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r <br />(hr Ll-rrx�ieert C O N ST R U CT I O' , <br />everett ' PERMIT PERMIT N0. 143� 3 <br />GTY HALL 259�674$ <br />eveaerT. wn eezo� ❑ COMBINATION � BUILDING G MECHANiCAL ❑ PLUMBING <br />OWNEP w NRiL AODRE55 25 o piY )iP PMONE <br />SX&XSx�g��iX�7IN}tX Z$Tfl�XSXdf![ifXXYtS1(�IfRA�HK�roadway Ever^' t 98201 <br />ORCNREGi OR DCSIGNER MP4 AppqES$ CITV Z��' PHONE <br />GENEHp� GONTRq(,TOR MRIL RDpPESS GTY 21P >MONE LILENSE R <br />S& S Sign Co. 13190 Stone Avenue North Seat�le 98133 365-0242 <br />MECHANICRLCONTRAGTON MRILAO�RESS CITY �'gSIGC* Zrj],y�JONE LIGENSE� <br />PWI/BING CANTRr1GTOP MRIL �OORE55 UTY plP PHONE UGENSE � <br />( O NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION � FENCE EICSIGN ❑ WOOD STOVE/FIREPLAC[ INSERT <br />VAWRTION OF WORK <br />3 S��e�� <br />�ESGRIBE WORN <br />I Instril sign (illuminated) <br />L <br />l01 _BIOCN __OF <br />2510 Broadway <br />PLUMBINO <br />NO. TYPE <br />WATER CLU51 <br />BATHTUB <br />LAVATORV(WASH BA31N) <br />SHOWER <br />KITCMEN SINK d DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />GLOTHES WASMER <br />WATEfl HEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BFEAKERS <br />ROOF �RAINS - RAINLEADERS <br />SINK �SERVICE - BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOIAL FEE <br />NO.OF <br />APPROVALS <br />t ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PFOTECTION SVSTEM <br />5. GRADING <br />6.ORAINAGE <br />7.[NVIRONMENTALIMPACTSTAT <br />0. HEALTH DISTRICT <br />APPLICATION ACC. BY PLA� <br />FOUR CAPIES� <br />FEE <br />f <br />S <br />f <br />VACANT SITE <br />VES NO <br />FIRE SPRINKLERS <br />fiEOUIRED <br />YES NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIMED THIS <br />APPLICATION AND KNOW THr_ SAME TO BE TNUE AND <br />CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORt( WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEHMIT DOES NOi� PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OF CANCEL THE PROVI5�4NS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE OF CPNTRAQOR OA RUfHORIZEp AGENT DAtE <br />x Check #1487 1/9/85 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />PIR COND. UNITS — H.R EA. <br />REPRIGERATION UNITS — HP. EA. <br />BOILERS — NP. EA. <br />GAS FIRED A.Q UNITS — iONNAGE EA. <br />FORCED AIR SVSTEMS — B.TL. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STCVE — W04✓ <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />IHEATPUMP <br />CMECKNUMBEF <br />SUB TOTAL f <br />PENMIT f <br />TOTAL FEE S <br />FEE I RECEIPT NO. <br />FEES � VALUATION I FEE <br />BUILDING S SO0.00 S <br />PLUMBING <br />MECHANICAL <br />07MER I <br />PENALTY <br />U.B.C. <br />SEC.303 <br />TO7AL I I � N� <br />1 <br />VERMIT VAIIDATION . ,. n [ '} <br />WMEN PROPEFLY VALIDATED (IN THIS $PACE�;TMIS I$ VOIIM DE�MIf ('Y) <br />t'—� <br />M <br />, I ,f '� <br />, � •--1 <br />�iDDR[SS FlLE <br />� <br />w� <br />s <br />