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1hPE\'CTYeOF JONSTRUCTIOI� � <br /> everett PERMIT pERMIT NO. 1OgO�. <br /> CITY HqLL 259�D745 <br /> eveaerr, wn sszo� ❑ COMBINATION ❑ BUILDING n MECHANICAL ❑ pLUMBING <br /> • ocmen renitnnor�esc cirv ziF f�HONe <br /> r_ouo�m ��r� ,�.g_��,_p���� . � nn EVERETT,WA: 98201 258-3311 <br /> neciuieci oH o-� 'ti�u6� ss c�rr zia P��oNe <br /> GENENAL CONiRACiOR MAIL ADDRESS GITY Z;P PNONE LICBISE e <br /> L�[CNNNICAI CONTRAGIOR MNL r1�ORE55 CIiY ZIP PHONE IICENSE• <br /> SELF �, <br /> PlUM191NG CONTRACTOP MFIL ApDFE55 GItY IIP PHONE LICcNSE� <br /> CIASS OF lYORK <br /> �—INEW L�ADOITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION Of YJORK <br /> 5 %XASH&A@S}{YmS�RT <br /> DESCRiBE\vORN <br /> FIREPLACE INSERT _ <br /> CpOPOSED US[OF pUiLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMIIiED THIS AP- <br /> i.ccuoescaianoNOFaaoaearvisHovree�owoanrrncNreuecowcs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT oicerc_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIRED <br /> HCREIIv OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO\'IOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAN� REGULATING <br /> CONSTRUCTION OR THE PEPFORMANCE OF CGNSTRUCTION. <br /> J013ADORE55 SlGryql'iHGOFCONiPACTtOi�qUiF10R12EDAGENT OATE <br /> / ' <br /> 1333 LOMBARD X '' � f�n/a� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMcNT FE't <br /> WATER ClOSFTlTOILEI) AIR COND. UNITS—H.P.EA <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—HP.EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNFGE EA. <br /> KITCHEN ShdK 8 DISP. FOPCED AIH SYSTEMS—O.T.U. M EA. <br /> DISHWASHER WALL HEATERS—P T.U. M � <br /> LAUNDRY TRAY UNIT HEAT[PS—B.T.U. Pd <br /> CLOTHESY✓ASHER EVAPORATIVE COOIERS <br /> WATFR HEATER CLOTHES DRYLRS <br /> 11RINAL VFNTILA710N FAN <br /> DRINKiNG FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.A1. <br /> VACUUId BFEAKERS 5T0'Je _ <br /> ROOF DRAINS—RAINLPJ+.GERS �AETAL�IREPLACE 8 CHIMNEY <br /> SINK�SERVICE—��AF.E(C.) _ _ <br /> SUB'f07AL SUB TO7AL 5 --I 5-0— <br /> PERMIT S .PEFMIT _S '_ ,� � I(1_f1 <br /> TOTAL FEE S �OTALFEE 3 _,yJ j ` <br /> SIOE VARD SETBAGK STREEi SI:70ACK R'cAR Y.�RU SETbACK PLAN CHFCK NUIdB'cR PLAN CHECK FEE <br /> FFE RECEIfT N0. <br /> USE ZONG LOT AHEf. VACANT 51?E -- <br /> liYES ❑ND FEES VALUAT�ON I°EE <br /> TVPE OF CONST. OCCUPANCY GROUP N0.OF DWEL'_ING UNI7'S <br /> BUiLDING <br /> 517.c OF ALDG. NO.OF STORIES MAX.OCQ LOAD <br /> P:.UhIBING <br /> FIR[20NE BASEMENT FlpE SPRINKLERS <br /> RGOUIR[D MECHANICAL <br /> i".YES fINO —.]r�S-Q--- .. <br /> �� APPROVALS BY DATE OTHEH <br /> 1. EN\9�70NMENTAL CHECK LIST �g.p <br /> __ __ PENALTY SEC.3W(a) <br /> 2. NUILC.M6 PLANS <br /> 3. FIRf.HY�RANT T�TA� 17 S 0 <br /> a FlFE PFOTcCT10N SYSTEM PEH�NIT VALUATION <br /> ---- WHE�PROPEHLY VALIDATED(IN THIS SPA7E)TH�S IS YOUR PER1dIT <br /> fi. GRADIM i � <br /> t—"� I <br /> �—oaA��ti�- 65s� tQ 17.50 — � .,� <br /> 7. ENVIR7NAIEIJ7AL{h'PACT S7A7EMENT <br /> — —_ ' �l <br /> ti HEALTH D�ST.91::T c <br /> i�PPLICATIbN��,CO HY � PU�NS CHECKEO �Y APPR.POR ISSUANGL BY � YO� R RG�E I PT `� <br /> , TFiANk YO U <br /> - -----�-- <br /> iACD�'�`3 (-1�_'. � z I! Q�i OL <br />