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�he£cergrcen � �p���T R U�T I O IV � <br /> G:TV OF <br /> e�erett PE���Y PERMIT N0. 10099 <br /> GTY HALL 259�8745 <br /> eveFlen.wn sazm ❑ COMBINATI0�1 ❑ BUILDING �MECHANICAL PLUMBING <br /> 0'NBFR MAILAOORE55 CIiY ZIP [NONE <br /> Carl Ryan 3216 Lombard Everett 98201 <br /> nnCNrtLCTOR�[S�GNEii �AniLnDDRE55 Lilv ZIP PHONE <br /> GENEPALCO4iRACiCP M/+ILAODRES'v Cltt ZIP PHONE LICENSE� <br /> MECHANIGALCA41FACi0f1 MHILA�DflE55 GI1Y ZIP PHONE UGENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 —� <br /> PLUMOINGLONiPACTOP IAAILA��RE55 QTY ZIP PNONE UC[NSEI <br /> CL�SS OF W ORN <br /> ❑NEW ❑ADDI710N ❑LLTERATION ❑REPAIR ❑DEA�OLITION ❑FENCE ❑SIGN 3ARAGE <br /> VALUALION OF WORK <br /> $ -- .__� � <br /> OESCRIDE YIORK <br /> Fri0PO5E0 USE OF BUiLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oeswmrioNoraaoaeaTrisHowee�owoannnceFouaeoPies� PLICATION AND KNO'�.N THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ar e�or,�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRAIJTIDIG OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OFl CANCELTHE PRO� <br /> — — VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. <br /> SIGI Ni P[OF COMRACTOR OR AUTNORIZEO hGENi DATE <br /> JOBAOORE55 <br /> 3218 Lombard X 1 <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FtE <br /> WAT[R CLOSET(TOILBT) AIR COND.UNITS—H P.EA. <br /> BATHTU� REFRIGERATION UNITS—H.R EA <br /> LAVAiORV(WASH BASIN) B011.ti/5—H.P.S4. <br /> SHOWER GAS flpE�AA.UNITS—TONNAGE A. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—BT U. M EA. _ � <br /> DISHWASYER WALL HEATERS—BT.U. M j <br /> LAUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASMER EVAPORATIVe COOLERS <br /> WATEF HEATEfi CLOTHES DRYERS __ <br /> VENTIUITION Ff.N <br /> URINAL <br /> OCINKING FOUNTAIN RANGE HOOD <br /> NR HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN <br /> V�CUUh70REAKERS _ STOVE <br /> ROOF DRnINS—RAINLEADERS IAETAL FlREPIACE 8 CHIh1NEV <br /> SINK ISERVIC'c—BAR,ETC) p 2 OO <br /> ___ 1 <br /> � SUBTOTAL _ SUBTOTAL S ��5 <br /> {`EPMIT S PEPh:IT S �1 <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SETBACK STRLET SLTOFCK RD1R YARO$ETBACK PLAN CHECK NUMBER PLAN CHECK FEE .. <br /> F[E RECEIPT NO. j <br /> USE ZONE LOT AREA VAG.NT SITE FEES VALUATION FEE <br /> ❑YES 7N0 <br /> TYPF OF CONST. OCCUPANCY GROUP q0.OF DWELLING UNITS <br /> 6UILDING $ <br /> SIZE OF BLDG. NO.OF STOPIES MIJ(.OyC.LOAD <br /> r., PWMBING <br /> FIRE ZONE BASEMENT p�pU1RE�KLER,^, MECHAIiICAL S OO <br /> ..�' f 7VE5 ❑NO <br /> OTHER <br /> APPROVALS OV OATE � <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.BC. <br /> SEC.303 W) <br /> 2. PUILDING PLANS <br /> TOTAL 5 00 1 <br /> 3. FIP.E HYOMNT- d <br /> e. FIRE PROTECTION SYS7EM PEAMIT VAUOATION � <br /> YMEY PROPFRIY VAl!JATED(W THIS SPACE)TH15 15 YOUfi PEfM171T � <br /> 5. GRADING � � - � � — � <br /> fi DFAINACaE �� <br /> 7. ENVIHONMENTAL IMPACT STATE;dENI' . - � <br /> P. HEALTH D�STR�CT � <br /> FPFLICATION ACC.BV PLANS CHECHED BY APPR.FOR ISSUAN�E Bl' <br /> _ —_�� <br /> i,DDRES:i �ILi_ <br /> � <br /> � <br />