DATE <br /> 1913 Broadway X Check #5548 2 <br /> PLUMBING MECNANICAL <br /> NO. TYpE OF FIXTURE OR ITEM PEE N0. TVPE OF EOUIPMENT FEE <br /> WA7EH CLOSET(TOILEn AIF CCN�. UNITS— H.P.EA. <br /> BAiHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P.EA. <br /> SHGWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCNENSINKBDISP. FORCEDAIRSYSTEMS— B.T.U. MEA. <br /> DISHWASNER WALL HEATERS— B.TII. M <br /> LAUNDRY TRAY UNIT MEATERS— B.T.U. M <br /> CL07MES WASHER EVAPORATIVE COOLEHS <br /> WATER MEATER CLOTMES DFYERS <br /> URINAL VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> _ FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BRFAKERS STOVE — WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEV <br /> SINK�SERVICE — BAfl,ETG) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAI f SUBTOTAL : <br /> PERMIT S PERMIT <br /> f <br /> TOTAL FEE S TOIAL FEE <br /> f <br /> SIDE YARDSETEACK STNEET SETBACK REAR YAflD SETBACK PLAN CH[CK NUMBER PLAN CHECN FEE <br /> FEE flECEIPT NO. <br /> USE 20NF LOT AREA VACANT SITL <br /> �.:VES � .NG FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GflOUP NO.OF DW�L�ING UNIiS <br /> BUILDING kI�819.00 SO SO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCG LOPD _ <br /> PLUMBING <br />, FIREiONE BASLMENT FIRESPRINKLERS �fECHANICAL <br /> REQUIRED <br /> YES NO — <br /> APPROVAL:; 9Y DATE OTHER <br /> L ENVIAONMENTAL CHECK LIST PENALTY U B.C. <br /> 2.BUILDING PLANS SEC.3G3(a� <br />, 3.FIREHVDRAN7 TOTAL 50 SO <br /> 4.FIf7E PRO7ECTION 5Y5TEM PEAMIT VAIIDATION � ' <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THI��P��)TMI�S�VQUR p���7 � <br /> 6.DRAINnGE �) 7 U <br /> 7.ENVIROIIMENTALIMPACTSTATEMENT Q-j <br /> 9.HEALTH D!STRIC7 (�J <br /> APPLICATION nCC. BY PLANS CNECKED BY APCR.FOR ISSU.ONCE FlY � _' i� F:I_C�I PT r-+ <br /> i � l � <br /> ;;� I l <br /> no�R[:>s ri�e <br /> [ ] ,!;la f,�I <br />� � t <br />