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i . <br /> ,,"`°�R�`o° � CO ` TRUCTION ` <br /> everett � ERMlT pERMIT NO. 07042 <br /> Ci7V HALL 253�87n5 <br /> Eve�en.wn �ezo+ ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ pLUMBING <br /> u�,��<<� „��.�cu„�,� � � <br /> � ��,� . ,_ <br /> Dr. Swander Medical Arts Center 3202 Colby <br /> �.�o,�ricronocsicnEvi v.n��aone�ss arr zia �— v��orvE <br /> ".4iRqlCGNiR4Ci0(i NAILADDBCSS CIiV ZIP �MpNE L�CEN`( • <br /> A. Wilcox Co. 709 N 39th Seattle 98103 632-0314 <br /> '!i.�NNILALWNiRACtON MRIL40DRt55 QiY ZIP P110NE LICE��SL� <br /> �':UMpING CANTRACTON MAIL/�OIX1E55 CITY IIP PHONE LICEKS(� <br /> i1�550F WORN - <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITIOtJ ❑FENCE ❑SIGN ❑OAFAGE <br /> /•l U4TION OF WORN <br /> S <br /> I)t;CRIBE WORN <br /> :'ROPOSED USE OF BU�LDIN� <br /> I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS�1P� <br /> -.�an�oescaivriouoFvnoacarr�sr+oweeiowor�nnncNFouacories� PLICATION AND KNOW THE SAME TO BE TRUE AND CORR[CT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOV[PNING THIS <br /> �-.�� r.�aK_ov TYPE OP WORK WILL BE COMPLIED WITH WHE7HER SPECIFIE� <br /> HEREIN OR NOT. TH[ GRANTING OF A PEP.MIT DOES tJOT <br /> _ PFESUME TO GIVE AUTHORITY TO VIOIATE OR CNNCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW RECULATING <br /> CONSTRUCTION OR THE PERfORMANCE OF CONSTFUCi!ON <br /> , r. -�, . s�ci�<,ur�toF,eoNtw�.-�oncr�,�Gtnoa�ztonc;rrrt un,� <br /> " °l2b� colby ;, <br /> _ X ��I,���-�, 12/13/79 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO, TYPE OF EOUIPMENT FEE <br /> WATERClOSET(TOIL6T� AIRCPrJD UNIiS—HP.EA. <br /> BATHTUG HE�-�I(;E�iA710NUNiTS—NP EA <br /> LAVATORY IWASN BASIN� BOI�[RS—HP.EA <br /> SHOWER GAS PIHEU AC.UNIiS—TONNAGE EA <br /> KITCHEN SINK R DISP. FO�CED AIP SYStEMS—8 TL M EA <br /> DISHWASHEN WAIL HEAiE:RS—B.T U. M <br /> LAUNDRV TPAY UNIT HEATEPS—0.T LL M <br /> CLOTHES WASH[R EVAPpRATIVE COOLERS <br /> IVPTEH NEATEF CI.OTHCS ORYEflS <br /> UfiINA� � VENT:LATION FAN <br /> DRINKING fOUNTAIN RANGE HOOD <br /> FLOOR DRAIN Ala HAHDLING UNIT— G F.M <br /> VACUUM BRFANCRS STOVf- <br /> ROOF DRAINS—RAINLEADERS b1EiAL FlRFPLACE S CHIMNFV <br /> SINN�SERVICE—OAR,EiC) o _ <br /> SUOTOTAL SUB TOTAL f ZO 00 <br /> PERMIT = PEIIMIT R <br /> TOTAL FEE S TOTAL FEE S 13 OO <br /> S.IDE YARD SETBACK S1FFE7 S6iL'/d,K REAR VAqD SETBACK PLAN CH[GN NUMBER PLFN CNLCK FEE <br /> iEE RECEIPT IJO. <br /> �.!GtZONE IOTAREA VACANTSITE <br /> ❑YES �NO FEES VALUATION FEE <br /> ivPE OF CANSi. OCCUPANCV 6ROUP NO.OF OWELLING UNITS <br /> BUILDING S <br /> :IZE Of BLDG. NO.OF STORtES MA%.OCC.LOAD <br /> PLUMBINO <br /> iliiCZONE BASEMENT PIRESPRINKLtNS <br /> REOUBED MECHANICAL 13 00 <br /> flYES 17N0 <br /> APPROVALS BY OATE OTNER <br /> i. ENVIRONMCNTAL CHECK LIS7 U BL <br /> PENALTY SEC.303�e) <br /> J BUILDIN�PLANS <br /> : HRE HVDRANT TOTAL 13 00 <br /> �: fIRE PROiECiION SYSTEM PERMIT VALIDATION <br /> 5 �HADING VVHEN PROPGRI.V VALIDATED I�N iNlS SMC�1 T�Ht5�5 1'OUf�P��l� � � � <br /> ! > > 3 <br /> � DRAINAGE � <br /> i CIJVIRONMENTAL IMPACT STATEMENT <br /> a „E��r� o�sr�=��:� YouR �2�ccr�r <br /> t,�4�LK'aiiCl��.CC H'r �U�NSCHECKEDBV APPR.fORI55UANCEBV �lJ�V��� Y�� <br /> CZ <br /> L,C. ' <br /> i <br /> � � �,;: 7 9 <br /> �1CDRE55 FILE <br />