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`h``°�RYeoF C7NSTRUCTION <br /> everett PERMIT pERMiT N0. 09544 <br /> CITv HALL 253�E7/.5 <br /> evEr�crT.wr� yezc� ❑ COMBINATION ❑ BUILDING ❑ M�CHANICAL ❑ PLUMBING <br /> bJINEF MAILqUJHESS CIiY ZIP PMONk <br /> L W Baker 1427 Hovt Ave. Everett 98201 252-5012 <br /> <RCHRECi OR OCiiGN[R M�IL ADDP[55 CITY ZIP PqtlE <br /> Self <br /> GENERAI CONTMCTOq MMl PDDfiESS CRY ZIP PMONE tiCENSE• <br /> MECNAWCAI CANTHRCTON MML�D�RE65 CRY 21P RIONE LICENSE� <br /> PLUMBINGdJNiP/�CTqi MAILIWONE66 CRY 21P PHONE lIC[NSE� <br /> GLASS OF WORY <br /> ❑NEW ❑AODITION �ALiERATION �EPAIR ❑OEMOLITION OFENCE �610N �CiARAOE <br /> VAWAiION OF WOAK <br /> S 8�0. 0� <br /> �ESCR19E WOFK <br /> Rermof _ <br /> P�Oi'OSED USE 0�BUII�iNG <br /> Res. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS nP� <br /> icr,n�oesca�vricrvovrnovcrrrrisNowee�owcannncHwuncoriesi PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECi <br /> 28-2 308 Hilton' s First Add. A!I_ PROVISIONSOFLAWSANDORDINANCESGOVERNING1H15 <br /> �or�iocK_oF TYPE OF WORK WILL BE COMPLIEO WITH WHETHER Sf[GIFI�D <br /> HEREIN OR NOT. THE GRANTIN.r, OF A PERMIT DOES IJOT <br /> PRES'1ME TO GI�'E AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF P"�Y OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PEHFGRMANCE OF CONSTRUCTION. <br /> JOP�AODfl[55 Si6N4'UFEOfCONSRACfO(VORpU�MpRRIDAGENI �. DATE <br /> �l , <br /> 1509 COlby X �. cJ %c'-i -, �f ���_�. ," �F:_ � y���zg'.81 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�U�PMENT FEE <br /> WATEF CLOSEt(TOILET AIR:AND.UfJ�TS—N.P.EA <br /> BATNTU� REFRIGERATION UNITS—NP EA <br /> �qyqTORV(WASH 6ASiN) 801LCR5—H P EA. _ <br /> SNOWER GAS FlRED AL.UNiTS—TONNAGE GA <br /> KI iCHCN&INK 6�ISP. FORCFD AIR SYSTEMS—B?.U. M EA <br /> �ISH;NFSHER YJAi L NEATERS—B.T U. M <br /> LAUNDRVIRAY UIJRHEATERS—BTL. M <br /> CLOTHES WASHER EVF�RATIVE COOLERS <br /> WATF:R HEATER CIpTHES DRYERS <br /> URINPL VBJi1LATION FAN <br /> DRINkiNG FOUNTFIN RANGE HOOD <br /> FtOOF DPFIN AIR HANDLING UNIT— C.F.M. <br /> VPCUUM�RfAKERS STOV[ <br /> ROOF DRAINS—RAMLEADFRS METAG FlHEPIACE 8 CHIMNEY <br /> SINK�SERVICE—BAF,ETC.1 1 <br /> SUBiOTAL SUBTOTAL f <br /> PERMIT S PERMIT i <br /> TOTAL FEE f TOTAL FE[ t <br /> SIDE YARD SETBACK SiREET SETE3AGK fiEAR VARD SETBAGK PLAN CHECK NUMBER PLAN Ci ECK FEE <br /> hLE RECEIPT NO. <br /> USE 20NE LOT AFEA VACANT SITE <br /> ❑YES ❑NO FEES �AI-UATION FEE <br /> TVPE OF CONST. OCCUPANC�GROUP NO.OF DWELLINO UNI75 <br /> BUILDIN6 E 8O0• 00 14 _SO _ <br /> SIZE OF 6LD0. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBINp <br /> FIRE 20NE BASE�AENT FIRE SPRR�Y,LERS <br /> HEOUIRE� MECHA4ICAL <br /> �-IVES �� NO <br /> APPPOVALS BY UATE OTNER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U P C. <br /> SEC.303(a) <br /> 2. DUILDING PLANS <br /> 3 FlREHYDRANT TOTAL 14 50 <br /> a. FIRE PRO7ECTION SVSTEM PERMIT VRLIDATION <br /> WH[N PROPEP.LV VALIDATED pN THIS SPAC[)TH15 15 YOUP PE�Mii <br /> 5. GRADMG ` � � � I �.. � ' --�. � <br /> % <br /> G DRAINAGE �' <br /> 7. ENVIROIJMENTALIMPACTSTATEMENT � <br /> 8. NEALTH DISTRICt � � <br /> Cl <br /> APPI.ICA i ION ACC f3Y PL4NS CH[CH[D AV APPR FOR I:SUANCE BY � <br />