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the Lirer,�rern �7 N ST R U CT I O N ��� ^ <br /> CiirGF j.� • <br /> everett PERMIT PERMIT NO. 160� � <br /> GITY MALL 259-B7d5 <br /> EVERETT.WA 9820t � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWHER MAILAD�RE55 LIiY ZIP PMONE <br /> Rick Fernandez 2808 Colby Everett 98201 339-3644 <br /> •RCHITEGT OR DESIGNER KAIL ADDRE55 CITY ZIP PMONE <br /> GENENFLCONTRAGTOR MAILAOORESS qTY ZIP PMONE IILENSE� � <br /> $dI1K' j <br /> MECMANiGAL CONTRACTON MAIL ADDPE55 CITY 21P PHONE LIGENSE� ` <br /> PLUMBING CANTRAGTOF MRIL AOJNE55 GITY ZIP FHONE UCENSE M r <br /> I <br /> CU55 OF WORK <br /> ❑NEW ❑ ADDIiIOM HE ALTERATION ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WORK <br /> 5 30�.00 <br /> OESCRIBE WORN <br /> Tenant Improvement <br /> PROf`OSEDUSE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGRL�ESCNIPiION OF PFOPERTY�SMOW BELOW 09ATTACM FOUR CqPIE51 CORRECT. ALL PR(�VISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECI'rIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT FRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE F'ROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CO STRUCTION. <br /> JOB ADDRE55 SIGNRTURE NiR 0 AU� ENT �ATE <br /> 2808 Colby <br /> X - � 2/6/86 <br /> PLUMBING M ANICAI I <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE I <br /> WATERCLOSET(TOILETI AIP COND.UNITS �— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. � <br /> LAVATORV(WASH BASIN) BOILERS—N.P. EA. <br /> SNOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHENSINKB DISP. FORCED AIF SYSTEMS— B.T.U. M EA. I <br /> DISHWASHER WALL HEATERS— B.7.U. M <br /> LAUNDRYTPAV UNITHEATERS— B.T.U. M <br /> CLO7HE5 WASHER EVAPOFATIVE COOLERS <br /> WATEF HEATEF CLOTHES DRVERS <br /> URINAL VENiIIATION FAN <br /> OFINKING FOUNTAIN fiANGE HOOD � <br /> FLOOR ORAIN Alti HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF ORAINS— RAMLEADERS METAL FIREPLACE R CHIMNEY <br /> SINK(SERVICE— BAF, ETC.1 FIREPLACE INSERT <br /> I1EAT PUMP <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT f PERMIT S <br /> TOTIIL FEE f TOTAL FEE f <br /> SIDE YAflD SETBACK STREET SETBACK REAR YARD SEiBACK PLAN CHEGK NUMBE(i PLAN CMECK FEE <br /> N�A N/A N�A FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 86 16093 __ 6.50 83t300 <br /> B-3 N�A I-YES ,XHO FEES YALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N H-2 0 BUILOING E 300.00 10 00 <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCG. LOAD <br /> Zi�XSS� 1 N/A PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECMANICAL <br /> REOUIRED <br /> YCS I NO <br /> pPPROVAIS BY OATE aTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.3031a) <br /> 2.BUILDINGPLANS TOTA� LO OO <br /> 3.FIRE HYDRANT <br /> n.FIRE PROTECTION SVSTEM PERMIT VALIDATION ' ��C �� ���� <br /> 5.GRA�ING WHEN PROPERLY VALIDATED(IN TM16 yE)THl 1 Y �L � <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT (.Q <br /> B.HEALTH�ISTRICT , . . �, ^ f � � <br /> i'. .l.�: ����� ��—� <br /> APPLICATION ACC.BV PLANS CHECNED BY APPH. FOR ISSUANCE BY . , , , �„ <br /> . , . ,. � (. I� <br /> JSF <br /> — �� I �13 u U <br /> ADDRESS FILE <br />