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- C"�NSTRUCTION x� <br /> theEeergmen - � _-- ." � <br /> CIiV OF <br /> everett PERMIT pERMIT NO. OHH58 <br /> qN HALL 259�87d5 <br /> eveaerr.wn sezo� ❑ COMBINATION �CBUILDING ❑ MECHANICAL ❑ PLUMBlNG <br /> OWNEF MAILI1pORC55 GITY u PMOHE <br /> Earl Hurkey 2709 Wetmore Everett 98203 259-2930 <br /> FRCMrtECi OR DESiGNER MAIL ADDflE55 CITY 2�F PHONE <br /> GENERRLCOIITfULiOR MARqDDRE55 GTY _—i.�p PMONE L�CENSE/ <br /> Same <br /> MECMANIGALCONTMCiOR MAILADDflE55 GRV ZIF PVIONE LICENSEI <br /> PLU6IBINGCANTRALTOR MAILADDRE55 GIiY ZIP R10NE LICENSEI <br /> CUSS OF WOPK <br /> ❑NEW ❑ADDIiION �LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWP�ION OF WORN <br /> S ZZQ0.0� <br /> D[SGRIBE WORK <br /> interior remodel <br /> ^ROPOSEO USE OP BU�LDING <br /> commercial I HEREBY CERTIFY TH,1T I HAV[ READ AND EXAMINED THIS AP- <br /> LWALDESCRIPt10NOFPFJPERTY�5HOW0ELOWOFAiTACHFOURCOPIE5) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINA�CES GOVERMMG THIS <br /> ,�,26-27oi�K h�9 Everett TYPE UF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A P�RMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANGEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> •� CONSTRUCTION OR THE PERF RMAN E OF CONSTRUCTION. <br /> swr+ntua F wur roa oa nun�oai o ncervr ocre <br /> JOB ADGFE55 <br /> 2112 Broadway X � 2�9�81 <br /> PLUMBIN6 � MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET(TOILET) AIR COND.UNI75—N P.EA. <br /> BATNTUB REFRIGERATION UNIT$—HP.EA <br /> LAVATORY(WASH BASIN) �OILEPS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—70NNAGE EA. <br /> NITCHEN SINK 8 DISP. Por7CED AIN SYST[MS—8 T.U. M EA. <br /> DISHWASHEF \YALL HEATERS—�T.U. M <br /> Ll.UNCH{ fHAV UNITHEATERS- BT.U. M <br /> CLOTHES WASHEP [VAPOPATIVE CAOLERS <br /> WATER HEATER CLOTHES Di7YER5 <br /> URINAL VENTILATION FAN <br /> DRINNING FOUNTAIN RANG[HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT-- CF.M. <br /> VACUUM PREAKERS STOVE <br /> ROOF URAINS—RAINLEADERS b1ETAL FIPEPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETC.) ' <br /> SUBTOTAL SUB7DTAL 1 <br /> PEHMIT S PERMIT S <br /> TOTAL FEE f TOTALFEE f <br /> SIDE YARD SETBAGK STREEi SETE3ACK REAR YARD SET�AGK PLAN CHECK NUMBEfl PLAN CHEGK FEE <br /> FEE PLCEIVT NO. <br /> USE ZONE LOT AREA VAC4NT SITE FEES VALUATION FEE <br /> L]YES ❑NO <br /> TVPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> Bu1LDING 51200. 22 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIPE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> IIVES 1�N0 <br /> APPROVALS BY DATE OTHER <br /> 1. ENV�PONMLNTAL CMECK LIST PENALTV U B.C. <br /> SEC.303(a) <br /> 2. DUILDING PLANS � <br /> TOTAL 2 2 O O <br /> 3. fIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VAIIDATION <br /> WHEN PROP[i1;1 Y VALIDATED pN THIS SPACE)THIS IS YOUR PEflMIT ^,� <br /> 5. GRADING � �� I `� � � 1 �, r � —�/ <br /> 6. DRAINAGE � <br /> Z ENVIRONMENTALIMPACT STATEMENT � <br /> B. NEALiH DISiRICT . . . i• �- .. I�'I � <br /> O <br />� AFFUCATION ACC.BY PLPNS CHECKED BV APPR.FOR ISSUANCE BV - ��'i �� <br /> ♦ • <br />