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Ib LL CSP�BiaS <br /> eveRerT.wn �ezoi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL CI PLUMBING / <br /> OWNER MAILAUDRE55 CITY ZIP PNONE <br /> 1918 Everett Avenue LTD Part�nership 2520 Colby 258-2961 /� <br /> ARCMITECi OR DESIGNER MAIL ApDRE55 GTV ZIP PHONE �, <br /> GENERALCONTRACiOR MAILADOFESS CIiY ZIP PIIONE LICENSE/ <br /> Simmonds Design Blders Globe Bldg. 9725 S.E. 36th Bellevue 98040 236-0800 <br /> A�ECHANICAIGONTRACTOR MAILADDRESS CITY 21P PMONE UCENSE� <br /> PIUMBINGCONTRAGTOR MAILADORESS Cltt ZIP PNONE UL[NSE� <br /> CLASSOF WORK <br /> ❑NEW ❑ADDITION }�,ALTERATION ❑RGPAIR ❑DEMOLITIOV ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION O�WORK <br /> 3 ZS�����.�0 <br /> DESCRIdE\VORK <br /> remodel existing building <br /> PROPOSED USE OF BUIIDING <br /> Medical Office I HEREBY CERTIFY THAT I HAV�_ READ AND EXAMINED THIS AP- <br /> LEGALDESGRIPTIONOFPROPERTV(SHOIYBELOWORATTACMFOURCOPIES) PUCATION AND KNOW THE �AME TO BE TRUF AND CORRECT. <br /> �a,9,10,1� 62� Everett ALL PROVISI�NS OF LAWS AtJD ORDINANCES uUVERNING THIS <br /> ��� F TYPE OF WORK WILL BE CGMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE uRANTING OF A PERMIT DOCS NOT <br /> PRESUME TO 31VE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF /�NY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTICN OR THE PERFOHMANCE OF CONSTRUCTION. <br /> JOB�DDRE55 SIGNATURE OF CONii�AGiOq�M AUTHOHIZEU FGENT pAIE <br /> 1918 Everett Avenue X <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND. U��TS—H.P.EA. <br /> BATHTU� F�EFRIGERATIGN UNITS—H.P.EA <br /> LAVATpRY(WASH OA.^.IN) 601LERS—H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEIJ SINK 8 DISP. FORC[D AIR SYS7EA15—8 TL. M EA. <br /> DISHWASHER WALL HEATERS--B.T.LL M <br /> LAUNDRY TRAY UNIT FIEATERS— B T.U. M <br /> CLOTHES WASNER EVAPORATIVE COOL[RS <br /> WATER HEATER CLO7HES DRYERS � <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN �ANGE HOOD <br /> FLOOF,�RAIN AIR HANDLING UNIT— C F.M. <br /> VACUUM OREAKEflS STOVE <br /> ROOF DRAINS—RAMLEADERS METAL FIREPLACE 8 CliIMNEY <br /> SINK�SERVICE—BAR.ETC.) <br /> SUB TOTAL SUBTOTAL S <br /> PERMIT S PEIIMIT 5 <br /> TOTALFEE t TOTAL FEE S <br /> SIDE YARD SETBACK STREET SET�ACK REAR YARD`.�EiBACK PLAN CHLCK NUA'E�ER PLAN CHECK FEE <br /> N/A N/A N/A 6996 FE�Z'84.05 REceiprNo. <br /> USE ZONE LOT hriEA VACANT SITE 95362 <br /> B-3 �200 SCj. Ft. CJYES L}HQ FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNI7S <br /> \�-1 Hr. H-2 O BUILDING S2SO�OOO. 512 00 <br /> SIZE OF BI.DG. NO.OF S70RIES tdA%.OCC.LOAD <br /> 48'XZOJ� 2 206 PLUMBING <br /> FIRE ZON!. BASEMENT FIRE SPRINKLERS <br /> 1 none REOUIq[p� MECHANICAL <br /> fIYES R!NO <br /> APPpOVALS BY OATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST pENALTY U.8 C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL � S12 JO �� <br /> 4. FIR[PROTECTiON SYSTEM PENMIT VALIDATION ', <br /> WHEN PROPERLY VALIDATED(IN TNIS SPACE)THIS IS VOUR PERMIT <br /> s. canoir�c 7 5 5 5 S 5 I 1. O O �1 <br /> G. DRAINAGE <br /> 7. ENVIRONMENiAL IMPACT STATEMENT � <br /> 8. HEALTHDISTFICT Y�O�UR RCCEIPIo <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � - <br /> �,M ��i�AN�c Y�u, <br /> ADDRESSFILE __ • , ���`��,$�. . I' <br />