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�hef:rrrFreen � (�NSTR�UCTION � • <br /> CIT v OF <br /> everett PERMIT FERMIT N0. O6H1O <br /> arv Hn��zss e�a5 <br /> Ev�aerr.wn ae�o• !� COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWIVER MAIL A�pRE55 CIiY Z�P PNONE <br /> Derwin T.V. 2219 Hroadway <br /> �RGNiTFCT OR DESiGNER MniL ADDAE55 QtY ZIP PMONE <br /> GENERAI CONiRACiOR MPiLADDRE55 CITY ZO' PHONE UCENSEI <br /> Heath N.W. Inc. 11805 N.E. 116th St. Kirkland 93023 623-3100 <br /> M[CNANICAL CONiMGTOR MRIL ADDfi[55 �ITY Zi�' PNONE IICENSE� <br /> HE AT HN *330R7 <br /> PWMBINGCONTRAGTOF MAILADDRE55 �ITY ZiP PHONE LIGENSER <br /> CLA55O(WORK <br /> ❑NE1N ❑ACDITION ❑ALTERF710tJ ❑REPNR CDEMOLITION LIFENCL ❑$IGY LIGFRAG6 <br /> VAwnT�oN eF WOprc <br /> S 1.500.�Q <br /> IJCSC�iIBE WORK <br /> illuminated sign <br /> ❑�0�'OSCD USE OF pUIIDING <br /> cort¢nercial I HEREBY CERTIFY THAT I HAVE READ AND EW+MINED THIS AP� <br /> ��.aa�oescaivnor+oFaaoPearr�sr+oweEiowoannaa�vouacoaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GGVERNING THIS <br /> �or eioc�o� TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEFEIN OR NOT. THE GRANTING OF A PEFMI� DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTION. <br /> J05 ADDRE55 SiGW�1UNf F COMRAGiOR OR AUL110AiZE D FGENT ^cit <br /> 2214 Broadway ' 10/9/79 <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EQUIPMEN7 FEE <br /> WAifNCLOSETlTOILET� AIRCOND UIJI7;—HP.EA. <br /> (3ATHTU� REFRIGERATION UNITS—HR EA <br /> LAVATORVlWASM BASIN) UOREFS—H P.EA <br /> SHOWER GA$FlRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 GISP. fORCED AIq SYSTEMS—B T.U. M EA. <br /> DISHWA5VIER 1NALLH[ATERS—BT.0 M <br /> LAUIJDRY TRAY UNIT HEATEf75—B T.U. M <br /> CLOTNES WASMER EVAF'OFATNE COOLERS <br /> WAT[R NEATER CLCTHES DRVEHS <br /> URINA� VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOF DRAIN NH HANDIING UNIT— CF.M <br /> VACUUM UREAKERS S70VE <br /> ROOF ORAMS—RAINLEADERS 1dETAL FIREPLACE 8 CHIIdNEY <br /> SINK SEHVICE—BAR.EiCJ <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT S pENM1T 2 <br /> TOTALFEE S TOTALFEE S <br /> SIUi'VARD SET6ACN STFEET SETBACK REAR vARD SETBACK PLAN CH[CK NUMBER PLAN CHECK FEG <br /> FEE RECEIPT IJO. <br /> USC ZONE L01 AREA VACANT SITE <br /> : '�YES ;7N0 FEES VALUATION FEE <br /> T7P[OF CANST. OCCUPANCY GFOUP NO OF DWELLING UWiS <br /> BUILDING 51500.00 9 00 <br /> 512[OF BLDG. NO OF SiORIES MAX OCC LOAD <br /> PLUMOME <br /> flliC20NE BASEMENi FIRESPRINKLERS — <br /> REOUIRED MECHANICAL <br /> f7YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> L ENVIRONMENTALCHECKUST PE��A�T� UBC. <br /> L BUILDING PIANS <br /> SEC.303(a) <br /> 3. FIR[NYORANT TOTAI 9 00 <br /> d. FIRE PROTECTION SYSTEM PEflMIT VALIOATION <br /> WHEN PpOPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GFADING . e <br /> 6. DRAINAGE S 318 �O O 7. O D �'r..� � <br /> Z ENVIPONMENTPL IMPACT STATEMENT '. y�;_ : " � <br /> e HEALiH DISiRIGT . ' � CD <br /> APPLICAiION ACG.BY PLANS CHECKED BY APPfl.FOR ISSUANCE OY YO�'R REC E I(r+� <br /> r�-t�hK Yc� u <br /> ADDRESS FILE - 9 �T .74 <br />