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,.. <br /> i <br /> rh�• r.-rrv�.rPn <br /> evere�tt ��NSTRUCTIO�� <br /> GTV hALL 259 N745 <br /> PERI�IIIT �E�n�ir No. 13330 <br /> eveAerr wneeso� �� COMBINATION �j BUILDING �J MECHANICAL �� PLUMBING <br /> OWNEN M�i� qOpRE55 ��Ty <br /> Casino Video 205 East Casino Road Suite A10 Everett 98204 P���E <br /> �NLNIIECIOROESIGNfN �� MAILAOORE55 CIiY --- <br /> j�n PHONE <br /> GENER�L GONTR�LIOP M�II�DDRESS GRY .'IP PNONE LIGENSE 1 <br /> Simco Sign Co. P.O. Box 68 Everett 98201 252-0086 <br /> MELH�NIC�I GONiR�LTOR M.111�OONESS p�Ty Z�P <br /> PHONE LIGENSE I <br /> PLUMBING CONiP.1GiOR M1p,�O�HE55 GrtY 1iP <br /> PNONE LIGENSE� <br /> C1�S50P WONM -' �__ <br /> U NEW ❑ ADOITION O ALTERAiION ❑REPAIR ❑ DEMOLITION U FENCE XIQ SIGN ❑ WppD STOVFJFIREPLACE INSERT <br /> V�lUA/�ON OF WOFR <br /> � 1185.�� <br /> OESCPIBE WORM — <br /> install illuminated aign <br /> PROPOSEO USE OF BUILOI 0 <br /> �� �I/ E I HEREBY CERTIFY THAT 1 HAVE READ ANi) EXAMINED THIS <br /> iec.i oe;�lONpF PROPER v�sHOW BEIOW OR�TT�GM FOUR COPIE51 — APPLICATIOM AND KNOW THE S4ME TO BE TRUE AND <br /> � CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or__B�ocK_._or_ GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> _ PERMIT DOES NOT�RESUME TO G�VE AUTHORIT!TO VIOLATE <br /> OR CANCEL THE pROVISIONS OF A�IY OTHER S1�PTE OR <br /> LOCAL LAW REGULAI'ING CONSiRUCTION OR THE <br /> �oe�ooness — -- OF NSTRU�7J9Nrl <br /> SIGN� RE OF EO G 0 JR qpD - / � OATE <br /> 205 East Casino Road, Suite A10 <br /> PLUMBINO MEC ICAL ~ <br /> N0. TYPE OF FIIf7URE OR ITEM _ FEE NO. PE O UIPMENT FEE <br /> WATER CLOSET�TOILEn qIR CONO. ITS — NP. EA. <br /> OA7MTUB qEFRIGERATIOM UNiTS — MP EA. <br /> LAVATORY�WASHBASINI — — <br /> BOILERS — H.P. EA <br /> S:IOWER -- <br /> NITCMEN SINN 6 DISP. GAS FIRf.D A.G UNrtS — TONNAGE EA. <br /> FORCc�AIR SY.iTE�AS-- B?.U. M EA <br /> DISMWASHER WALI MEA7ERS — B.7.U. M �� <br /> LAUNORV TRAY UNIT�1EATEFS— B.T.U. M <br /> CLOTHES WASHER EVAP09ATIVE COOLEflS <br /> WATER HE�TER CLI�iHES DNYERS <br /> URINRI VENTILRTION FAN — <br /> _ ORINNING FOUNTAIN RaNGE MOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— <br /> VACUUM BREAKERS C.F.M. <br /> _ S70VE — WOOD <br /> ROOF DRAINS — RAINLEA�ENS <br /> — _ METAL FIREPLACE 8 CMIMNEY <br /> _ SINN�SERVICE — BAR, ETC.) FIREPLACE INSERT <br /> __ HEAT PUMP <br /> _ SUB TOTAL _ y _ SUB TOTAL t <br /> PERMIT f — -- _ <br /> .._ PERMIT { <br /> TOTAL FEE f TOTAL FEE f <br /> SIOE YARD SETBACN STPEET SETBACN REAR YAflO SETBACK PLI1N CHECI(NUMBER P�AN CHECN FEE <br /> FEE REC[IPT NO. <br /> USE ZONE LOT APEA VACANT SITC <br /> YES NO FEE6 VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROIJp NO.OF DWELLING UNITS <br /> S12E OF BLD(3. NO.OF STORIES MA%.OCC. LOAD BUILDING S ZLBS. B OO <br /> PLUMBING <br /> FIRE ZONE OASEMENT FIRE SPRINKLERS �---- —�' --- <br /> HEOUIRED MECHANICAL <br /> YES NO <br /> APPROV�LS BY OATE OTHER <br /> 1. ENVIRONMF.NTAL CMECK LIST PENA�T� U B C. <br /> 4.BUILDING PLANS SEC.70]�a) <br /> ].FIPENVDHANT TOTAL 9 QO <br /> d FIqE PpOTECTION SVSTEM PEflMIT VALIDAT�ON <br /> 5.GRAOING WHEN PPOPERLY VAUDATE��IN THIS SPACE�THIS IS VOUR PERMIT � <br /> 8 DRRINAGE p p <br /> 7.5NVIRONMENTAI IMPACTSTATEIAENT I � I S ? U O J. O C -- (� <br /> B.Y'cALTH DISTRICT �� <br /> APPIIC�TION ACC. BV PUNS CMECKED BV APPq. FOR ISSUnNCE BY ♦ ; <br /> � �; i:� IPT <br /> aF �' ', .1 <br /> , ' <br /> ADDRC::S FILC j � ...:�Y i i <br /> � <br />