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rheE�:erarren ; CONSTRU �TIC3' ' � � <br /> everett PERMIT P�RMIT NO. 1ZG7Z � <br /> GTV HhLL.'fi5-97a5 <br /> EVERETT.L'lA98201 ❑ COMBINATION � BUILDING �J MECHANICAL ❑ PLUfdBING <br /> OWNER MAILADDRE55 GRY i1P �HONE <br /> videowest of Broadway 3508 Broadway Everett <br /> ARGHrtEGT OR DESIGNER MRIL A��PE55 C�iY ZIV PMONE <br /> GENERAL GONiF�GTOR NML�DURESS CIi9 ZIG PMONE UCENSE I <br /> Simco Sign Co. P.O. Box 68 Everett 98206 252-0086 <br /> NEGN�NIG�L CANTR�GTON MA�L ADORESS C�T� ZIP PMONE LIGENSE/ <br /> PLUMBIN6 GONTfll1GTOR MML�ODflE6S LRY ZIP R10NE LIGENSE/ <br /> G1A55 OF WOHN <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑FENCE �¢IGN ❑ WOOD SiOVFJFIREPLACE INSERT <br /> I <br /> VALUATIONOf WORN � <br /> f Z��00.00 ' <br /> �ESCRIBE WORK <br /> install iliwainated sign <br /> P401'OSE�USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCNIPf10NOPPROPERiY�SMOWBELOWORl1TT11CNFOUFCO%ES) CORRECT. ALL PROVISIONS OF LAWS AND ORDIMANCES <br /> �or_ewcK_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 AUTHORITY TO VIOLATE <br /> OR CANCEL T VISI S OF ANY OTHER STPTE OR <br /> LOCAL L REOUL CONSTRUCTION OR THE <br /> PERFOR AN E.0 S UCTION. <br /> JOBRD�RESS SIGNATUPE R .TO .OA �H09i7EU4GENT RTE <br /> 350p Broadway X l� � <br /> PLUMBING MEC , <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EO IPMENT FEE � <br /> VJATERCLOSET(TOILEn AIR COND.UNITS— H.P. EA. � <br /> BATHTUB AEFHIGERATION UNITS — H.P.ER. <br /> LAVATORY(WASHBASIN� BOILERS — H.P.EA. <br /> . SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KIT'CHEN SINK 6 O�SP. FORCED AIR SYSTEMS— B.T.LL M EA. <br /> DISHWASHER WALL HEATERS— 8 T.U. M <br /> LAUNDRV TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPOFATIVE COOLERS <br /> WFTER MEATER CLOTHES DPYEHS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> P.00F DRAINS— RAINLEADERS METALf,REPLAGE&CHIMNEY <br /> SINK�SERVICE — BAR,ETC.) P.REPIAGE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL f <br /> PEHMIT f VERMIT f <br /> TOTALFEE f TOTALFEE f <br /> SIDE YApD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CIIEGK NUMBER PLAN CYECK FEE <br /> FEE RECEIPT NG <br /> USE ZONE LOT AFEA VACANT SITE -- <br /> :.YES ;_NO FEE6 VALUATION FEE <br /> TYPE OF CONST. OCCUPpNCY GROUP NO.OF DWELLING UNITS <br /> BUILDING Sz,000.00 9 00 <br />� SIZE OF BLDG. N0.OF S70RIE5 MAX.OCC. LOAD — — <br /> PLUMBING <br />` FIPE ZONE �3AS[MENT FIRE SPPWKLERS MECHANICAL <br />• REOUIPED <br />, YES NG - <br /> AFPROVALS BY DAT< OTHER _ <br />� 1.ENVIRONMENTAL CMECK L15T PENALTV U.B.C. <br /> SEC.303 lel <br /> 2.BUILDING PLANS <br />� �.FIREHYDRANT TOTAL 9 ��� <br /> a.FIRE PROTECTION SYSTEM PLRMIT VALIURTIpN <br /> S.GRADIIJG WHEN PROPERLY YALIDATED(W THI 4S�P;CF�THIS�x0}�F�PF�il�i—_f �.J, <br /> 6.DRAINAGE o U U U 7 U U C , <br /> 7.ENVIRONMENTALIMPACTSTATEMEN! <br /> C` � <br /> 8.HEALTH DISTFlICT � ' �� R REC i� I � I ��- ' <br /> APPLICATION ACC.BV PLANS CHECK'eD 8Y APPR.FOR ISSUANCE BV - <br /> � �� <br /> � i'li�\IY,• . � <br /> RF NV <br /> I I — 9 �r.i i� . <br /> 1 <br />, � i�.DU!'.L:>i I il� <br />