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, - <br /> dieE�'C�7vcOF ' Cf���VSTRUCTION - �� , <br /> ev�rett PERMIT pERMIT NO. 0�570 <br /> CITY HALL 2bB�B745 <br /> EVERETf,WA 98201 ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> U1YNEfl MqILq00PE55 �ITY ZIY PHON[ <br /> ERNEST F. TAYLOR 2111 Fulton Everett 98201 259-6722 <br /> ANCMITlCi OR�ESIGNER MAIL pDDRE55 CIiY ZIP PHONE <br /> GPIERAL CqNiRACTON MAIL ADDRE55 qTY ZIP PHONE �ICENSE I <br /> Self <br /> MECMANICALCONTRNCIOR ti1AILA�OPE55 CITY ZIP PMONE �ICENSEI <br /> PWMBINGCONTRACTOR AIAILAODRE55 QiY IIP PHONE LIGENSEI <br /> CLA55 OF WOPK <br /> ❑NEW I}�ADDITION ❑ALTERATION ❑PEPAIB ❑DEMOLITION `�FENCE ❑SIGM ❑GARAGE <br /> VALUATION OF WORK <br /> E 8�5.�� <br /> �ESC..IBE 1VORK <br /> F <br /> rnoroseo use oF ouuoirvc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGALDESCFIPiIONOFPROPERTY�SNOWBEIOWORartacHvouRcoPies� PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ���11�-Geie1�Z—oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JODAUDRE55 XGNATURE�j;�NiP1GtORORdUi��^FIIED�QELII/ DATE <br /> � ' � � <br /> ���n <br /> PLUMBINO MECH NICAL <br /> N0. 1 YPE OF FIXTURE OR 17'EM FEE NO. TYPE OF E�UIPMENT FEE <br /> \NATEl CLOSET(TOILET) qlR COND.UNITS—H.P.[A. <br /> BAiH7U8 REFRIGERATION UNITS—HP.EA <br /> UIVATORV pVFSH BASIN) BOI�ERS—H.P.EA. <br /> SNOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISR FORC[D AIR SVSTEMS—B T.U. M EA. <br /> DISHWASMER \VALL HEATERS—B.T.U. !d <br /> LAUNDRV 7RAY UtJ':NEATERS—BS.U. M <br /> CLOiNES WASHER EVdPOR.TIVE COOLERS <br /> VJATER HEl�TER CLOTHES DRVERS <br /> URINAL VENTILATION FPN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAI:ERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR.ETC.) <br /> SUB TOTAL SUBTOTAL 5 <br /> PERMIT S PEHMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIDE VARD SE7BACK STflEET SETBACK REAR YARD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZOWE LOT AREA VACANT SITE <br /> ❑YES L]NO FEES \'AWATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNI75 <br /> BUILDING a 875.00 9 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.00C.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT fIRE SPRINKLERS <br /> REOUIPED MECHANICAL <br /> �_ ❑YES ❑NO <br /> APPAOVALS BY DATE O7HER <br /> 1. ENVIRONMENTALCHECKLIST <br /> PENALTY U.BA. <br /> 2. BUILDING PLANS SEC.303(al <br /> 3. FIRE HYDRANT TOTAL <br /> 9 00 <br /> 4. FIRE PROTECTION SYSTEM PEflMIT VALIDATION '• � <br /> WHEN PROPERLY VALIDATED�N 7HI5 S^AC�EOTi IS IS YQ O O 7.Q O �v� � <br /> 5. GRADIN� <br /> G DRAINAGE � � � <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � � <br /> B. HEALTH DISTRICT ' 'YO L R REC E I P O <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � '–j��K Y O U <br /> V.C. <br /> I 2 u�Y H O <br /> ADDRESS FILE <br />