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1heErrrgmen � C�ISTRUCTION � <br /> CITY OF <br /> everett PERMIT pERMIT N0. O�1S2 <br /> CITY HALL 2598745 <br /> eveRerr.wn 9ezo+ ❑ COMBINATION �X BUILDINfi ❑ MECHANICAL ❑ pLUMBIMG <br /> OwNLP Me4qDDPE55 ptV piP r��ONE <br /> Ray's Keyboard 1917 Broadway <br /> nACNi,�cr oa otsicr+ia uniuooeess ciTr zir vHor�e <br /> G[NERAL CANTRAGTOR MAiI ADDRE55 CiTY Zi�' PNONE UCCNSE I <br /> Eylander Electric 2416 California 259-2161 26957 <br /> MECMANiCAICONiRACTOR MAiLPpDR[SS CIiV ZIP PMONE LICENSf� <br /> PLUMBINGCONiPACiOR MRLLACDRE55 CI1V $�P PHONL LICENSCr <br /> CLAS$OF VlORK II <br /> ❑NEW ❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOUTION OFENCE IBiXl6�' �GARAGE <br /> VALUAi�ON OF WORN <br /> s 600.00 <br /> oexaiee woaK <br /> erect illuminated bign <br /> rRo�'0,[0 u5E oF�UlluiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iEcn�oescr+ianorvoFvacr�mresnoweeiowoannneHrouawaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> `°' ei°�K—oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. 7HE GRANTING OF A PERMIT DOES NOT <br /> P!iESUME TG GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STAT[ OR LOCAL LAW RFGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOUACUR[55 SiGYATVqEOFCONiRACtORORAUiHORIZEDALR. f�<iC. <br /> 1917 Broadway X 1/21/80 <br /> PLUMBING MFCHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> wATER CLOSET(TOILET) Aifi COND UNI75—HP.[A. <br /> BATNTUB R[!'RIGEHA710N UNITS—HP.EA <br /> LAVATOPY pNASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C. UIJITS—TONNAGE EA. <br /> NITCHEN SINK&DISR FORCED AIR SVSTEMS—�SL M EA. <br /> DISH\YASHER WALI.HEATEFS—�T.U. M <br /> IAUNDPY iRAV UNIT NEAT[RS—B T.U. M <br /> CLOTH[S WASHEN EVAPOPATNE COOLERS <br /> WATER HCAi[R CLOTH[S URYERS <br /> URi1JAL VENTILATION FAN <br /> DRINKINO FOUNTAIN RANGE HOOD <br /> FIOOR ORFIN AIR HANDLING UNIT — C.F.M. <br /> VACUUId�HEAKERS STOVE <br /> ROOF DPAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEv <br /> SINK(SEPVICE—BAP.ETG) <br /> SUB TOTAL SUB TOTAL f <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> '..'�L[YARD SEi6ACK STREET SETf3ACK fiEAfi VARD SETOACK PLAN CNECK NUM�ER PLAW CH[CK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE <br /> I �vES I1N0 FEES VAWATION FEE <br /> TVP[OF CANST. OCCUPANCV GROUP N0.OF DWELLING UNITS <br /> BUILDING $ 600.00 6 00 <br /> SiZE OF BLOG. NO.OF S70RIE5 MAX.00C.LOAD <br /> PLUMBING <br /> FIF?[ZONE BASEMEN7 FIRE SPRINKLEFS <br /> REOUIRED MECHANICAL <br /> � f7YE6 ❑NO � <br /> APPROVALS BV DATE OTHER <br /> 1. ENVIRONMENTALCHECKL�ST <br /> — PENALTY U.B C. <br /> 2. L`UILOINGPIANS SEC.3091a) <br /> 3. FIPE HVDRANT TOTAL � 6 �� <br /> a. flfiE PROTECiION SYSTEM PEBMIT VALI�ATION <br /> WHcN PROPERLY VALIDATED(IN THIS SPqACtE)THIS IS YUUR PERMIT <br /> 5. GRADING �L 1 T s D 0 6. 0 0 ~�. J <br /> G DRAINAGE <br /> L{) <br /> L ENVIRONMENTALIMPACTSTATEMENT � ,� <br /> B HEALTHDISTRICT . YOUi� RLCC�PTO <br /> APPLICATION ACC.�Y PL4NS CHECKED BY APPR.FOR ISSUANGL Bv <br /> _� <br /> BAB i "�,t.�;� ��C� U <br /> ADDRESS FILE 1 I J,14 b Q <br />