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., <br /> — �1 <br /> � <br /> rn�ere.gree� � ' <br /> ��T,°F �- �O�ISTRUCTIO�' <br /> �verett PERMIT PERMIT NO. 12347 <br /> CITY HALL 255�8745 <br /> - EVERETT,WAgB201 � GOMBIiVpTION � BUILDING ❑ MECHANICAL � PLUMBING <br /> OWt1ER MAIL A009E55 CITY <br /> . F.ex Aankins 5317 Ever reen Wa Z1P PHONE <br /> 9 Y Everett 98203 355-2122 <br /> APGNITEGT OR UESIGNEq MRIL AODPESS CITY ' <br /> Z�P PHONE <br /> GENSd�peNTpqCTOR %AAllqppqES> diY Z�p - <br /> PHONE LICENSE I <br /> MEGHANICRL CONTRAGTOq MAIL ADDRE55 CITV ZIP PHONE LICENSE x <br /> . PLUMBINGCONTflALIJA MAILAODRFSS pTY ZIP PNONE LICENSEI � <br /> CLA55 OF VIORK <br /> ❑N:`N ❑ ADDITION �7j��7ERATION ❑q«PAIR ❑ OEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OP WONK <br /> S SOO.�Q <br /> OF.SCPIBE WO,iK <br /> InstMll shelving, dividers hand rails and entrance door ' <br /> PHOP0550 UGE OF pUIWING <br /> Commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALDESCqIP'IONOFPqOPERTY�SHOWBElOV/OFlAT7Af,MFOURCOPIES) APPLICATIGV AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �0�-3 e�ucn 2 oF $everl Hills Div. 4 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> _ PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OP ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �oeaooaess '—�� PERFOR CE OF CONSTRUCTION. ,� <br /> SIGNRT� OFC ORFU ORIZEDAGENi OATE <br /> 5317 Es�e±•green I�'ay X � <br /> �—.— i 8 22 83 <br /> � PLUMBING � MECHANICAL <br /> NO. 1'!pE Of� FIXTURE OR ITEM �EE NO. TYPE OF EOUIPMENT FEE <br /> WATER LLOSET(TOILE7) <br /> � BATHTUB AIR COND.UNITS—H.P.EA. <br /> � � REFflIGERATION UNITS—H.P.EA. � <br /> LAVATORY(WqSH BASIN) DO!LERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. ' <br /> DISHWASHER <br /> WALL HEATERS—B.i.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> ;"!>iFR HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN <br /> VACUUM 9P�AKERS AIR HAN�LING I1NIT— C.F.M. <br /> STOVE—WOOD <br /> ROOF URAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> Z SINK(SEFVICE—BAR,ETC.) FIflEPLACE INSERT � <br /> HEAT PUMP <br /> SUBiOTAL { <br /> SU9 TOiAL f <br /> PEflMIT { <br /> PERMIT y <br /> ' TOTAL I�EE S 4 TOTAL FEE _ <br /> S��E YAqO SETBACK STREETSETBACK REAR YAHD SETBACK PLAN CHECK NUMBE� PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE 83/12347 6.SO �-.�� <br /> ❑YES ❑NO FEES VqLUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> . SIZE OF BLDG. NO.OF STOFIES MAX.OCG LOAD BUILDING gS 00. <br /> 10 00 <br /> PLUMBING <br /> PIRE ZONE BASEAIENT FIqE SPRINNLERS 4 OO .� <br /> S REGUIRED MECHANICAL <br /> � ❑YES ❑NO <br /> APPfl��A�s BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> 2.BUILDING PLANS SEC.30J(a) <br /> 3.FIREHYDRANT o T�TA� �.�} OO <br /> 4.FIRE PROTEOT�N SVST M PENMIT VALIDATION <br /> ,' .GRADINFi_ WMEN PROPERLY VALIOATEO(M THIS�44&E)THI I 17 <br /> `� DRAIN�E �.,. � �'P�'��'— ',� <br /> y7.ENVlR01 IEpYALIMPA TATEMENT (Y) <br /> �.HEALTFyBfS�pCT YOUR RECEIPT .N—r <br /> �PPLICATIOJJ .BY PLANS CHECKED dY APPR.FOR ISSUANCE BY <br /> "J U m �as nAs THl�NK YOU <br /> c -o <br /> � 29auc83 <br /> ADDRESS FILE <br /> + <br /> � <br />