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, - <br /> theEvCRYeoF V�NSTRdJCTlON � � ,r� <br /> ev�rett PERMIT PERMIT N0. O7S53 <br /> qTY HALL 259�8745 <br /> EVF.RcTT.WA 9ezo� ❑ COMBINATION �BUILaItdG ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MAILADDFE55 CIiY ZIP PHON[ <br /> fi. L. Kavil 9027 S.E. 60th Mercer Island 232-1751 <br /> ARGHRECiOF�E5IG4ER MAILADDRE55 CITY ZIP PMONE <br /> GENEPALCONiRACTOP MAILADORESS CIIY ZIP PHONE LIGENSEF <br /> Walsli Const. Services Inc. 9 Nickerson Seattle 98109 284-6011 <br /> lAELHANICALCANTRACTOR MAILPD�RESS GiY 21P PHONE LICENSEI <br /> WA LS HC S377NN <br /> PLUMOINGCONTRFCTOR MFILAOpRES$ CITY ZIP PMONE LIC[NSE♦ <br /> CLASS OF WORK <br /> ❑NEW ❑ACDITION ❑ALTEFATION �Si�CEPAIR ❑DEMOLITION ❑FENCE ❑SIG� ❑GARAGE <br /> VALUATION OF WORK <br /> g Z�.rJ��.�� <br /> DESCRIBE WORN <br /> repair fire damage <br /> FROPOSED USE OF BUI�DING <br /> commercial I HEREBY CERTIFY THAT I N^.`iE READ AND EXAMINED Th11S AP� <br /> LEWL�ESCRIPTION OF VRC?ERTY�SHOW BELOW OFATTAGM FOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 6-7 663 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOV�RNING THIS <br /> �cr s�oc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEU <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS �— SIGN4TU ° F CON TOR �UiMORI ED AGENT DATE <br /> 2811 Lombard � ' � 7/16/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE CF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND. UNITS—H.P.EF. <br /> BATHTUD REFRIGERATION UNITS—H.P.EA <br /> , LAVAiORY(WASH BASIN) BOILERS—H.P. EA. <br /> SHOWER GAS fIRED A.C. UNITS—TONNAGE EA <br /> KITCHEN SINK 8 DISB FORCED A'R SYSTCMS—B.T.U. M EA. <br /> DISHWASfiER WALL HEAI'ERS—B.T.U. M <br /> LAUNDRY TPAV UNIT HEATERS—B.T.U. N: <br /> CLOTMES WASH[R EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FFlN <br /> ORINKING FOUNTAIN 9�NGE HOOD <br /> fLOOR DRAIN AIR HANOLING UNIT— C.F M. <br /> VACUUM OREAKERS STOVE <br /> ROOF DRAINS—FAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK 1SERVICE—BAR,ETC.) <br /> SUB 70TAL SUBTO7AL 5 <br /> PEAMIT f PEPMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SET�ACK SfqEET SETBACK FEAR YARD SETBACK PLAN GHECK NUMBER PWN CHECK FEE <br /> FEE RECFIPT NO. <br /> USE ZONE LOT AREA VAC.4NT SITE <br /> ❑YES ❑NO PEES VALUATION FEE <br /> 7YPE OF CANST. OCCUPANCY GRUUP NO.OF DWELLING UNITS <br /> BUILDING $ 2500.00 24 00 <br /> SIZE OF BLDG. NO.Of'STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> RBOUIRED MECHAMCAL <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTqLCHECKLIST PENALN UBC <br /> 2. BUILDING PIANS SEC.3031a) <br /> 3. FIRE HYDRANT TOTAL 24 00 , <br /> 4. FIRE PROT[CTION SVS7EM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(RJ THIS S?ACE)THIS IS YOUR PqERMIT <br /> 5. GFADING y 8 �+ 7 � O L �.O O ^'_—' (`� <br /> fi. ORAINACE <br /> � <br /> 7. ENVIRONMENTALIMPACTSTAT�MENT � <br /> B. HEALTH DiS7RICT ��i(�) ;� 2 '\�C E I PT r` <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY �I�.-'k'��K Y O V O <br /> DAB . � ' <br /> � � � ,AR. 0� � <br /> ADDRE�S FILE <br />