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, <br /> rhe Es•erRrcen --� C�t�ST R U CTI O N � ^ <br /> CITY OF � <br /> everett PERMIT pERMIT N4. OH694 <br /> CITY HALI.259-8745 <br /> EveaEtT,wn �ezoi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIhu <br /> OwNER MAiIPDDRC55 CItY ZIP �HONE <br /> Bruce Martin 1814 Colby Everett 98201 <br /> ARGMRECTORDCSiG4CB MRILAODPESS p7Y ZIP PMONE <br /> GENER�.ICONIRACTOR MAILADDNESS QTY ZIP PHONE LIGCNSEt <br /> MECNANICAL CONTNACTOR MAIL FDDHE55 QTV ZIV W10NE LICENSE I <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PLUMBINGCONiRACNq MAILA�DRCSS CITY 21P PHONE LILENSEI <br /> ClA55OF WOIiN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAiION OF WORN <br /> S <br /> LCCCrIBE WORR <br /> PPOMISED USE Of BUILDING <br /> I HEREBY CERTIFY THAT 1 HAVE FcAD AND EXAMINED TNIS AP- <br /> icc«oeser+ir�rior+orrAoreatrisHowee�owonnnne�Fouaeor�es� PUCATION AND KNOW THE SAME TO BE TRUE AND CC�RRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�oc�_oF TYPE OF WORK WILL BE CAMPLIED WITH WHETHER SPEGFIED <br /> HEREIN UR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLAtE OR CANCEL THE PRO- <br /> � VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br /> CONSTRUCTION OR THE PERFORMAh�E OF CONSTRUCTION. <br /> JOB AODRE55 $iGNATUR[OF CON1q TOR OR i110R1Z ENT UA'l <br /> 1814 Colby X 12/16/BO <br /> PLUMAING NICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPI�SENT FEE <br /> WATER CLOSET�TOILE� AIR COND UNITS—H R EA <br /> BHTHTUB REFPIGCRATION UNITS—H P.EA <br /> IAVATORY fWASM BASIN) �OIL[RS—N P.EA. <br /> SNOWER G/+5 FlRED AC UNITS—TONNAGE EA <br /> KITCHLIJ SIIJK 8 DISP. fORCED AIR SYSTEMS—B TL. M EA <br /> OISHWASHER WAIIHCAT[PS—OTL. M <br /> IAUNDRVTRAV UNITHEAiLRS—�TL. M <br /> CLOiNES WASNER EVAPORAINE COOLEf75 <br /> WATER HEpiER CLOTH'c5 OFVERS <br /> URINAL VENTIL4TION FAN <br /> DPINKING FOUNTAIN RANGE NOO[] <br /> FLOOR DRAIN AIR HANOLIkG UNIT— CF.M. <br /> VACUUM 85EAKER3 STOVE <br /> ROOF DRAINS—RP WLEADERS ��1ETAL FlREPLACE 8 CHIMNEV <br /> SINK(SEFVICE—BAR.ETG.) O a E I an <br /> SUB TOTAL SUB TOTAL f 2 OQ, <br /> PENMIT S PERMIT f <br /> TOTAL FEE f TOTAI FEE f S O 0 <br /> SIDE YAPD SETBALK STREE7 SETBACK REAR YARD SET�ACK PLAN CHLCK NUMBER PLAN CHECK FEE <br /> fEE RECEI!'T NO. <br /> USE ZONE LOT AREA VAG�NT SITE <br /> C7YE5 LNO PEES VALUATION PEE <br /> TYPE OF CANST. OCCUPANCV GROUP NO.OF DWELI.ING UNITS <br /> BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD , <br /> PLUMBINa <br /> FIRE ZONE BASEMENT fIRE SPRINKLERS <br /> REOUIRED MEGNANICAL 5 00 <br /> f7vES ❑NO <br /> APPROVRLS BY DATE OTHER <br /> 1. ENVIRONMENTALCNECKLIST PENALTY U.BC <br /> SEC.303�a) � <br /> 2. BUIL�ING PLANS <br /> 3. FIREHYDRANT TOTAL S OO <br /> 4 FIPE PROTECTION SYSTEM PENMI7 VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)TINIS IS YOUR PERMIT <br /> 5. GRADING I � o � R 0 0 5. 0 0 —�r 4 <br /> 6 DRAINAG[ � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT ,.(Cy.�) <br /> 8. MEALTH DISTRICT �. � ' '� 2 �'�e r I�+1_ <br /> 1..� <br /> APPLICATION ACC.BV PLANS CMECKED BY APPR.FOR ISSUANCE BV i ��� ^,t�f\ Y Cl U <br /> I 6 ���c 3 0 <br /> ADDRESS FILE <br />� - — - - - -- c� _ <br />