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�ry <br /> � <br /> ,heE"�gYOF �ONSTRUCTIOIY � <br /> everett PERMIT PERMIT N0. S1�E79 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDIN(i ❑ MECHANICAL ❑ PLUMBINO <br /> OWNER <br /> MAIL ADORE55 CITY ZIP PNONE <br /> Dave Eaeon 1416 Hewitt Everett <br /> APCNITECiOR DESIGNER 9 B Z O 1 2 S Z�O G O 2 <br /> MFIL ADDRESS LITY 21P PMONE <br /> GENERAL CANTPACiOR MAIL AODRE55 <br /> Chrie Moble ��TY Z�P PHONE �IGENSE� <br /> Y 3731 108th Place S .E. Everett 98204 <br /> MECNANICAL CONIR/�TpR MAII AODRE55 <br /> dTY 21P PNONE LICENSE I <br /> CHRISMCIB3LT <br /> PWMBINGGONiR,�TOfl MAIL/DDRE55 QLY — � <br /> 21v PHONE �ICENSE� <br /> IXASS OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION XE(�AEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑G4RAGE <br /> Vr1Ll1ATI0N l]F WORK <br /> S Z1000.�� <br /> ' �ESCRiBE WORK <br /> Repair front of building <br /> PROPOSEO USE OF BUIl01NG <br /> Tavern I HEREBY CERTIFY T4AT I HAVE READ AND EXAMINED THIS AP- <br /> IEWLDESCRIPTIONOFPROPERIV�SNOW BELOW ORqTTACMFOUNCOPIES) PIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eioc�_oF TYPE OF WORK WILL BE COMPLIFD WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRQ• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AO�PE55 SiGNAtURE OF CONi R OR pU I RGENi OATE <br /> 1414 Hewitt X � 3 4 83 <br /> PLUMBINQ MECHANICAL <br /> N�'. TYPE OF FUfTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAiER ClO5E7(TOILET) AIR COND.UNITS--H.P.EA. <br /> BATHTUB REFRIGERATION UVITS—H P.EA ' <br /> LAVATORY�WASH 9ASIN� BOILERS—H.P.EA. <br /> SNOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.LU. M <br /> LAUNDRY TRAY UNIT HEATERS—�.T.U. IA <br /> CLOTHES WASHER _ EVAPpRATWE COOLERS � <br /> WATER HEATER CLOTHES ORVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNI7— CF.M. <br /> VACUUM BflEAKEHS SiOVE <br /> ROOF DRAINS—RAINLEADERS METAL PIPEPI,pCE 8 CMIMNEY <br /> SINK�SERVICE—BAR,ETG) <br /> SUBTOTAL SUBTOTAI f <br /> PERMIT f PEHMIT f <br /> TOTAL FEE f TOTAL FEE 3 <br /> SIDE VAFD SETBACK SiREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECR fEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> CiYES t7N0 FEES VALUATION FEE <br /> TYPE OF CqNST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STORIES ��� � ��Ap BUILDING 5 2 � 000.00 32 50 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIREO MECHANICAL <br /> L]YES ❑NO � <br /> AVPROVALS BY DATE OTHER <br /> � 1. ENVIFONMENTALCHECKLIST <br /> PENALTV U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIHEHYDRANT TOTAL 32 50 <br /> 4. FIRE PHOTECTION SYSTEM PERMIT VALIOAiION <br /> 5. GRADING WHEN PROPERLY VAUDATED QN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE � O 8 I t O j 1j.�O �' � <br /> L + �� <br /> 7. ENVIRONMENTAIIMPACTSTA7EMENT � <br /> 8. HEALTN DIS7RICT � , �,,,I <br /> APPLICATION ACQ BY PLANS CHECKED BY APPR.FOR ISSUANCE BV .YO U�R RE�E�PT � <br /> THANI� Y`�p'v � <br /> ADDRESS FILE ` 4 �ut 83 <br />