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- � <br /> r <br /> dicEv�'rgrecn ^ONSTRU��'ION � <br /> ;irr�� / <br /> everett PERMIT pERMIT NO. O9SH4 <br /> CITY HALL 25&67a5 <br /> eveRerr.wn 9ezo, ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ' <br /> owr�en n+ni�noor+ess cn�. ar ar,oue — <br /> H.O. Seiffert 2400 Hewitt 98201 259-5108 <br /> AqCHIiECT OR OESIGNER 61AIL AODRE55 CITY ZIP V110t�[ <br /> GENEPALGONiRACTOP MAILA�pRE55 CITY 21P PHONE LICEtlS[r <br /> Same <br /> . 1dECNANIGAt CONiRACTOR MAIL ADDRE55 CRY ZIP PHONE LICENSE� <br /> PLUA�BWGGONiRACTOR MAILA�DRE55 CITV ZIP PHONE UCENSE� <br /> CLASSOF WORN <br /> ❑NEW ❑ADDIiION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAfiAGE <br /> VAWATION OF WORK <br /> b <br /> CESGRIBE WORK <br /> PROf'OSEO USE OF BUI�p W G <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGAL0E5CRirT10NOFFFOPERTY�5N01YBELOWORATTACHFOURGOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLOGK__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 CANCC-L THE PRO� <br /> VISIONS OF ANY OTHER STATE.�OR LOCAL LAW REGULATING <br /> CONSTR �N O TH ERF RMANCE OF CONSTRUCTION. <br /> JOB AOD9E55 SiGNAIU OF C 10.A ROR HOP LD GENi OFTE <br /> 2930 Fulton Avenue X ,��� 10/7/81 <br /> PLUMBING ME ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. PE OF EQUIPMENT FEE _ <br /> WATEP CLOSEi�TOILEn AIR COND.UNITS—H.P.EA. _ <br /> BATHTUB FEFPIGERATION UNITS—H.P.EA _. <br /> LAVATORY�WASH BASIN� BOILERS—H.P.EA. ___ <br /> SNOWER G�S FIRED AG.UNITS—TONNAGE EA. __ . <br /> KITCHEY SINK 8 DISR PORCED nIR SYSTEMS—BS.U. M EA. _ <br /> DISn':1ASHEfl W/1LL HEATERS—�.T.U. M _ _ <br /> IAUNORY 1RAY UNIT HEATERS—B.T.U. M ___ <br /> CLO7NE5 WASHER EVAPORATIVE COOLER$ <br /> WATER HEATER CLOTHES DRVERS <br /> URINAI VENTIlAT10N FAN 3 OO <br /> ORINKING FOUN7AIN RANGE HOOD — <br /> FLOOR DRAIN AIR HANOL�NG UNIT— C.F.M. <br /> VACUUM OREAKERS STOVE — <br /> ROOF CRAINS—F7AINLEADERS METAL FIREPLACE 8 CHIMNEY _ <br /> SINK(SERVICE—BAR.ETC.) 1 Heat PUIDp 6 <br /> SUBTOTAL SUBTOTAL S 9 <br /> PEHMIT S PEHMI7 f <br /> TOTAL FEE S TOTAL FEE 5 9 00 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NU6IBER PIAN CNECK F[[ <br /> F`tE �7E7EIPT N0. <br /> UEE ZONE LOT AREA VACANT SITB FEES VALUATION FEE <br /> livES lJNO <br /> TVPEOFCANS7 OCCUPANCYGROUP NO.OFOWELLINGUNITS <br /> BUILDING $ <br /> ;;17E OF BLDG. NO.OF STORIES MA% OCC.LOAD <br /> PLUMBING <br /> PIftE ZONE BASEMENT REOUIREp KLEHS �,�ECHANICAL <br /> i�vES ❑NO 9 00 <br /> APPHOVAlS BY DATE OTHER <br /> 1 [NVIRONMENTALCHECKUST PENALtv U.BC <br /> SEC.303(a) <br /> ^_. �UILDING PLANS TOTAL 9 0 0 <br /> 7. FI(iE HYDRANT <br /> � a RPE PROTECTION SYSTEM PERMIT VALIDATION <br /> P/HEh PROPERLY VAI.IDAT[�IIN iii15 SPACE)THIS IS YOUR PEP6�1 i <br /> 5. GRADING � <br /> e oaniNace Add i;o Permit #9930 ;, � _ _ �+ <br /> � <br /> 7. ENVIfiONMENTAL IMPACi STATEMENT � <br /> 0. HEALTH DISTRICT , � O <br /> nPPUCA710N ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE EtY � ' <br />