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`"`E�"�^ �� � �CONSTRUCTIO� � �� � • <br /> CITY OF <br /> everett � PERMIT pERMIT NO. O6S54 <br /> qTY HALL 259A7<5 <br /> EVERETi,WA 9820i ❑ COMiBINATION �BUILDINO ❑ MECHANICAL ❑ PLUM8INQ <br /> OWNER MNILApDRE55 Qn" ZiP ' Rq1�E <br /> Ray Roseman/Sue Champion 1301 Hewitt <br /> APGNRLCT OR OCSiGNEP MRIL RDDFESS GITY ZIP PHONE <br /> GENERRI CONLRaCiOR MAIL AOORE55 GTY ZIP PHONE IiCENSE� <br /> Mel Forrey 7532 Lower Ridge Road 353-4659 <br /> MECMANICAL CANiRrtCTOR AARIL ADDRESS CITY ZIP PHONE LILENSt� <br /> PLUMBINGfANTRAGTON AIRILAD�PE55 CITY ZIP MONE UCENSE� <br /> CLASSOF WORN <br /> ❑NEW ❑ADDITION EX4LTERATION ❑REPAIR ❑DEMOU710N ❑FENCE ❑SIGN OGARAGE <br /> VNLUAiION OF WORK <br /> f 2����.0� <br /> �ESCRIBE WORK <br /> interior remodel <br /> PR01'OSCD USE OF BUILDING <br /> co�nercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGALOESCRIPTtONOFPROPEAiY�SMOWBELOWORATTACMFOURCOPIE51 PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 8-9-10 620 Everett ALL PROVISIONS OF LAWS AND OHDINANCES GOVERNING THIS <br /> �or e�oc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBAODRE55 $IGIJ4TUREOFGONiRPCTORORAllT10RIZEDAGENT DAiE <br /> 1301 Hewitt Avenue X '�y-y �,,�,,.�,, 8/17/79 <br /> PLUMBIN6 MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPME FEE <br /> WAiER CLOSET(TOILET) Alii CON�.UNITS—HP.EA. <br /> BATIiTU� REF�IIGERATION UNITS—H P.EA <br /> LFVATORV I�VASf{BASIN� OOILERS—NP EA <br /> SHOWER GAS FIRED AC.UNITS—TONNAGF EA <br /> KITCNEN SINK 8 DISP. FORCED AIR SYSTEMS—B.TL. M EA. <br /> DISHIVASHER \NALL NEAIEPS—B?.U. M <br /> LAUNDRV �RAY UNITMEATERS—BTU. M <br /> CLOTHES WASHER EVA('ORATIVE COOLERS <br /> WATER HEPTER CLOiHCSDRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDIING UNIT— GF.h1. <br /> VACUUM BREANeRS STOVE <br /> ROOF CRAINS—RAINI.EADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SEHVICE—BAR.ETC.1 <br /> SUB70TAL SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE YARD SETBACK STRLET SEIOACK REAR YAflD SET�ALK PLAN CHECH NU610ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AflEA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLI�G UNIiS <br /> oUILDING $ 2r000.00 20 00 <br /> SIZE OF BLDG. NO.OF STORIES IdAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE SASEMENT FIRE SPRINKLERS <br /> REOUIRE� MECHANICAL <br /> lIYES ❑NO <br /> APPpOVALS BY DATE OTHER <br /> i. ENVIRONMENTAL CHECK LIST PENA�T� U B C. <br /> SEC 303(a) <br /> 2. BUILDING PLANS <br /> 3. FIRE HYDRANT TOTAL 20 00 <br /> d, FIRE PROTECTION SYSTEM PENMIT VALIOATION • <br /> \YHLN PROPEFLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING ! <br /> 6. DRAINAGE I IS� +.0�����A �� � <br /> 1. ENVIRONMENTAL IMPACT STATEMENT • �� <br /> E. HEALTM DISTRICT • ��� �� t /�1C � <br /> � AYPLICATION ACC.BY PLANS CHLCKE�BV APPR.FOR ISSUANCE BY �OaY�� •�EW a�� <br /> . = �!H'ANK YO�U <br /> . . <br /> ADDRESS FILE . � T � �9 • <br />