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`,,�Et��sYo° �ONSTRUCTIO�"� � ; <br /> everett PERMIT pERMIT NO. 1�.567 <br /> CITY HALL 259�8745 <br /> EVERE7T,WA 98201 ❑ COMBINATION XI�DtBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNlH MAILA��R�55 CIiY 21P PHONE <br /> Vila Fleck 6516 E11iotY. Way Everett 96203 355-3734 <br /> ARGNITCCiOR�LSIGNER MARAODdE55 CIiY ZIP PHONE <br /> GEN[RALCONTRACIOR MAILFODRE55 GITY 21P PNONE IICFNS[I <br /> Same <br /> MEGNANICALCANIRACiOR MAILADDRE55 CITY ZIP PHONE IICEN5E1 <br /> PWMBINGCONfRRCTOR MAILA�pRE55 CITY 21P PHONE UCENSEI <br /> GLASS OF WORK <br /> ❑NRY ❑ADDITION �(.LTERATION ❑RGPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 7 ���0. �� <br /> DESCRIBE WORH <br /> Remodel to fire safety Code Z <br /> 0 <br /> PROPoSED USE OF BUILOING � <br /> Boarding Home I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- � <br /> �ecn�oeseairnoNOFreoreatrisNowoe�owoanrrncNwuAeoriesr PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. !'^ <br /> ALL ��ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or oicc�oF _ TYPt OF WORK WILL BE COMPLIEU WITH WHETHER SPECIFIED ,.., ,.., <br /> HEREIN OR NOT. THE GRANTING OF A PFRMIT DOES NOT –� � <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� �-» –a <br /> — VISIONS OF ANY OTHER STAT� OR LOCAL LAW REGULATING N m <br /> CONSTRUCTION OR THE PERFOPMANCE OF CONSTRUCTION. c o <br /> J09ADDRE55 SIGNAiUR[OFCA�ACiORORI�ORI.E�;FNi•���83 _{ C <br /> I J �i{p <br /> 6516 Elliott Way X � a �cc'�C �v iJ•- o a <br /> m <br /> PLUMBINQ MECHANICAL = � <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE QF EOUIPMENT FE� m .. <br /> WATEfl ClOSET(TOILET) AIR f.ONO.UNI1S—H P.EA. C Z <br /> BATNTUO FEPRIGERATION UNITS—HP.EA r = <br /> LAVATORV(WASH BASIN BOILERS—HP.[A. � N <br /> SMOWER GAS FIRED n C UNITS—TONNAGE EA � <br /> T <br /> KITCHEN SINK 8 DISP. FGRCED AIR SYSTEMS—R T.U. M EA. O n <br /> DISHWASHER WALL H[AT[RS—B.i U. M 3 <br /> LAUNDRV TRAY UNIT HEnTERS—B T.U. M = m <br /> CLOTHES WASHER EVAPORATIV6COOLERS m N <br /> WATFfl HEATER CLOTHES OHVERS � <br /> o r <br /> URIVP.L VENTILATION fAN C N <br /> URINKING FOUNTAIN `_ RANGE HOOD 3 � <br /> FLOOR DRAIN AIR HANDLING UNI7— CF.M. Z n <br /> VACUUM BREAKERS STOVE � m <br /> ROOF ORAINS—FAINLEADERS �dEiAL FIREPIACE 8 CHIMNEY p <br /> SINK�SERVICE—BPR ETC.) ._.� <br /> 2 <br /> ➢ <br /> 2 <br /> �--1 <br /> 2 <br /> SUB TOTAL SUB TOTAL S � <br /> FERMIT f PERMIT S Z <br /> 0 <br /> TOTALFEE S TOTAL FEE f � <br /> 519E VARD SETBACK STREET SETOACK RLP.R YARD SEiBACK PIAN CHECK NUMBER PLAN CHECK PEE m <br /> 83/11567 FEE 40.63 RECEIPiNO <br /> USE ZONE LOT AaEA VACANT SITE G 1 Q�1 <br /> !]YES [7N0 FEES VALUATION FEE <br /> iVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> eui�oiNc $7 , 000. 62 50 <br /> SIZE OF BLDG. NO.OF STOPIES MA%.OCC.LOAD <br /> PWMBING 2 00 <br /> RP[70NE BASEMENT FIRE SPRINKLEFS <br /> REOUIRED MECHANICAL <br /> I IYES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ;.N\'IRONMENTAL CMECK LIST PENALTY U 0 C. <br /> —'- SEC.303�a1 <br /> 2. !�G�LDWGPLANS — <br /> � 3 f'(1E MVDRANT r • TOTAL G 4 S O <br /> , a. FlRE PROTEUION SVSTGpy� PERMIT VAIIDATION <br /> . 5. Gi7AUING -� N WHEN PROPERLY VALIDATED pN THIS SiA?EUT?IS IS Y�Uji P�F7�AIL O .-- � <br /> qC t U6 � � <br /> . fi. UHAIN � . ' ' („� <br /> pc1. ENVIRONNE LIMPA TATEMENT ' � <br /> —��E��T„�n�STR,�, � YO U R REC E FPt � <br /> � APPL�CATION!�BY NS CHECKED BY APPR.FOfl ISSUANCE BY T Fi I�NY. YO U <br /> W � ^ . . <br /> � m ' � <br /> --I � � }�i� �) <br /> CJ ADDRE55 FILE <br />