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�r <br /> 1heErergrcen �" �j�NSTRUCTION - � � <br /> CITY OF � <br /> � everett PERMIT PERMIT INO. 0�735 <br /> CI7Y HALL 259 87t5 <br /> EveHEi�.wn 98zoi ❑ COMBINATIOh1 ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> UWNLH M4qAUUNE55 GIiT ZIP PHONE <br /> Ellen Camp 2128 Broadway �'�•��_** 9820] 259-6�i48 <br /> ARCHIT[CT OF�CSIGNER MAIL A�DFE55 GiTY ZIP PNONE <br /> c- p <br /> GENEPAL fANTRRGTOR MML AD�RC55 GTY ZIP PMONE IICENSE I <br /> c�..� 1 <br /> NECHANIGAL CANTRAGiOR MML ADORE55 GTV IIP PM�NE UCENSE f <br /> �LUM91NGfANTRRGiOH MFI�ADDRE55 CITV ZIP PMONE LICENSEI <br /> � <br /> CLA55OF WOFK ,�t <br /> L;�EW ❑ADDITION ❑AL7EFATION ❑REPAIR ❑DEMOLITION OFENCE ❑SIGN ❑GARAGE i <br /> V/•I UATION OF WOAN <br /> s 4,OOO.GO <br /> ocscaiee woaK � <br /> Storage- Personal _ <br /> �'�0�'OSED b5E OF BUIIDING <br /> Storage-Personal I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� � <br /> iicn�ocscaivnor+ovvaoPenrv�sNowee�owoannaeHFouawri�s PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. i <br /> 19&20 439 D-00 Plat of Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS � <br /> ior e�ucK_oF TYPE OF WORK WILL BE COMPLIED WiTH WNETHER SPEGFlED <br /> HEREIN OR NOT. THE GRANTWG 0�= A PLRMIT DOES NOT � <br /> PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PRO� <br /> VISIONS OF ANY 07HER STATE OR LOCAL U1W REGULATING ' <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I <br /> SIGN/.tUnFGVCONiRAG10RORAU1HOtVl2[DAGEt�T DATE � <br /> JOp PD�RC55 <br /> 2128 3roadway Everett X 6-16-80 <br /> �IUMBIN6 MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER QOSET QOILET) AIR COND.UNITS—H P. EA. <br /> BATHiU� REFRIG[RATION UNITS—���' EA <br /> LAVATOR�(WASH 9ASIN) BOII[RS—HB EA <br /> SiOWER GASFIFEU4C UNITS—TONNAGEEA <br /> K TCNRJ SIIJK 8 DISP. FORCED AIR SYST[MS—B T.U. M EA. <br /> LwNWASNER WALLH[ATERS—�T.U. M <br /> LAU��DRY TRAV UNIT HEAT[FS—B T.U. M <br /> CIOTHES WASHER [VAVOPATNECAOLERS <br /> WA7[R HEATER CLOTNES DPVERS <br /> URINAL VEN7iLATIGN fAN <br /> DRINKiNG FOUIJTAIN RANGE HOOD <br /> F'OG"7 DRAIN AIR HAIJDUNG UNIT— C.F M. <br /> �•.CU':'M�REAKGRS STOVE <br /> RGOF ORAINS—HhINLFAUERS METAL FlREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETG.) <br /> SUB TOTAL SUBTOTAL S <br /> PERMI7 f PERMI7 f <br /> TOTAL FEE S TOTAL FEE f <br /> SID[YARD SEiOACH SiIiELI SETDACK �EAR VARD SETBACK PLAN CHECK NUM�[R PL4N CHECK FEE <br /> F[E HECEIPT 1.0. <br /> USE ZONE LOT AREA VACANT SITE ��35 Z9.00 q�� <br /> I.iVES IAJO FEES VALUATION E" 'F E <br /> TVPE OP CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS ". <br /> V-N M-1 <br /> s¢[oF e�oa vo.cF£TORIES Mn�c pcc ��Ao �UILDING $ 4000.00 28 00 <br /> 12X 30 1 PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS M[CHANICAL � <br /> REOUIRED <br /> 2 IlYES I1N0 — <br /> IAPPROVALS BY DATE OTHER <br /> 1. ENVIflONMENTAL CHECK LIST PENALTY U.B C <br /> SEC.3031a) <br /> 2. BUILDING PLANS <br /> 3. FIRE HYDRANT T�TA� ZH OO <br /> 4. FIRE PROTECTION SYSTEM PL'qM1T VALIDATION <br />� WHEN PR07ERLY VALIDATED(IN THIS SPACE)THIS IS Yq O 7PERyMIO O -- � <br /> 5. GRADING 3 5 6 I ,� [ p <br />; 6. DRAINAGE M � <br />' 7. ENVIRONMENiALIMPACTSTATEMENT � <br /> 8. HEALiH DISTRICT YO U R REC E I PT o <br /> APPLICATION ACC.BV PLANS CHECKED BV APCR.FOR ISSUANCE BV r���r�I'�K Y V U <br /> V.C. <br />