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tltc Ererlrcrn ^� � ST R U CT I O f� <br />CIl Y OF +� <br />everett PERMIT pERMIT NO. ZO1�4 <br />CITY HALL 254B7d5 <br />ev�ijerr. w,� �uzci ❑ COMBINATION I7 BUILDING �MECHANICAL ❑ PLUMBING <br />OI'lNEH MNIAUOflE$5 GIIY ZIP NIIONE <br />George Kaneris 16831 52nd Avenue West Lynnwood 98036 743-9744 <br />PqCHIT[CiORD[SIGNER MFILADDRESS CIiY 21P �HONC <br />OFNERALCONTRACiOR AIAILApDHE55 GTV ZIP PMONE LIGENS[� <br />Same <br />6iFC11l�NICALCGNiRACTOB h1AILADDRE55 CIiY ZIP PHONE LICENS:.• <br />1MpIPIGCANTRACiOR AINLF�ORE55 CIiY ZIP PMONE <br />Westgate Plumbing 93320 Edmonds Way Edmonds 774-3569 <br />\55 OF V/ONN <br />❑NEW ❑ADDITION ❑ALTEf7ATI0N ❑flEPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GPRAGE <br />S <br />DESCRIBE 1YORN <br />PPOPOSED USE OF BUILDING <br />J0� A�URE55 <br />9031 Evergreen :9ay <br />PLUh7BING <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />WATEF? CLOSET (TOILET) <br />BATHiUB <br />LAVATOFYIWASH 6ASIN1 <br />SHOYJER <br />KITCHEN SINK 8 DISP. <br />DISHV:ASHER <br />LAt1NDRY TRAY <br />URINAL <br />DFINKING FOUNT <br />FLOOR i.RAIN <br />VACUUM BREFKE <br />POOF DRAINS — <br />SWK ISFRVICF — <br />SIDE YARD SETBALK I STRF.ET SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />rIRE ZONL <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />t. ENVIRONIdENTAL CHECN LIST <br />?. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRL PROTECTION SYST[M <br />5. GRADING <br />G. DRAINAGE <br />7. ENVIRONIdENTHL I�dPACT STATEMENT <br />8. HEALTH DISTRIGT <br />APPLICATION ACC. BY PLANS CHECKEU BY <br />VACANT SITE <br />f�YES �';NO <br />NO.OF DWELLWC <br />MH%.00C.IOAD <br />FIRE SPqINKLERS <br />REOUIRED <br />�fiYES i:IN�O <br />BY I OATE <br />APPR FO^� iSSU�•NC[ �Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP� <br />PLICATiON AND I(NOYJ THE SAME TO BE TRUE AND CORRECT. <br />ALL PPOVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI�=D <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATW�� <br />CONSTFUCTION OR THE�FORMANCE OF CONSTRUCTION. <br />SIGNn1UR¢ OF CCNiiiACiOR OH AUT ORIZ[� AGENT []AtE <br />X 1/12/82 <br />MECHANICAL � <br />N0. PE OF EQUIPMENT T FEE � <br />11NITS — H.P. E <br />TIf1N IINITS — <br />.LL�iJ - rl r. CM. <br />i RRED A.C. UNITS — TONP <br />9Ce0 AIR SYSTEMS — B.T.0 <br />LL HEATERS — B T.U. <br />IT HEATERS — B T.U. � <br />�PORATIVE COOLERS <br />)THES DRYERS <br />JiILATION PAN <br />VGE HOOD <br />HANf]I IN(; lIN1T — <br />GA; iAL <br />FEES <br />BUILDING <br />PLUMBING <br />MECHFNICAL <br />PENALTY <br />M EA. <br />M <br />h1 <br />PLA1E CNECK PEE <br />FEE RECEIPT P!G <br />VALUATION FEE <br />6 <br />U.B C. <br />SEC. 303 (a) <br />42 I 00 <br />42 I 00 <br />PEHMIT VALIDATION <br />YlHEN PROPERLY VFUDATED (IN THIS SPACE) THI$ IS YOUR PEFh71T <br />""_ ,d.t <br />� <br />� <br />� <br />' � <br />F�.DD��`'•c: •.r.�._ <br />