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-i <br /> !hc Ercr,�ree�t �O N ST R l�CTI O� " <br /> CITY OF <br /> everett PERMIT PERMIT NO. ZO22O <br /> CITY HALL 259�B7a5 <br /> ever�ErT, wa sazoi ❑ COMBINATION ❑ BUILDING �NiECHANICAL ❑ PLUMBING <br /> OWNFR AfAqqU0HE55 CIiY ZIP PlIOtlE <br /> Cousins Const. Company P .O. Box 5519 Everett 96206 347-4500 <br /> ARUIIiLCTOR�fS�GNER MFILADOPESS GTY ilP FHONE <br /> GF�lER�t CONiRnG�OH M41L FDDRE55 CItY 71v i'HONE IiGENSE� <br /> Same _ . <br /> IdECH4NiCAl CONTRACTOR A1AIL AD�4iE5S C'iY ZIP FNONE IICENSE� i <br /> PWMBINGCONiPFCTOH IAARnDDRE55 CRV ZiN �'HONE LIC[NSEI <br /> CLr�550F WOFK <br /> ❑NEW ❑ADDITION ❑AI.TERATION ❑REPAIR ❑DFMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> \'AlU4TION OF WOfiK <br /> 5 <br /> DFSCPIBE WORK <br /> FROa05ED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�oescaiauor+oFPaoPearvisNowee�owoanr.ncMFouecoPiesi PLICATION FND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> �or e�oc�or TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GNE AUTHORITY TO VIOLAT:OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFO�N���CIII F CONSTRUCTION. <br /> I00 AD��'_55 SIGN41URf OF COvi ;CtOF C9 ' JR .t Ni / DAiE <br /> 5718 Commercial Avenue X " � -Y�,�N.�t��9�81 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF PIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WFTFR CLOSEI iTOILET� AIR COND. UMITS—HP. EA. <br /> �ATHTUB flEFRIGERATION UNITS—HJY EA <br /> IAVATORY�K'ASH BASIN) BOILERS—H P.EA. _ <br /> SHOIVER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SVSTEMS—B.T.U. M EA <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> WATER HEA7ER CLOTHES DRYERS <br /> URINAL VENTIIATION F�N <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DNAIN AIR HANDLING UNIT— CF.M. <br /> VACUUld BREAKERS STOVE <br /> ROOF DRAINS—RAINIEADEflS MEfAL FIREPLACE&CHIb1NEY � S O <br /> SINK ISERVICE—�AR,ETGI <br /> SUB TOTAL SUB TOTAL S 7 S 0 <br /> PERMIT S � PEHMI7 S 10 00 <br /> TOTAI FEE S TOTALFEE S <br /> SIUE YARD SETBACK STREET SETAACK REAfi VARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SIiE — <br /> UVES [7N0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING S <br /> SI7C OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUhI81NG �' <br /> PIH[70N[ BASEldENi FIHESPRINKLEflS , <br /> REOUIRED MECHAN�CAL 17 50 <br /> l�YES UNO <br /> APPROVALS BY OATE OTHER <br /> L EN\'IRONMENTAL CHECK LIST PENALTY U�C. <br /> SEC.303(a� <br /> ^ OUILDING PLANS <br /> TOTAI 17 5 O <br /> 7. FIRE HYDRANT <br /> I a FIRL PROTECTION SYSTEM PER1AiT VALIDATION <br /> WHEN PROPERLY VALIDAlEC1�IN iMIS SPACE)THIS IS YOUR PERMIT <br /> '. GRADING � <br /> r: �RAINAGB _ . . � .,_, I 1 . � .� _ N <br /> 7. ENVIRONMENTALIMPACTSTATEMENT N <br /> 0. HEALTH DISTRICT C> <br /> � <br /> ��PPLICATION ACC.BY PLANS CHECKED�V APPR, 14R ISSUANCE L1Y � ' � � <br /> nr_c: _, _ <br />