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1 <br /> , <br /> 1heErergmen � �NSTRUGTION � <br /> cirr oF <br /> everett PERMIT pERMIT NO. 09373 <br /> pTV HALL 259�8745 <br /> EVERETf,WA 9ezo� ❑ COMBINATION �BUILDING ❑ MECNANICAL ❑ PLUMBING <br /> OWNER MAILAfJDRE55 Cltl' ZIP PHONE <br /> M. Thompson 2118 Everett Avenue everett 98Z01 252-3688 <br /> APCNITEGT OR DESIGNER MAII AD:,RESS CITY ZIP PHONE <br /> GENFRAI CANTRAG7LR MAIL ADDPFSS CITV 21P PHONE LIGEN3E 1 <br /> Same <br /> MECHANICALCANTPACIOR MnILADDflE55 QTY IIP PNONE LICENSE� <br /> PLUMBINGCONTRAGiOR MAILADDPE55 C:tt 21P PMONE LICEHSE� <br /> C1A55 OF\YORK <br /> ❑NEW ❑ADDITION �LTERATION C�R[PAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF\VORK <br /> f rJO�. �� <br /> DESCRIBE WORK <br /> tenant improvement <br /> �ROPOSED WE Of ONLDING <br /> � commercial I HEREBY CERiIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGRLDESLRIPTIO'lOFPROPERTV(SH01YBElOWORATTACNFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRU� AND CORRECT. <br /> ALL PROVISIONS OF LAN'Sl�ND ORDINANCES GOVERNING THIS <br /> �or e�a�oF TYPE OF WORK WIL� BE CUMPLIED WITH WHETHER SPECIFIFD <br /> H[REIN OR NOT. THE GRANTING OF A PERMIT DOES tvOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAI'ING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAtURE F fANTRACTOR O UTNO EO AGEIJT OFTE <br /> JO�ADp��s�8 Everett Avenue �� � ����_ 6/16/81 <br /> X al�/�'� �r,-����� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATEfl CLOSET�TGILET) AIR COND.UWTS—H.P.EA. <br /> BATHTUB fiEPRIGERATION UNITS—H.P.EA <br /> LAVATORV(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK&�ISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WAILHEATERS—�T.� M <br /> I.�UNDRY TFAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNE CAOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RFNGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F,M. <br /> VACUUM BREAKERS STOVE . <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY _ <br /> SINK�SERVICE—BAR.ETC.) <br /> SUBTOTAL SUB TOTAL f <br /> PERMIT 1 PEHMIT S . <br /> � TOTALFEE S TOTAL FEE S <br /> . � - � SIDE YARD SETBACK SiREET SET�ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHFCK FEE <br /> ', . - . ' 81�93�3 FEE 6. 50 I RECEIPiNO. <br /> � � � USE ZONE LOT AREA VACANT SITE � S a 0 49 <br /> � , � .. . �� LIYES ❑NO FEES VALUATION T— FEE <br /> � . 7VPE OF CONST. CCCUPANCY GROUP NO.Of OWELLING UNITS <br /> BUILDING s SOO. 00 10 00 <br /> - . . � - SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> . . - - - PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ;IVES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAI CMECK LIST PENALTV U B.C. <br /> SEC.303(e) <br /> 2. BUILDING PLANS <br /> 3. FIREHYDRANT TOTAL 10 00 <br /> 4. FIRE PFOTECTION SYSTEM PERMIT VALIOATION <br /> WHEN PROPERLY VALIDATED(W THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING (� i(�" <br /> 6. DRAINAGE � ' ' S ,', I U r n -- 4� <br /> 7. ENVIRONMENTAL IMPACT STATEMENT M <br /> � <br /> B. HEALTH DISTRICT <br /> � _ � <br /> APPLICATION ACC.BY PlANS CHECKED BY APFR.FOR ISSUANCE BY � � � <br /> i <br />