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i , • 1 <br /> rheErer,qreen " � ��'1�1������IO� , � � . <br /> cin oF �1 r <br /> everett PERMIT pERMIT N0. O66H2 <br /> pTY HALL 259�8745 <br /> Eveaerr.wn eazoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YN[R MAIL AUDRES$ GIiY ZIP MHONC <br /> Ackerley Communications 3601 6th Ave. S. Seattle 682-3833 <br /> ARCM17EGT Od DESIGNE9 MAIL ADDPESS �ITV ZIP PNONE <br /> G[NERALCANTRACTOP MMIADDPE55 GtY ZIP PNONE I�CENS[I <br /> Same � <br /> uEC��ANICALCONTRACTOq MAILADDRE55 GiY 21P PHONE LICENSE� <br /> PWMBINGCANTRACtOP I,IqIIACDRE55 GiV 21P PHONE LICENSEI <br /> CLA55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑?EPAIR ❑DEMOLITION ❑FENCE ��GN ❑GARAGE ' <br /> vniunnor+or woaK <br /> i 3,000.00 <br /> oescaiae woaK -- � <br /> 12'x25' Sign 29' High 12' feet brom bottom to ground <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS AP- <br /> i�c,a�oescairnorvoFraoPearvisHow6e�owoaanacMfouncories� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS 4ND ORDINANCES GOVERNING THIS <br /> ior e�ocrc_or TYPE OF WORK WILL BE CUMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GHANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOIATE OF CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REf,ULA�ING <br /> CONSTRUCTION OR THE PEHFORMANCE OF CONSTRUC710N. <br /> JOBAOORE55 SIGHAiUREOPCONiqALiOFORAUi��OR12EDAGCNi DFTE <br /> 2525 Colby X 9/13/79 <br /> PLUMBIN6 MECHANICAL <br /> - NO. TYPE OF FI%TUHE OR ITEM FEE N0. TYPE OF E�U:FMENT fEE <br /> WATER CLOSET QOILET) qIR COND.UNITS—H P EA. <br /> �ATHTU� pEFqIGERATIGN UNITS—HP.EA <br /> LAVATORV(VJASH BASIN, �OLLERS—HP EA <br /> SHOWER GAS FlPED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. � FORCEO AIR SYSfEMS— 9 T.U. M EA. <br /> DISHWASHER WAILHEHTER3—�T.U. M <br />� IAUN�PY TRAY UNIT HEATERS—B.T.U. M <br />� CLOiHES 1NASHEi1 EVA('ORA i IVE COOLEfi$ <br />� WATER HEATCR CI.OTHES DRVERB <br />� URINAL VEtJ71LATION i'AN <br />� DRINKING FOUNTAIN RANGF HOOD <br /> FLOOR DHAIN AIR HANDLING UNIT— CF.M. <br />� VACUUM�REAKEpS STOVE <br /> ROOF DRAINS—RAINIEADERS ldETAL FIREPIACE 8 CHIMNEV <br /> SINK(SERVICE—BAR.ETG) <br /> SUBTOTAI SUBTOTAL 5 <br /> PEqMIT S PERMIT f <br />, TOTAL FEE S TOTAL FEE S <br /> , SIDE VARD SETBACK STREET SETBACK REAR VARD SEiBACK PLAN CHECK N111A8ER PLAN CHECK FEE <br /> FEE RCCEIf'7 NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> CiYES ❑NO FEES VALUATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELUNQ UNITS '� <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD BUI�DING S 3�OOO.OO Z: OO <br /> PLUMBING <br /> FlRE ZONB 8l+SENENT FIRE SPRINKLERS <br /> REOIIIRED MECHANICAL <br /> ❑Yc5 ❑NO <br /> APPROVAIS BY OATE OTHER <br /> 1. ENVIRONMENTALCHECKUST • <br /> PENALiV UBC. <br /> 2. BUIIDING PlANS • SEC.303(a) <br /> 3, FIRE HYDRANT TOTAL r. ZA OO <br /> d. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING 9 <br /> 6. DRAINAGE ` I�� �p1�<OQ � ' � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT ,�� � , � <br /> 0. HEALTH DISTflICT k�?� ' C p�(D <br /> pPPLICATlO!I ACG.BV PUINS CHECKED BY APPR.FOfl ISSUANf,E BY • • Y(U R R E v C I�'!� <br /> • � THAt�K YOU _- -_.,,,I <br /> - - - - �_: <br />