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�r •� <br /> n�������' `''. ;- CC�NSTRUCTIOP' <br /> e�i�t�t�� ;�� <br /> PERMIT PERMIT NO. �203 � <br /> CITV HALL 259�8745 <br /> I� '��`'�Q�'Z � EO�I�INATION � BUILDING .I�yJ MECHANICAL Q PLUMBING <br /> OWNEF NAILADDRESS diY Zli PMGN[ <br /> Jack Christofferson 700 52nd Everett 98203 353-3506 <br /> RRGMITELT OR DESIGNEN ILAiL AODRE55 CITY 2iV FHONE <br /> GENERAL GONTRRGTOF MAIL ADDRE55 CITY 1�� PNONE LICENSE� <br /> Same <br /> MEGHANICAL CONTRAGiOR MAIL AODRESS CITY ZIP PHONE LILENSE� <br /> t� PLUMBINCa LONTRAGTOR MRIL ADDRESS CITY IIP PMONE LICEN5E I � <br /> i <br /> GLASS OF WORK <br /> O NEW �SSDDITION O ALTERATION ❑REPAIR � DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> s 4r000.�0 <br /> DESCHIBE WORK <br /> interior remodel <br /> PROPOSEO USE OF BUILOING <br /> Commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESC(i1PT10NOFPAOPEBTY�SHOV�BELOWORATiRCHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> I.OT��BLOCK 548oF Everett 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 AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOC LAW REGULATING CONSTRUCTION Ok THE <br /> PER PAANCE OF O TRUCTIO . <br /> JOB RDDPESS SiG T PE OF CO RACT 0 AT70 'D •�NT ORTE <br /> 2406 Broadway X <br /> PLUMBING HANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE O. TYPE OF EOUIPMENT FEE <br /> 1 WATERCLOSET�TOREn AIP COND. UNITS— HP. [A. <br /> BATNTUB REFRIGERATION UNITS — H.P. EA. <br /> ], LAVATORY(WASH BASIN� BOILERS— H.P. EA. <br /> SMOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASIIER WALL HEATERS— B.T.U. M , <br /> LAUNDRY TRAV UNIT MEATERS— B.T.U. M I <br /> CLOTHES WASHER EVAPOPATIVE COOLERS <br /> S WATEfl MEATER Z �0 CLOTHES DRYERS <br /> URINAl VENTILATION FAN <br /> DRINKING FOUNTAIN pe���F HOOD <br /> FLOOR DRAIN AI(i HANOLIN3 UNIT — C.F.M. <br /> VACUUM BREAKERS STOVE�- WOOD <br /> ROOF DRAINS — RAINLEADERS METALFIREPLACE 6 GMIMNEY <br /> SINK�SEFVICE— BAR,ETC.) FIREPLACE INSEflT <br /> MEAT PUMP <br /> � <br /> „ SUB TOTAL f 6 00 SUB TOTAL f � <br /> PERMIT S PERMI7 f <br /> TOTAL FEE f 6 00 TOTAL FEE f <br /> SIDE VARD SETOACK STREET SETBACK FEAR VARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> 83/12039 25. 03 <br /> USE ZONE LOT AREA VACANT SITE 284b <br /> ;;YES : NO FEES VAIUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> v-N Add' n B2 0 <br /> eUILDING S 4,000. 44 50 <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC. LOAD <br /> Add' n 240 Sq. F . 1 PLUMBING 6 00 <br /> � FIREZONE BASEMENT RIEOUSRRpIN�KLERS MECMANICAL 3 OO � <br /> YFS �}NO <br /> APPROVALS BY DATE �THER <br /> 1. ENVL?ONM'ENTAL CHECW L5T pENALTY U BC. <br /> 2.BUILDING PLANS � SEC.303(e) <br /> 3.FIRE HYDRANT ,V TOTRL S 3 S O <br /> 4.FIRE PROTECjION SYSFlM PERMIT VALIDATION ' <br /> �- WHEN PROPERLY VALIDATED pN TMIS SPACE�THIS IS YOUR P[RMIT � <br /> L '-6.DRA NIAGE C r„� g � �3 � Q � �. J O � <br /> 7.ENVIRQRPMryItAL IMPAS7 STATEMENT <br /> N <br /> B.HERL IS ICT <br /> APPLICA 1 N�C. BV • PLANS CHECKED BY APPfi.FOR ISSUANCE BY YO U-R R EC E I PT`� <br /> � s� m HwM Lc THAhK YOU <br /> c - <br /> � ADDRESS FILE I 5 �+ 83 <br /> . ' <br />