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_` <br /> die E��eri�+,G.' LO NSTRU Cl'IO f� <br /> ����Q�� PERiVIIT PERMIT y0. 1.0325 <br /> cirv r,n��.�s��-ar�s <br /> eveaerr t:�r, �a,ci ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING � <br /> .i::.EII !•HIL ApDFE55 C�tt 2iP FIONL <br /> Paul Olson 2101 Hoyt Everett 98201 259-2235 <br /> ..,:..:rtmroaoescr�tr-- r,v.atioones e�rv z�a ;..�on� — <br /> �-:[.�'4l COMRAQOR MAiL AO�AE55 CIiV ZIP Pt�Ct+E LiGENSC� <br /> Same <br /> ._'.�VJ:ICFL CUNiltAGTOR A1All NDDRE55 CIiT ZIP PHONE IIGENSE< — <br /> , UV.i?INGCONiPACiOR MAILFDORES$ CIiY ZIP PNONE ll[ENSE• <br /> � .��.':pF WORK <br /> ❑NEW LIADDITION ❑ALTERATION ❑HEPAIR ❑DEldOUTION �`ENCE ❑SIGN ❑GNRAGE <br /> , ,!i�ailON OP WORv. — <br /> 8�0. 0� <br /> Cl.s'v"+�PE YIOHs — -- — <br /> erect fence <br /> � o��csr�usE or ecnoin� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> .. �.�. cesca��nouo�aro�enir�s��ovro=_iurvonra,n��i-ou��ccr�c�� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> .-�1-2 434 Everett Div. g ALL PROVISIONS OF LAVJS AND ORDINANCES GOVERNiNG THIS <br /> . . 01.0="—_JP TYPE Of WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DO"eS I�UT <br /> PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE P�?O- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATiFIU <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIi)hd <br /> . �%�IDRE55 SIGN4iURLG�CONiiV4G�("IOFAUIHOP -DAGENi DAi' <br /> 2101 Hoyt X /�' 3/12/3'l <br /> �PLUMBING �dECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. � TYPE OF E�UIPMENT FEE <br /> � VJATER CLOSET ITOILET) AIR COIJD.UNITS-H.P.EA. <br /> BATHTUB REFf1IGERAT101J UNI1S-H.R EA <br /> LAVATORY�IYASH BASIN) BOILEPS-H.P.EA. <br /> �HOWER GAS FIHED A.G. UNITS-TONNAGE EA <br /> KITCHEN SINK&DISP. FOFCED AIR SYSTEMS-B T.U. M EA. <br /> UISHWASHER V✓ALL NEATERS-B.T.U. M <br /> LAUNDRV TRAY UIJIT HLATERS-B.T.U. M <br /> � CLOTHES WASHER EVAPORATNL COOLERS <br /> � \YATER HEA1'ER C�OTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DHINKING POUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HAN[1LING UNIT- C.E61. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINI EADERS IdETAL FlREPLACE 8 CHIMNEV <br /> SINK�SEP.VICE-BAIi,ETC.1 <br /> SUBTOTAL SUBTOTAL S <br /> PEfiMIT S PERMIT S � <br /> TOTAL FEE S TOTAL FEE f i <br /> ....�I: �'ARD SETBACK STFEET SLTBACH flEAR YARD SETBACK PLAN CHECK NUMBER PU:N CHECK FEE � <br /> FEE RECEI��"'... <br /> Us�':70WE LOTAREA VACANTSITE -___. _-__ <br /> IJYES GNO FEES VALUA710N <br /> i �il OF CONST. OCCUPANCV GPOUP N0.OF DWELLI4G UNITS <br /> __ BUILDING F $00. 14 50 <br /> .i:i:OI�BLDG. NO.OF STORIES MAX.OCC. LOA� .. <br /> PLUM6ING <br /> � ��L ZONh BASEMENT FIqF SPRINKLERS - -- <br /> REOUIRED MECMAFICAL � <br /> i':YES ilNO __ <br /> �^ APPROVALS � BY DATE OTHER ' <br /> '. ;.IJVIRONMENTAL CHECK LIST �p p O I - - <br /> _ PENALiV SEC.303 a �� <br /> ' ❑UILDING PLANS .-.- <br /> . iHEHYDRANT TOTAL 14 � 50 <br /> ' wRE PROTECTION SYSTEM PEqMIT VALIDATION <br /> -- WH[N PROPBRLY VALIDATED QN THIS SPACE):'M�S IS�OoUR�FERh11T O -- �j <br /> S G�inDING .. q �I I E 1, � , t .I <br /> 9 <br /> ti URnINAGE � <br /> � fNVIFlONMENTALIMPACTSTATEMENT S�� % <br /> U H�ALTH DISTRICT � 1� �� i� R E<:E I 1�`" -' <br /> - �; <br /> n.PP!ICATION ACx.BV PlANS CHECKED BY APPR FOR ISSUANCE BY ;'� i !, �•,�V 1/� '� <br /> •� 7� <br /> __—_ _ _' " . .—_I . — . _ ___� _ n , <br /> 'l � _ <br /> .���'fl{7�_" . . <br />