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(de[verRreen �ONSTRUCTION � <br /> CITY Of <br /> everett PER�JfIT PERMIT N0. �O�T94 <br /> G7Y HALL 259�87a5 <br /> eve�err, tvn eezoi ❑ COMBINATION ❑ BUILDING ❑ MECHANIC.4L ❑ PLUMF3ING <br /> OVINEF MAIINJORE55 CIiY Z�P PHOIlE <br /> Guy Sherman 1014 Hoyt Everett 98201 <br /> ARCHRECTORpE51GNER MA'LA�ORE55 LITV ZIf• PMONE <br /> GENERAL CONiRACTOl1 IAFIL ADpHESS CIiY IIP PHONE �ICEIISE Y <br /> MECHqNiCAI.GONTRACiOR AIqILADDFE55 CIiY ZIP PMONE IICENSEY <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PLUlABING CONTFACTOR MAIL AODRE55 CItY ZIP PHONE LiCENSE� � <br /> ClAS$OP WORK <br /> ❑NEV' ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGE <br /> VALUATiON OF WORN - <br /> 5 <br /> �ESCFIBE WORN <br /> PROPOSED USE OP BWLD�N: <br /> I HE'iE6Y CERTIFY THAT I HAVE READ AND EXAMWED THIS AP- <br /> �e�n�oescaianoNOFraoaearvisNovree�owcennnc�iFouneoaies� PLICATION AND KNOW THE SAME TO BE TRUE AND COP,RECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TF+IS <br /> ior e�oc�_oF _._ TYPE OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFIEU <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAiJCEL TH[PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> J00/+DDRE55 5 C iRE OF CONTFACTOR OR All*'�IORiZEO AGBIT OATE <br /> 1014 Hoyt X ({��,�, c �,V 7/22/82 <br /> PLUMBING MECHANICAL <br /> N0. TYPE�F FIXTURE OR ITEM FEE N0. TYPE Of EQUIPMENT FEE <br /> IYATER CLOSET(TOILET) 4IR WND. UN'TS—HP [A. <br /> BATHTUB RtFRIGERATION UNIiS—HP.EA <br /> LAVATORY(WASH BASIN) �pILE�;:—H.P.EA. <br /> SHOWER GFS FIRED A,C. UNITS—TONNAGE EA. <br /> KITCHEN SINI<8 DISP. FORCED AIR SYSTEtdS—B T.U. M EA. <br /> DISV'.WASHER WALL HEATERS—B.T.U. M <br /> LAU4DRY TRAV UNIT HEAT[RS—�T.U. M <br /> CLOTHES WASHER EVAPOPATIVECOOLERS <br /> WAiER HFATER CLOfHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RFNGE HUOD <br /> FLOOR�RAIN AIR HFNDLING UNIT— CF.M. <br /> VFCUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS MET�L FIPEPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAH,ETC.) 1 Conversion <br /> SUB TOTAL SUB TOTAL E �F 5 Q <br /> PERMIT S PEHMIT S 3 00 <br /> TO7AL FEE E TOTAL FEE 5 <br /> SIDE YARD SETBACK STNEET SETBACK qEAR VARD:eTBACK PLAN CHECK NUMBER PLAIJ CHECY.FEE <br /> FEE RECEIFT NO. <br /> USE ZUNE LO7 APEA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYFE OF CONEi OCWPANCY GROUP N0.OF D\NELLING UNITS <br /> �UILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAR.OCC.LOAD <br /> PLUMBIWG <br /> FIR[ZONE BASEMENT FIHE SPR'NKLERS - <br /> REQUIRED MECHAN�CAL � S O <br /> f�l'iE5 I1N0 � <br /> APPFOVALS BY OATE OTHER <br /> 1. ENVIRONMENTAL GHECK LIST PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303�a� <br /> 3. FIRE HYDRANT T�TA� � S O <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> WHEN PROPt'RLY VAl10ATED(IN THIS CP=C�)iHIS IS YO�1Fl PF,(1..11=� —T� <br /> 5. GRADING J J 7 j U V 7 5 <br /> 6. DRAINAGE <br /> _. � � <br /> 7. ENVIPONIdENTAL IMPACT STATEMENT ' �. <br /> B. HEALTHDISTRICT YpUR RECEIPt� <br /> APPLICATION ACQ BY PLANS CHECKED BY APPR.FOR ISSUANCE OY A�,�� Y�.�� <br /> � > <br /> j i = e. ` y `, ` <br /> 'l� ,It� 8� <br /> i�.DDGESS PILE <br />