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°"��.��Y�oF r1NST�RUCTION <br /> everett PERMIT PERMIT NO. 11248 <br /> CITY HALL 259�B7a5 <br /> eveaErr.vaH �azoi ❑ COMBINATION X�CBUILDING ❑ �1ECHANICAL ❑ PLUMBING <br /> O\YNER 61RILApDR[55 CITY ZIP Pn':NE <br /> D1ARY ANN CUP1�tINS 6020 Commercial Everett NA 353-1958 <br /> � ARC��RLCTCR�ESIGNER MAILADDRE55 CITV LP PHONE <br /> GEN[RAL CONiRACTOR MAI�ADDPES$ CITY 21P FMOkE UCENS[• <br /> GT � L Construction 17025 E. Interurban Snohomish 98290 668-9220 <br /> MECMANICAL CONTFACiCR MAIL AppRE55 CiTY ZIP PHONE LICENSE/ <br /> PLNd81NGGONTPACTOR MA4ADDRE55 CItY 21P FNONE UCENSE♦ <br /> _.1 <br /> Ci A55 OP WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �,`''REPAIR ❑DEh10LITION ❑FCNCE ❑SIGN ❑GARAGE <br /> 1'ALUAt10N OF K'ORK <br /> 5 �7700 . 0� <br /> �ESCRIDE YlOFK <br /> Remove existing flat roof and raise to peak for mor�• roof pitcli <br /> r�,o�oseo use oF uunoiNc <br /> Drapery SIlOp I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecnioexaianor�oFaaoaea.visNoweeiowonnrTncNFouncoaies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. , <br /> ALL PROVISIONS OF LAWS AND ORDI�:ANCES GOVERNING THIS <br /> ior 9-11�ia�7 oF Pineh TS " �' TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEFEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE F RO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERF RMANCE OF CONSTRUCTION. <br /> JD�ADDRL55 � 5`G 4tUPE � NiRo O AU�'0 E���GENi DPiG <br /> 6020 ommerc ' X 11/16/82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FE <br /> WATER CLOiET ROILET� AIR COND.UNITS—H P.EA <br /> BAiHTUD REFRIGLRAiION UNTS—H.P. &1 <br /> LAVATORY QVASN BASIN) �OILERS—H.P.EA_ <br /> SHOWER GASFlREDAC UNITS-10NNAGEEA. <br /> KITCHEN SINK B DISP. fOFC[D AIR SYSiEMS—BS.0 M EA. <br /> DISITYlASHEF WALL HEATERS—�.T.0 M <br /> LAUNDF7Y TRAY UNIT HEATERS—�7.U. M <br /> CLOTHES WASHER EVAFORATNECOOLERS <br /> WATER HEAiER CIOTHES DRYERS ( <br /> URINAL VENTILAT�ON FAN <br /> �RINKIIJG FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIF HANDL�NG UNIT— CF.M. <br /> VACUU�d BREAKERS STOVE <br /> ROOF DPAINS—PAINLEADERS MCTAL FlREPLACE 8 CHIMNEY <br /> SINK�SEFVICE—BAR.ETCJ <br /> SUB iOTAL SIIB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S 70TAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SEIBACK PLAN CHECK NUMBEF PIAN CHLCK PEE <br /> PEE �7ECEIPT NO <br /> USE 7.ONE LOT AREA VACANT SITE pEES VALUATION FEE <br /> `YES �]NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING g � <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMPING <br /> FIRE ZONE BASEMENT REOUIRED KLERS M[CNANICNL <br /> C1VES `iN0 <br /> APPROVALS BY DATE OiHER <br /> _._, <br /> 1. ENVIRONMENiALCHECKLIST PENALTI' UBC <br /> SEC.3031a1 <br /> 2. BWLDING PU+HS TOTAI 6 Z S O <br /> 3. PIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WH@N PROPERLV VAL'OATED pN THIS SPACE)TH1515 VOUR PERMIT <br /> 5. GRADING [ � <br /> 6. DRAINAGE � Q 8 6 � O 6 2. J O N�' • <br /> 7. ENVIRONMENTAL IMPACT STA7EMENT � , <br /> 8. HEALTH DISTflICT r--� <br /> APPLILATION ACC.BY PL4NS CHECKED BY APPR.FOR ISSUANCE BY YU U R REC E I PT <br /> (..� : �/ jI—�•^.��� I �U <br /> ADDRESS FIL[ I � 1� g? <br />