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, , , <br /> "1eC`csv�F ��' 'VSTRUCTION " <br /> everett PERMIT pERMIT NO. 07477 <br /> CITY NP.LL 259�8745 <br /> EVERETf,Wi 9B201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILh00PE55 CIiY ZIP PMONE <br /> EUROPfiAN HEALTH SPA 5321 Evergreen lYay Everett 98203 <br /> AFCHITECT OR�ESIGNER MAIL AOORESS CITY 21P PHONE <br /> GENERFL CANTMCTOR MAIL ADDRE55 CITV ZIP ' i tlNE U - SE I <br /> Heath N.1V. Inc . 11805 NE 116t1i Kirkland 98033 623-3].00 <br /> MECHAIlICALCONTqACTOR MAILAODBE55 CITY ZIP PHONE LIGENSEI <br /> PLUMBINGCOMPACTOP MAILAD�FE55 C17Y ZIP PMONE ULENSEI . <br /> C1455 OF WORN � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �ISIGN ❑GARAGE <br /> VPLUATION OF WORK <br /> E 3000. 00 <br /> DESCFIBE WORN <br /> Si n <br /> PFOPOSED USE OF OUIl01NG <br /> Heal•th Spa I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALOESCFIPTIONOFPFOPERiY�SMOJJBELOWOflAiTFCHFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF L4WS AND ORDINANCES GOVERNING THIS <br /> �or BLOCN__OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. iHE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHEf� STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RESS SIGN -OF�ONiflAGTOR OH AUTHORIZED AGENT DFTE <br /> 5321 Ever reen iVa X /fpo <br /> PLUMBING M ANICAL <br /> NO. TYPE OF FIXTUrIE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET R�IL[f) AIR COND.UNITS—H.P.EA. <br /> BA7HTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORV(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCE�AIR SYSTEMS—B.T.U. M EA, <br /> DISHWASHEF WALL HEATERS—B.T.U. M <br /> LAUNDRYTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD ' <br /> FLOOR DRAIN AIR HANDUNG UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—(7AINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR,ETC.) <br /> S!'8 TCTAL SUB TOTAL 5 <br /> PEHMIT S PEHMIT S <br /> TOTAL FEE S TOTALFEE E <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PIAN CHECK FEE <br /> PEE RECEIPT NO. <br /> USE ZON[ LOT ARE4 VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> 1 <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $3000 . 00 12 00 <br /> SIZE OF BLDG. N0.OF STORIES UAX.('CC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS <br /> REOUIRED MECHAtlICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> t. ENVIRONMENTALCHECKLIST PENALTf U.B.C. � <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL � 1 Z OO <br /> A. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5. GRADING N�HEN PROPERLY VALIDATED(IN THIS SP�0�H�IS YO�RpE�I�yjT O � �^� <br /> 6. ORAINAGE _ P].i1S Electrical o � L � <br /> _ 7. ENVIRONMENTALIMPACTS7ATEM[NT � <br /> e. HEALTH DISTRICT ��t;U R P.EC E I PTti <br /> . PaPLICATION ACC.BY PIANS CHECKEU BY APPR.FOR ISSUANCE BV T h�iAPllC YO U O � � <br /> ' � gB BAB fi LNC . � •- <br />