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� 1'iRfil 1\v. [lVLJV <br /> C��iV rIALL'[�S�Bi<5 <br /> eveaen,wn 9azo� ❑ COMBINATION �CBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> Cv/NER MPIIhDDFE55 GIP� ZIP �'r+ONE <br /> Earl Burkey 2709 Wetmore Everett 98201 259-2930 <br /> hRCNiTECT OR DE5�3NEP M0.1L AD�flE55 LITY ZIP FNONE <br /> 1 <br /> GENEFAL CONiRAC10R I11AI�ADDRE55 CITY 21P PMONE UGENSE� <br /> Same <br /> MEGNANICALGONiARCTOR MAI��DOPESS CITY 217 PHONE UCENSE• <br /> VWMBINGCANTPACTOR MAILADDRE55 GITY ZIP PHONE LIl;ENSCI <br /> C1A550F WORK <br /> ❑NEW ❑ADDITION �(.LTERA�ION ❑FEPAIR ODEMOlITION CFENCE ❑SIGN �GARht;E <br /> VALUATION OF WORK <br /> f ZZQ0.�0 <br /> DESLA�BE WORK <br /> interior remodel <br /> PROPOSE�USE OF Bl11LDING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMI�IED THIS AP- <br /> LEGALOESCRIPiIDNOFPPOPSPTY�SHOWBELOWOFATTACNiOUR(:OPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �orZ6-27e�oca 4�9 Everett TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT UOES NOT <br /> PRESUME TO GIV[AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PER RMAN E OF CONSTRUCTION. <br /> JOBADDRE55 SiGNATUA- FWNT TOAORAUtHORi OPGENt �AtE <br /> 2112 Hroadway X 2/9/81 <br /> PLUMBING � MECHANICAL <br /> NO. TYPE OF FIXTU!�E OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H P.EA. <br /> BATNTUB REFRIGERATION UNITS—H fl EA <br /> LAVATOPV(WASH BASIN) �OI�EFS—H.P.EA. <br /> SNOW[R GAS RREU AC.UNiTS—TONNAGE GA. <br /> KITCHEN SINK 8�ISP. FORCED AIR SVSTEMS—BT.U. M EA. <br /> DISH'J✓ASHER WALL HEATEfiS—8 T.U. M <br /> IAUN�HV TPAV UNIT HLAT[HS—3 T.U. M <br /> CLOTHES WASHER EVAPOiiATIVE COOLER$ <br /> WATER HLATEf7 CL07NG5�RYERS <br /> URIIJAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE NCOD <br /> FLOOR DRAIN AIR HANDLING UNIi— CF.M. <br /> VACUUM BR[AK[RS STOVE <br /> ROOF DFAINS—RAINLEADERS METAL FIREPLACE d CHIMNEV <br /> SINK(SEflVICE—BAR.ETC) <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FkE S TOTAL FEE S <br /> SIDE VARD SET2AGN STREET SET6ACK REAR VARD SETBACK PLAN CHECK NUMCER PLAN Ch_CK FEE <br /> f[E RECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE - <br /> ❑YES ❑NO FEES VAIUATION FEE <br /> 7YPE OF CANST. OCCUPANGY GROUP NO.OF�WELLING UNITS <br /> BUILDING E1200. 22 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.IOAD <br /> PLUMOING <br /> FIRE 20NE BASEMENT PIRE SPRINK�ERS <br /> REOUIRED MECHANICAL <br /> IlVES LlNO <br /> APPdOVALS BY OATE OTHER <br /> 1. ENVIROhMENTAL CHECK LIST PENA�T. U.BC. <br /> SEC 303(a) <br />� 2. BUILDING P14�5 <br /> 3. FIRE HYDRANT TOTAL Z Z OO <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> - WHEN PROPERLY VALIDATED QN THIS SPACE)iH1S IS YOUfl PERMIT <br /> 5. GRAOING 3 o I 8 C fl 9 9 a (� _� <br /> J U L L u <br /> 6. DRAINAGE �() <br /> 7. ENVIRONMENTALIMPACTSTAiEMENT � C�� <br /> 8. HEALTHDISTRICT ' � �) �3 Z..��, ����� � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPF.FOR ISSUANCE BV � , �, ,� �, - <br /> ; ',:J1. � � U <br /> - 9 I�[� � I <br /> ADDRE55 FILE <br /> J <br />