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_ � <br /> drp E��rryreen <br /> everett � CONSTRl1CTl0� � � <br /> GTVMALL259�674� PERMIT PERMIT N0. 13960 <br /> eveaerr,wn eezai � COMBINATION <br /> t�i BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ONNER <br /> Ackerley Communications M"""ooaess c�rr z�a aMOHe <br /> 3601 6th Aveaue South Seattle 98134 662-3833 <br /> PRCNiTECi pR DESIGNER MAIL AGORE55 <br /> � ��TY Z�P GHONE <br /> I <br /> GENERq�GONTRRCTOR MAIL ADDRE55 � <br /> SMIB ��Tr 21P VHONE LICENSE w <br /> MEGNnNICAL CONiRA�TON MAIL�ODRE55 CITY I <br /> IIP PHONE UCENSE M I <br /> PWMBING GONTHRGTpR MRIL ADOflESS GITY 1 <br /> ZIP PMOHE 4CENSC I I <br /> CUSS OF WORN .� - _ w� <br /> ❑ NEW ❑ADDITION O ALTERATION ❑REPAIq ❑ DEMOLITION Ci FENCE O SIGN ❑ VypOD STOVE/FIREPLACE INEEHi , <br /> ��LUFiION OF WORN <br /> s 1300.00 -- <br /> DESCRIBE WORK <br /> rebuild existing billboard <br /> PNOPOSED USE OF BUILOING <br /> cortunercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGNLOESCA;PiIONOFPROPERTY�SHOWBELOWOflAT7ACNFOIIqCOPIES� APPL.ICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAN/S AIJD ORDINANCES <br /> LOT�BLOGN__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLAT[ <br /> OR CANCEL THE F��;OVISIONS OF ANY OTHER STPTE OP <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> JOB ApOPE55 PERFORMANCE 'JF CONSTRUCTION. <br /> Si AiURE F C NTRAC:OR UTMOR12E�AGENT DAiE <br /> 2201 Broadway i <br /> /D � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENi <br /> WATEH CLOSE7�TOILEn FEE <br /> AIR COND. UNITS- H.P. EA. <br /> BFTHTUB <br /> REFRIGERA710N UNITS -H.P. EA. <br /> LAVATORV(WqSHBASIN) BOILERS - H.P. EA. <br /> SHOWEfi GAS FIRE�A.C. UNITS- 70NNAGE EA. <br /> KIiCHEN SINH 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISMWASNER <br /> WALL MEATERS- B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER <br /> EVAPORATIVE COOLERS <br /> WATER HEA7ER CLOTHES ORYERS <br /> URINAL <br /> VENTILATION FAN <br /> DRINI(I4G FOUNTAIN RANGE HO00 <br /> FLOUR DRAIN <br /> AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS <br /> STGVE -WOpD <br /> ROOF ORAINS- RAINLEADEHS A!ETAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE - BAR, ETQ) pIREPLACE INSERT <br /> HEA7 PUMP <br /> SUBTOTAL t SUB TOTAL { <br /> _ PERMIT S PEPMIT s <br /> TOTAL FEE f TO7ALfEE f <br /> SIDE VAflO SETBALN :iTREET SEi BACK REAR VAP.D SETBACK PLAt!CHECK NUMBER <br /> PLAN CHECK FEE <br /> USE 20NE LOT AFEA VACANr SITE 89/13960 FEE 19 3 J RECEIPT NO. <br /> C-1 �,yEg X�p FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N M-2 0 <br /> SIZE OF B:DG. NO.OF STORIES MA%.OCQ LOAD BUILDING S j3OO. PZ OO <br /> PLUMBING <br /> FIRE ZONE � BAS�IdENT FIRE SPRI4RLERS — <br /> REOUIRED MECNANICAL <br /> VES g NO <br /> , APrp��A�s BY OATE � OTHER ` <br /> L ENVIRONMEN�AL CME'K IIST '�- <br /> —� PENALTV U.e C. -- <br /> 2.BUILDING PLO.NS SEC.303(a) <br /> 1FlREHYDRAq7 TOTAL 2z U� <br /> <.FIHE PROTE:,TION SVSTEM PEflM1T VALIDATION <br /> S.GRAOING WHEN PROPERLY VAUDATED pN THIS SPACfI THI515 POL{�'pF,Fi��IT_ .,�_� <br /> f,.DRAINAGt: i i . J L - <br /> L_' <br /> 7.ENVINOAMENT4LIMPACTSTATEMENT �y-., � <br /> B.M[AL7Y DISTqICT <br /> -l'% <br /> APPLICA'i ION ACC. BY PLANS CHECNED BV APPp. FOR ISSUANCE BY � � � � � � ' �•. ` <br /> EB �g :.. �, . <br /> ADDRESS FILi_ <br />. <br />