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!he E�'CI�Y OF �� CO��ST R U CT I O N -� � - <br /> everett PERMIT pERMIT N0. O�6HZ <br /> CITv HALL 259-N745 <br /> EVEriEn w�, ��yza+ ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> UWNCR MRqq0�11E55 GILY Z�Y VHONE <br /> Jerry Dykstra 1701 Colby 98201 252-5962 <br /> ARCHRKTOROESIGNE� IAAILAUUR[55 CRY ZIV PNONE <br /> GENCFAI CONTMCipq MAI�11ppRE55 CiT� 21P RIONE LICENSE I <br /> Same <br /> MECMRNICAL CANiRACfOR MAIL N�DRE65 CRY ZIP PHONE UCENSE I <br /> PLUMBING CANifU1�TOR MNL�Op11E65 CRY ZIP 1'HONE LIGENSE f <br /> G1A550i WORK <br /> ❑NEK' OADDI110N ❑RLiERAT10N ❑REPAIR �`YOEMOLITION ❑FENCE ❑S�GN ❑faARAGE <br /> VALUpTqN OF WpRK <br /> f <br /> �ESCMiBE WORK <br /> Demolish Garage <br /> nROf'O6ED U6E OG OUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AWO EXAMINED THIS AP- <br /> i.ecnioFr,caivrweorrnocemr�sNoweeiowonnnacHrouncovies� PUCATION AIJO KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 1—N � 2 347 EWerett Div. L ALl PROVISIOtJS OF LAWS AND ORDINANCES GOVERNING 7HIS <br /> �or a�oc�ov _ TYPE OF WORK WILI BF COMPLIED WITH WHETHER SPEGFlED <br /> HEREIIJ OR NOL TH[ GRANTWG OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTNORITY TO VIOLATE OF CANCEL THE PRO� <br /> VISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CON TRUCTIOIJ OR THE PERFORMANCE OF CONSTRUC710N. <br /> JOBRDPS : � ��E/i1 :4ViaACi AUt ��pE�P HT DAiF <br /> g7�1� Colby X.� `` <« , ���J 6/3/80 <br /> PLUMBIN6 MEQ�IANICAL � � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO: TYPE OF EQUIPMENT FEE <br /> wn�EH aosei(ioi�etl ain co�an �wrs—�i r f_a <br /> PnTHTUd RE'.fRiGERATIpN UNIiS—H v Fn <br /> LAVniORY(WASH BASIN) BOIL[RS—H P.CA <br /> SHOWER GAS fIPFD A C UtJli$—TONIJAGE[A. <br /> KRCHHN SWK 8 DISR FOACEO AIR SVSTCMS—9 TL M EA. <br /> DISNWASN[R WALL N[ATERS—B 1 U M <br /> LAUNDRV TRAY UNI7 H[ATLFS—BT.U. M <br /> CIOTH S WASHER EVn�'ORATIVE COOLERS <br /> WATEA HLAT[F CI.OTHES ORVERS <br /> URINAL V[NiILATION fAN <br /> DFINKING FOUNTAIN HANGE NppD <br /> f l(�R DRAIN AIR HANDLIN6 UNIi— C F,M <br /> VACUUM BRFAKJPS 6TOVE <br /> ROO��RAINS— ?AINLEADERS METAL FlREP�qCf b CHIIANEY <br /> SINK�SERVICE—BAR,ETC, <br />� SUB TO7RL SUBTOIAL i <br /> PERMIT i PERMIT f <br /> TOTAL FEE i TOTAL FEE f <br /> SIDE YARG SETBACK STREGT SCT�ACM. REAR VARD SETBACK P�AN CHECK IJU!�BER P�AN CHECK FEE <br /> i CE pECEIPi IJG. <br /> USE ZONE LOT AREA VACAHi SITE <br /> fJYLS ❑NO FEES VALUATION FEE <br /> �� <br /> I TYPE OF CANST. OCGUPANCY GROUP NO.OF OWELLING UNITS <br />� OUILDING 5 00 00 <br />� SIZE OF BLDG. NO.OF STOFlIES M!+%.OCC.LO�D <br /> PLUMBING <br />�i FIRE ZONE BASEMEM FlRE SPRINKLERS <br /> I REOUIRED MECHANICAL <br /> ❑VES [lN0 <br />! / OTVIER <br /> / APPROVALS BY OI1TE <br /> 1. ENVIRONMENTAI CHECK UST p�NA�n. U 8 C. <br /> � 2. BUILDING ALANS SEC.3031a) <br /> 3. fIRE HYORANT TOtAL 00 00 <br /> 4. FIPC PHOTECtION SYSiEM WHENIPROP[RAVIONILATED QN THIS SPACE)TH1515 OUR F�IryI(�9 a 4 �� <br /> 5. GRADING Z 9 q � V 4 <br /> 6. DRAINAGE N <br /> Z ENVIRONMENTALIMPACTSTATEMENT <br /> , B. HEALTH L�ISTRICT �I C)�J � RE�Pj <br />� APPLICATION ACC.8� PIANS CHECNEO BY APPR fOR ISSUANCE BY f. �, /, �^ U <br />