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� <br /> 1BP£vCRYeOF ^,QNSTRUCTION � <br /> everett PERMIT pERMIT NO. 10579 <br /> CITY HALI.259�8745 <br /> EVERETT,WA sezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAI�PUDRESS CIiY ZIP PMONE <br /> Richard Abelt 3823 Friday Avenue Everett 98201 <br /> ARCHRECTOR�ESIGNEP MAIL/DDRESS C17Y ZIP PMONE <br /> ♦ <br /> GENERAL WNTRACtUR MAIL ADDRESS dTY 21P PHONE IICENSE� <br /> MECIIANiCALCANiRACiOR Me��p0�RE55 CIiY ZIP PML 'E LICENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2941 <br /> PLUM�ING GONiRACTOR MFIL AOORE55 CIiY ZIP PNONE LICENSE♦ , <br /> •'~I <br /> GLA55 OF lYOiiK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAI.UAiION OF WORN <br /> S <br /> DESCRiDE\YORF <br /> PRC �SEDUSEOFBUILOWG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecnioescaiPnor+oFvaoaearr�snowaE�owoennncNFouncoPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLOC�OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PFRMIT DOES NOT <br /> PRESUME TC GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL L4W REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIUN. <br /> JOBADDPE55 SIGN4i REO�WNIRACiORORAUTHOR12E0AGENT DAiE <br /> 38�3 Friday Avenue X -����/ 5/20/62 <br /> PLUMBING MECHANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHi',i8 REFRIGERATION UNITS—H.P.EA <br /> LAVATOR� (WASH BASIW BOILERS—H.P.EA. <br /> SHO�VER GAS FIRcO A.C.UNITS—TONNAGE EA. <br /> KITCHEN SVJK 8 DISP. FORCED AIR SYSTEM1�S—B TL. M EA. <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> I.AUNDRY TRAV UNIT HEAiERS—�.i.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLE�S <br /> WATER HEATER CLOTHES�RYERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F,M. <br /> VACUUM 6REAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLFCE 6 CHIMNEY <br /> SINK�SERVICE—BAR.ETC.) 1 Water Heater 2 00 <br /> SU9 TOTAL SUB TOTAL S 2 00 <br /> PERMIT 5 PERMIT 5 3 00 <br /> TOTAL FEE 5 TOTALFEE S <br /> SIDE YnRU SETBACK STREEi SEiBACK REAR 1'AFD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> 75E ZONE LOT AREA VACANT SIfE <br /> IJYES !_NO FEES VALUATION FEE <br /> TVPG OF WNST. pCCUPANCY GROUP NO.OF DWELLING UNITS <br /> 9UILDING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIFE ZONE BASEMEN7 FIRG SPRINKLERS <br /> REOUIPED MECHANICAL S 00 <br /> IIYES I-7N0 � <br /> APPpOVALS BY OATE OTHER <br /> t. ENVIRONMGNTAL CHECK LIST PENALTY U.8 C <br /> SEC.303(a) <br /> p. BUILDING PLANS <br /> 3. FIREHYDRANT TOTAL S OO <br /> 4. FIRE PROTECTION 5'fSTEM PEHMIT VAIIDATION <br /> WHEN PROPERLV VALIDATED QN THIS SPACEI�fj��15 IS YOUR PERIdiT <br /> 6. DfiA N'nGE � g x` �.O O�•� O -- � <br /> I— 7. ENVIRONMENTAL IMPACT STATEMENT -� � � � <br /> B. MEALTH�ISTRICT .YO'U R REI�CIP1 O <br /> APPLICATION ACC.BY PLANS CHECKED�Y APPR. FOR ISSUANCE BY � Tf I.AN^ YO U <br /> 1 1 <br /> 2O �+Y82 <br /> ADDRESS FILG <br />