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r <br /> i, <br /> ',1e`,��TY`oF � �ONSTRUCTIOR' - '` <br /> everett PERMIT PERMIT NO. 1.OH66 <br /> CIiV HALL 2?497A5 <br /> e�eaerl, �vn eezoi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> r <br /> O1""�A StTdAd ROt01 �'n'�ti������s cin zia r��or�t <br /> Britt Lee 111 S9. Holley Street Office C Bellingham 98225 773-1184 <br /> 4PpniE.'.iGRJLGiG4CR IAF4PppRE55 GITy ZIP VMONE <br /> GILCRALCANTRACTO� MAILA�DR[SS G�TY 2iP PNONE IICENSf r <br /> C;�stom Welding & Mfg. P.O. Box 2728 Everett 98203 743-2500 <br /> V(L��pqIC/+LCGNTFdCTOP MAILA�DRE55 pTY ZIP PNONE UCE�:SC• <br /> fW!'t3�iNGG9NTqApTON MAILA��R[55 QIY 21P PMONE LiCE1AC� <br /> Rn55 OF WORK <br /> ❑NEW ❑ADDIiION ❑ALTERATION �REPAIR ❑DEMOLITION ❑fENCE ❑SIGN ❑GAiiAGE <br /> ':AW4iiGNOF WORK <br /> i 3�0. 00 <br /> DESCRIBE 1YORK <br /> Repair fire Escape <br /> aeoFosm use oF euaowc <br /> Hote 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> ie�nioescaiarioNOFrnorenrvisNoweeiowoannncHFouaeovies� PLICATION AND KNOW THE SAME TO BE TRUE AND Cu�,nECT. <br /> ALL PFC:9SION5 OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eioca—oF TYPE OP W�RK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR �'OT. THE GRANTING OF A PERMIT DOES NUT <br /> PRESUME TO C'.VE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF nNY OTHER STATE OR LOCAL LAW REGULATItvG <br /> CONSTRUC1i0N OR THE PERFORMANCE OF CONSTRUCTION. <br /> J0�/ADRE55 SIG�+AtUREOFfAN1FAQOBORAUiMORi2k n ,Ni DA1E <br /> 2938 Colby X � ^ <br /> 8 10 82 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET(TOILET� Altl CONG Ut�1T5—H P FF <br /> �ATHTU� REFRIGERATIOt�UNITS—H P.CA <br /> _ IAVATORY(WASH BASIN� �701LER$—H P.EA. <br /> SHOW[R GAS FIR[D AC DNIiS—TONNAGE EA. <br /> _ KITCMEN SINK 8�ISP. iORC[D Alp SYSTCMS—BI.U. M EA <br /> �ISH\YASHER 11'l.LLHEATki75-9T.U. M <br /> LAUNDRV TRAV UNIi HEATERu—I1.T.U. AA <br /> CLOTHES WASHER [VAPOqATIVE COOLERS <br /> WATER H[ATER CIOiHESDRYERS <br /> URINAL VENTILATION FAN <br /> DRINKIIJG FOUNTAIN qANGE IIOOD <br /> FLOOR DP.AIN AIR HANDLING UNIT— <br /> GF h1 <br /> VAWUN BREAN[RS STOVE <br /> ROOF DRAIN^u—RAINLEADERS METAL PIFEPLACE 8 CNIMNEV <br /> SINK(SERVICE—6AH,ETC.) <br /> SUBTOTAL SUBTOTAL <br /> S <br /> _ PERMIT i PERMIT <br /> S <br /> 70TAL FEE S TOTAI FEE S <br /> SIDE YARD SETBACK STIiCEi SCTOACK HEAR YAflD SETBACK PLAN CHECK NUM�EH PLAN CNECK FEE <br /> FEF RECEIPi NO. <br /> USE ZONE LOT�HEA VACANT SITE <br /> L7YES L7N0 FEES VALUATION FEE <br /> TYPE OF CqNST. OCCUPANCY GROUP NO.OF DWEILING UNIiS <br /> SiZEOFBLDO. NO.OFSTORIES MA%.00C.LOAU BUILDING E 300. 00 ZO 00 <br /> PLUMBING <br /> FlRE ZONE BASEMEN7 FIRE SPHINKLERG <br /> REOUIRED M[CHANICAL <br /> flYES nN0 <br /> APPROVALS BY DATE �T�i�R <br /> 1. ENVIFONMENThLCHECKLIST PENALTV U.B.C. <br /> 2. BUIL�It.'^uP14N5 SEC.307(a) <br /> ]. FIREHVDRANT TOTAL 10 00 <br /> a RR[PROTECTION SVSTEM PENMIT VALIDATION <br /> 1 - WHEN PROPERLY VALIOATED QN iH15 SPACE)1HIS IS YOUR PNiMI� <br /> ` 5. GRADING <br /> I 6. ORAVJAGE �Q�g �� r O• f1 n �` �., <br /> � 1f V <br />'r 7. ENVIRONMENTAUMPACT STATEMENT , • . . �� <br /> B. HEALTHDISTRICT �YQ�U� �R�CEjPj' � <br /> APPLICATION ACC.BY PLANS CHECKED�Y APPR.FOR ISSUANCE BY <br /> : zHnr��: ��bu , <br /> non,n,�;s r-i�E l I AUC $2 <br />