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,',� ' ��..�"�."' ;oNsrRucTior� <br /> , : <br /> everett PERMIT PERMIT N0. 12171 <br /> CITY HALL 259�fl145 <br /> evEaeTr.wnse¢oi ❑ COMBINATION �II�XBUILDING ❑ MECHANICAL L� PLUMBING <br /> OWNLN MnIL�OOHE55 Qi� 2�F P��ONE <br /> Casino Road Enterprises 9 Lake Bellevue Lane N100 Bellevue 98005 ;34-3993 <br /> •RGMItEGT OR DESIGNEP M��l��DRE55 GiY ZiG PHONE <br /> saYxAszxx <br /> GENEA�L CONiR�GiOR M>IL�DORE55 CitY bP PHCNE LiGENSE� <br /> MFGM�NiGAI CONiR�GtOR <br /> M�il�OORE55 CIIY ZIP PNONE LICENSE• <br /> GLUMtlING WNTR�GLOR <br /> M�LL�D�RE55 Citv ZIP PNONF IIGENSE� <br /> GUSS OF WORIt <br /> ,�NEW ❑ ADDITION ❑ AITEFAT10N ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPI.ACE INSERT <br /> V�W�IION OF WORN <br /> f <br /> DESCRIBE WORM <br /> Conetru�t Buildin9 B <br /> Nnovoseouseor euuowc I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> retail ealea — APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRi�ESCRIPiION Oi PROPEPIY�SMOW BELOW OR�iT�CM FOUR GOVIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVEf7NING THIS TYPE OF WORK WILL DE COMPLIED WITH <br /> Loi__PIOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE PUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANV OTHER S1ATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. oaTE <br /> "—� SIGNAiUNE OF CONIR4CTOR OP 4UiNOR12E0�GENI <br /> JOH�DORE55 <br /> 205 Eaet Caeino Road X 7 7 83 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT _ FEE <br /> WATERLIOSETITOILEp � A�A CONO UNITS - M P. EA _ <br /> BAINTUB PEFRIGERATION UNITS - M P. EA <br /> LAVATORYIWASMBASIN� BOILERS - MP. EA. <br /> SMOWER GAS FIRE�A C. UNITS - TONNAGE EA. <br /> NIICMEN SINN 6 DISP. FORCED AIR SYSTEMS- B7 U. M EA, <br /> DISHWASMEP WALLHEAIERS - B.1U. __M <br /> LAUNORY TRAV UNIT HEATERS- B.T.U. M <br /> CIOTHES WASHFR EVAPORATIVE COOLERS _ <br /> WATEH MF.RTE9 CLOTHES DRYERS <br /> URINAL VEN71lA�lUN FFN <br /> ONINKING FOUNTAIN RANGE MOO� <br /> FLOOR ORAIN AIR MANDLING UNIT- C.F.M. <br /> VACUUM BREANERS STOVE - WOOD__ <br /> POOF DRAINS - RAINLEA�ERS METAL FIREPLACE 8 CHIMNEV <br /> SINN�SCRVICE - BAR.E1C.� FIREPLACE INSERi <br /> - MEA7 PUMP <br /> 6UE TOTAL f SUB TOTAL f _ <br /> PERMIT f _ PERMIT_ : __ <br /> TOTRL FEE t TOTAIFEE f <br /> FTREET SF.TBACI( HEAR YARD SETDACK PIAN CHECN NUMOER PLAN CHECI(fEE <br /> SIDC YARD SETBAf.K RECEIPT NO <br /> FEE <br /> '___ _-___-- ' _._—"___ -- <br /> ___'_-_-'_ __-_ <br /> USE IONE WT AR[A VACANI SITE -"-- FEES VALURTION FEE <br /> VES NO ---'-'-'- --- <br /> TVPE OF CONST OCCUPANCY Gl70UP NO OF DWELLING UNITS _ __ _ _._ _ - <br /> BU�L�ING s <br /> SIZE OF BLOO NO OF STORIES MA%. OCC LOA� - <br /> PLi'MBING <br /> ___ '.___ _'-_ __._"___'_ _ _- . <br /> FiRE ZONE OASEMEM � q�E0U5�7EDNNlEPS MECHANICAL <br /> VFS NO <br /> BY OGiL OTHER . <br /> APPROVRLS . __- . ----- <br /> U B.C. <br /> _-__'_ _-_ - '- <br /> L ENVIRONMENTAL CHECtt UST � _ _ . _ PFNALTV SEC.707�B� __ <br /> 2.BUILDIN�PLANS -�� - TOTRL �-��- � � �� <br /> 3 FIREHVURANT <br /> 1 FIRE PROiECTION SYSTEM PERMIT V�LIDPTION <br /> WHEN PROPERLV VALIDATED�IN THI$,SpAGfJ THIS�/(QyN1P6PhYt_,�� <br /> 5 GRADING 7 U 9 ! U U V Il U <br /> 6.ORAINAGE Fees collected on Permit 11669. � <br /> '.ENVIRONMENTALIMPACiSTATEMENT T�715 permit t0 bB USed fOI record N <br /> O.HEALTNDISTRICT purposes. `i QU R RECEIPT��� <br /> ,1PPLICATION ACC. EY PLANS CHECKED BV APPR. FOR ISSUANCE BV �'. I i'��.�''�� Y C' U <br /> _ � ,. . <br /> J�'L o� <br /> „i�n��: �. �� ���i <br /> l <br />