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d+eE�•civeoF �;ONSTRUCTIOIN � <br /> everett PERMIT pERMIT NO. 1�-02� <br /> CITY HALL 255�d7�75 <br /> ever�erT.wn sezo� ❑ COMBINATION QCBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ` o•;+rar� n!a�nuoness cirr 2ir ruorv� I <br /> EI�LCN H. 1VALSCR 6421 Cypress Everett 353-2890 <br /> ARCNIiEGTORDESIGNER MAILADDRE55 QiV 21P FIIONE <br /> GELERI.LCONifiACiOB MAI�ADDPEES CIiY ZiP i'HON[ LiC(li[� <br /> Oioner <br /> ldEGHANICAL CUNiFACT011 MAIL AODPE55 CIiY Z�❑ PMONE LICEkSE 1 <br /> vWIdBINGCONTRACTOR MAILA�ORE55 GTY ZIP PHONE UCENSE! <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �'C�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VnWFT10N OF WORK <br /> 510�� . �� <br /> OESCi�If7E\VORK <br /> Reroof - compositioti <br /> r:�crosco use oF om�on..; <br /> R051(1�IICC I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oescmanor+oFreo�ean�sHowoeiowoan�tncMFouacor�esi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior o�ocK_oF TYPE OF WORK WILL BE COMPLI[D WITH VJHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTItJG 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 HE PERFORMANCE OF CONSTRUCTION. <br /> JOF3 PO�RC55 SIG�1a1U�[ F n�p1�iRACiOR Of FUTH ED AGENi DATE <br /> G421 X �`u^�-- _ . �`�h� 9/17/82 <br /> PLUMBING MECHANICAL <br /> N0. TYFE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� AIR COND 'JNITS—NP.EA <br /> BATHTUB PEFRIGERATION UNITS—H.R EA <br /> LAVATORV�WASH BASIN) BOILERS—HP.EA. <br /> SNOWER GAS RFE[1 A.0 UNITS—TONNAG[EA <br /> KITCHEN SINK.4 DISP. FORCLD Aiq SVSIEMS—B T.U. !d EA. <br /> DISHWASNER WAII HFATFRS—PTU M <br /> IAUNDRYTRAY UWTNEATCRS-- �TL. M1� <br /> CLOTNES WASMER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES ORY[RS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGL HOOD <br /> FLOOR DI7AIN AIR HANDUNG UNIT— C F.R1. <br /> VACUU\19REAKERS STOVE <br /> ROOP DRAINS—RAWLFADERS METAI FIREPLACE 8 CIIIMNEY <br /> SINK�SERVICE—OAR,ETC.1 <br /> SUB TOTAL SUB TOTAL S <br /> PEHMIT S PEPMI7 5 <br /> TOTAL FEE f 70TALFEE 5 <br /> SIDE YARD SEiBACK STREET SET�ACK REAR YARD SETBACN PLAN Cf1ECK NUR7�tR PIAN CHECK FEE <br /> F[E RECEIPi NO. <br /> USE ZONE l0T nREA VACANT SITE <br /> i 1YES f INO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP N0.OF DWELUNG UNITS <br /> oU�LDING S1OOO . 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMk31NG <br /> FIREZONE BASEMENT FlRESPRiNKLERS ���ECHANICAL <br /> REOUIRED <br /> IIYES IINO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMEN�iAL CHECK LIST PENALTV U BC <br /> - SEC.303 W1 <br /> 2 �UILDING PLANS <br /> 3 FIRE HVDRANT TOTAL 1� S O <br /> .t FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)THIS IS YOUR PER611T <br /> L 5. GRAOING � � <br /> 6. DRAINAGE 7 6 9 8 � O I 1. J O O�' <br /> 7, ENVIRONMENTALIMPACTSTATEMENT <br /> � <br /> 0. HEALTH DISTRICT � <br /> APPLICATION ACC.BV PLANS CHECKED BY APPR.FOR ISSUANCE BY YO U R R EC E I PT <br /> T�-!,�nr, You <br /> ADDRESS FILE � () SEP HZ <br />