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� <br /> ���c ����T�°�� ' C � NSTRUCTION <br /> everett PERMIT PeRn�ir No. 13991 <br /> CITY HALL 259�B7d5 <br /> EVERETT,WA98201 ❑ COMBINATION Ix�t BUILDING ❑ MECHANICAL ❑ PLUMUING <br /> OWNER NAIL AOORESS CIiY 21P PNONE <br /> �' Neuro�ogical Associates 1819 Everett Avenue Everett 98201 258-4745 <br /> ARGHITECT Oq OESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> Gi.i�ERAL CONTqACiOR MAIL ADDRESS CITY ZIP PHONE LICE6^E/ <br /> Signage Znc. 4806 56th N.E. Marysville 98270 659-2200 <br /> MEGHANIGAL CONTRAGTOR MAIL ADDRESS CITY ZIP PMONE UCENSE� <br /> � SI GN II237J8 „� <br /> PIUMBING WNTRALTOR MAIL AOORE55 CIiY ZIP PMONE LICENSE N <br /> CLA55 OF WORK <br /> ❑NEW ❑ ADDI710N ❑ ALTERATION ❑REPAIR ❑ OEMOLI710N ❑ FENCE R�SIGN O WOOD STOVE/FIRGPLACE INSERT <br /> V�LUATION OF WORN <br /> f 21��.�� <br /> OESCRIBE lYORK <br /> install non-illuminated sign <br /> PROPOSEO USE OF BUILOIFG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THiS <br /> APPLICATIO^I AND KNOW THE SAME TO BE TRUE AND <br /> LF.GALDESCflIPTIONOFPPOPERTY�SMOWBELOWORFTfACHFOURCOPIES) CORRECT. A�L PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLl�TE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATI�JG CONSTRUCTION OR THE <br /> PERFORMANCE OF NSTRUCTION. <br /> JOB qDDNESS StGNATORE OF CO ' ACTOR O AUTMOR12EP ENT DATE <br /> 1918 Everett Avenue X <br /> PLUMBING MECHAIj AL ' <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEIj AIR COND.UNITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNITS-� H.P. EA. <br /> LAVAIORY(WASH OASIN) BOILERS - H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS- TONNAGE EA. <br /> � KIiCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> � DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRYTRAY UNIT HEAT[RS- B.T.U. M <br /> CLOTHES WASHEti EVAPORATIVE COOLERS <br /> WATER HEATER CLO7HES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOO(i DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> HOOF ORAINS- RAINLEADERS METAI PIREPLACE&CHIMNEV <br /> SINK(SERVICE - BAR, ETC.) FIRFoLACE INSERT <br /> HEAT PUMP <br /> '"""^' " SUB TOTAL S SUU TOTAL S <br /> PERMIT S PEHMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIUE VARD SE?BACK STREETSETBACK REAR YARD SE76ACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E — <br /> ::YES ;_NO FEES VALUAiION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> Bl11LDING SZ�.00. 12 OO <br /> SVE OF BLDG. NO.OF�fORIES MA%.OCC. LOAD <br /> PLUM6ING <br /> FIREZONE BASEMENT FIPF SPRINKLERS MECNANICAL � <br /> , REOUIREO <br /> VES , NO <br /> APPROVALS BY DATE �THER <br /> 1. ENVIRONMENTAI CMECK LIST PENALTY U.B.C. <br /> — SEC.303 ITI <br /> 2.BUILDING PLANS - <br /> 3.FIREHVDRANT TOTAL �.Z OO <br /> 4.FIRE PROTEC710N SYSTEM PERMIT VALIDATION <br /> � 5.GFADING WNEN PROPERLV VAUDATED pN TH;S SPACEI 7MIS JS VOUR PERMIT-- � <br /> ; � n �� <br /> 6.DRAINAGE �' � <br /> Z ENVIRONMENTAUMPACTSTATEMENT m <br /> fl HEFLTHDISTRICT <br /> � '� <br /> APPLICATION ACC. E3Y PLANS GHEGKED 9Y 4PPR.FOR ISSUANCE BY � �� 1 <br /> LNC ' ' ; <br />