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� <br /> 1hr[��rrcrren - - CONSTRUCTI4 � l <br /> everett PERMI'T PERMIT NO. 13550 <br /> GTY NALL 259�87a5 <br /> EVEaetT.wn eezo� ❑ COMBINATlON � BUILDING ❑ MECHANICAL PLUMBING <br /> r OWNEA MAIL AOD9E55 <br /> GIiY IiP PMONE <br /> American Distributing '"o. 7904 Broadway EvaceY t 9HZOZP pMpNE <br /> pRGM�TEGT OR UE5�6NER <br /> M/.IL R��AESS <br /> GITV ZIP PHONE I�CENSEI <br /> GENEA<L GONTRNGTOA MAIL ApDNESS ' <br /> Lehsar Roofino 1119 79th Avenue S.E. Everett 98205 334-6103 <br /> MAIL AUDR[SS <br /> GITY ZIP PHONE iIGENSE� <br /> MEGMANIGALGONTR�CTOR <br /> M�IL�O�NESS <br /> GITY ZIV HON LIGENSE/ � <br /> PLUMBING GONTRAGTOH <br /> CLA55 OF WORI( <br /> O NEW O ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION O FENGE ❑�!='i C� WJOD STOVE/FIREPUGE INSEPT <br /> VAW�T�ON OF WORN <br /> f �177.00 <br /> DESCA�BE WORN <br /> re-roof Hot Mop <br /> vaoroseo use uc em�owc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINflD THIS <br /> cormnercial APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> ���ni DESGFIFT�ONOFPPOPEFTYISHOWBELOWOH�TTRCHFOIlFCO�ES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �o,_e�ocK_oF VJHETHER SPEGFIED HEHEIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES IJOT PRESUME TO GI'✓E AUTHORITY TO VIOLATE <br /> Sec. 29 Twp 29 Rg O5 OR CANCEL i�HE PROVISIONS OF A Y OTHER S7PTE OR , <br /> LOCAL LAW REGULATING CO TRUCTION OR THE <br /> 292905-3-009-0009 PEFF RMANCE UF CO TRU I pprE <br /> $IGNR OF CONi U MO�� ��/ �T <br /> �oe h�oaess 3e�p 6 25 84 <br /> -3A0_9,Oroadway <br /> MECHANICAL <br /> PLUMBIAG TYPE OF EOUIPMENT FEE <br /> FEE N0. <br /> NO. TYPE OF FI%TURE OR ITEM piR COND.UN:?u - H.P.EA. <br /> WATER GLOSE7(TOILET) <br /> REFFIGEPATION UNI�S- H.P.EA. <br /> OATHTUO <br /> BOILERS- N.P. EA. <br /> LAVATORY QNASH BASIN) I <br /> GFS FIRED N L. UNITS- TONNAGE EA. <br /> SHOWER FORCED Alfl SYSTEMS- B.T.U. M EA. <br /> KITCHEN SINK b OISP. M I <br /> WALL HEATERS - B.T.U. <br /> �ISHWASHER ' I <br /> UNIT MEATERS- B T.U. M <br /> LAUN�RYTRAY <br /> EVAPORATIVE COOLERS <br /> CLOTH[5 WASHER CLOTH[S DRYEHS <br /> WATER MEATER , <br /> VENTILATION FAN <br /> URINAI qpNGE HOOD <br /> DRINKING FOUNTAIN GF.M. I <br /> AIR HANDLVJG UNIT- I <br /> FLOON DRAIN _ <br /> S70VE-WOOD I <br /> VACUUM BREAKERS MBTAL FIREPLACE h CHIMNE� <br /> pUDF DRAINS- RAINLEADERS FIREPLACE INSEFT ' <br /> S�NK(SEFVIGE- BAfi.ETCJ HEAT PUMP I <br /> SUB tOTAL t <br /> --- SUB 10TAL s PERMIi s <br /> - PERMIT s __— TOTAL KEE s <br /> � TOTAL 1`EE = pLAN CHEGK FEE <br /> SIDE YAPD SETAACK SLP[ET SEl BPCK REAR YAflP SETBACK PLAN CHECK NUNBER FEE RECE�Pi NO. <br /> � LOT AREA VFCANT SITE FEES VALIIATION FEE <br /> USE ZUNE ':.YES : NO <br /> TYPE OF CANS . OGGUPANCY GROUP NO.OP DWELLING UNITS 2� SO <br /> BUILDING �177.00 <br /> NO.OF STORIES MAX.00C. LOAD <br /> SIZE OF BLDG. PLUMBING <br /> FIRE ZONF 6ASEMENT FIRE SFRINKLERS �/,ECHANICAL � <br /> REUUIRED <br /> VE8 NO <br /> OTP.E R <br /> APPROVALS BY DATE __ U.B.C. <br /> 1.ENVIRONMEN7AL CNECK LIST PErvAU V — SEC.303(e) <br /> -- 20 $0 <br /> 2.BWLDING PLANS TOTAL <br /> 3.FIRE HVDRANI pEPM1T VALIDATION <br /> C.FlRE PROTECTION 5YSTEM �YHEN PROPERLY VALIJATED�IN THIS SPgCE)THISQS(YCg1�FE�i1�1T-- � <br /> � iGAADMG � <br /> 6.DRAMAGE _ (1') <br /> 7.ENVIROIJMENTALIMPACTSTATEMENT , ' �� �- ' <br /> -. r. _�� Il I � <br /> B.HEALTHDISTRICi ' ' � '._I <br /> APPLIGATION ACC. BY PLAN5 CHECKED BY APPR.FORISSUANCE BY <br /> '� ., � . , <br /> ADDRESS f�LE ' <br />