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rhr !i vrr�;rrrn <br /> e�erett CO N STR U CTI C� N <br /> CITYHALL459�N7.15 P�RMIT PERMIT NO. 147OS <br /> EVERETT.Wq 98�Ot � COMBINATION �] BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> owr�en rn�a eooeess eirv <br /> CI.ARFT10NT FAMILY CLINIC 5007 CLARFTIONf IVAY EVFRErj"{yp gg2p3 P�ONF.�Sn'���� <br /> � <br /> �RCMREGT O�pESiGNER MGII PDORE55 CITv LP PNONE <br /> GEHEP�L GONLR�CIOR M�IL��ORE55 GT1' ziP GnONE IICENSE� <br /> CI77 SIGN SERVICE 4837 EVERGREEN WAY EVERE7'I' WA 98203 339-2644 <br /> MEGH�NICAI GONiR�CTOR M�II�DDRE55 CILY IIP PMONE 4CENSE� <br /> PLUMBING CONTR�CiOR MM��D�RE55 LiIY pip PnONE LICENSE� <br /> GL�SS OF WORK <br /> ❑NEW ❑ ADOITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> V�W�iION OF WUFK <br /> = S��.QD <br /> OESCRIBE WORN <br /> Install 3'x10' sign on posts a <br /> PROPOSEO USE OF BIIIIDING ...� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS c� <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND m <br /> LEOAL OESCNIPTION OF PqpPENtY�SHOW BELOW OH�T11CM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �o*_e�ocK_or GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH .-. .. <br /> WHETHEF SPECIFIED HEREIN OR NOT.THE GRANTING OF A � '� <br /> PERMI�I'DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE N = <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR m <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE c o <br /> PEHFORMANCE OF CONSTRUCTION. �+� <br /> JOB�UORE55 SIGNQU OF LONTRAClUR OP RI1TH0 2ED AGENT p�tE <br /> 5007 CLARD�JNT WAY X 4/18/85 � � <br /> PLUMBINO MECN NICAL m � <br /> NO. TYPE OF FII(TURE OR ITEM _ FEE NO. TYPE OF EOUIPMENT FEE G i <br /> WATE9 CLOSET(TOILET) AIR CONO. UNITS — N.P. EA. y .--� <br /> BATMTUB qEFRIGERATION UNITS — HP. EA. �r-. �—=i <br /> —� N <br /> LAVATORV�WqSM BASIN) BOILEPS — M.P.EA. � <br /> SI/OWER GAS FIRED A.C.UNITS— TONNAGE EA. O A <br /> NITCMEN SIN88 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. T <br /> DISHWASHER WALL HEATERS— B.T.U. M = <br /> LAUNDRV TRAY UNI7 MEATERS— B.T.U. M m N <br /> _ CLOTHES WASHER EVAPORATIVE COOLERS O r <br /> WA7ER MEATER CLOTHES�RYERS C N <br /> URINAL VENTILATION FAN � N <br /> OR�NNING FOUNTAIN RANGE HOOD � r <br /> FLOOR DRAIN AIR HFNDLINO UNIT — C.F.M. � y <br /> VACUUM BREANERS A <br /> STOVE —WOO� <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY = <br /> SINK ISERVICE — BAR, ETCJ FIREPLACE INSERT = <br /> NEAT PUMP 1 <br /> 2 <br /> N <br /> 2 <br /> O <br /> SUB TOTAL y � <br /> SUB TOTAL { <br />� PERMIT _ _ _ VERMIT f I�.1 <br /> TOTALFEE f 70TAL FEE f <br /> SI�E YARD SETBACN SiREET SETBACN REAR YARD SETBACN PLAN CHECN IIUMBER P�AN CHECI(FF:E <br /> I __ FEE qECEIPT NO <br /> I IISE ZONE LOI AREA VACANT S17E <br /> YES NO FEES VALUA710N FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDO. NO.OF STORIES MA%.OCG LOA� BUILDING -- f SOO.00 S OO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FlRE SPRINNLERS MECHANICAL � <br /> REOUIRED <br /> VES NO — <br /> APPROVALS BV D�TE OTNER <br /> I.ENVIRONMENiAL ChECK LIST PENq�TY U B C <br /> P.BUILOING PLANS SEC.J03�a� <br /> J.FIqEHYDRANT TOTAL S OO <br /> �.FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GRADING WMEN PROPERLY VALIDRTED pN TMIS SPACEI TMIS IS VOUP PERMIT (� <br /> 6.DRAINA�E � ' - � <br /> 7.ENVIRONMENT�LIMPAC75TATEMENT Sign to be 011 O11 private property. � <br /> B.HEALTM DISTRICT CT <br /> APPLIC�TION ACC. BY PLANS CHECKED BY APPF.POR ISSURNCE BY � <br /> 1 i�• <br /> ADDRE55 FlLE ' <br />