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f1E9e <br />cof m YOF C�ISTRUCTION <br />everett PERMIT <br />CITY HALL 259 6745 <br />EVERETT, WA 90201 ❑ COMBINA710N I] BUILDING ❑ MECHANICAL <br />PERMIT NO. 07265 , <br />aPLUMBING <br />OWNNEE���� <br />MAIL AODREBS CITY _ -'IP PHONE <br />Spare. 37 1512 So.Trh Broadway ._ <br />ARCHITECT OR DESIGNER MAL ADCRESS CITY ZIP PIIONE <br />CCNERAL CONTRACTOR MAIL <br />CITt ZIP PHONE LICENSE 1 <br />MI DHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />T <br />MKL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />L17ENSE <br />PLUMBING CONTRACTL R <br />Rucker Avenue Plumbing <br />CLASS OF WORK <br />[]NEW ❑ADDITION ❑4,TEPATION <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />PROPOSED USE OF BUILDING <br />OF PROPERTY (SHOW BELOW 00 ATTACH FOUR. COPIES) <br />LOT BLOCK_OF <br />0 /O --- <br />—±5t2"South Broadway Space 37 <br />❑HEPAIR ❑DEMOLITION ❑FENCE -]SIGN ❑G/ TAG': <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT <br />ALL PKOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE O�: WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HERE;N OR NOT. THE GRANTING 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 />CONSTRUCTIOOR T}�F7<i�EPFPJJRMANCE OF CONSTRUCTION. <br />�eve.uvFeRenNiwicroB yl/u1H�q{D AGENT DATE <br />YLUMCR <br />RV <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />2 <br />00 <br />AIR COND. UNITS -- H.P. EA. ,. <br />1 <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS <br />BATHTUB <br />EA. <br />— <br />1 <br />LAVATORY (WASH BASIN) <br />BOILERS HA <br />GAS FIREDA.C. UNITS —TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS U. B.T.U. M EA. <br />KITCHEN SINK 3 DISP. <br />WALL HEATERS —BM <br />DISHWASHER <br />UNIT HEATERS —B.T.U..U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />— <br />1 <br />HEATER <br />VENTILATION FAN <br />URINAL <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — CY M. <br />1 <br />FLOOR DRAIN _ <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE & CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />PERMIT <br />9 <br />PERMIT <br />$ <br />TOTAL <br />,. <br />FEE $ <br />TOTAL FEE <br />SIDE VARJ SETBACK STREET SETBACK <br />$ <br />REAR YARD SETBACK <br />PV N CHECK NUMBER <br />PLAN :.HECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES DNO <br />-- FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />11 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />MECHANICAL <br />_ <br />❑YES <br />LINO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />— <br />PENALTY <br />UDC. <br />SEC. 303 ](a) <br />— <br />2. BUILDING PLANS <br />11 <br />00 <br />TOTAL <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS ePA�C, YHIS IS �uuR [EfL4u <br />G 17 J U l�S] <br />Cc <br />5. GRADING <br />— <br />6. DRAINAGE <br />yO U OEGE,Pt r <br />M1 f� C <br />THANK Y O U <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />BY <br />APPLICATION ACO. BY <br />PLANS CHECKED BV <br />APPR. FOR ISSUANCE <br />— <br />Tn Oft <br />t ) FLO Ow <br />IL <br />