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f <br /> �h°E°e,�,�^ ��NSTRUCTION <br /> CITY OF <br /> everett PERMIT pERMIT NO. OH6O3 <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 �tl COMBINATION Gt7 BUILDIN(i C�l MECHANICAL �] PLUMBINO <br /> OWNER MAILAODRESS p11' ZIP PMONE <br /> John A. MCClintock P.O. Box 390 Snohomish 568-4292 <br /> FRCHITECTORDESIGNEN MAILAD�RE55 ��T�" Z�N 5@�i666 <br /> GENEN�LCANiRACTOR MAILAODRE55 ��n' 21P PHONE LICENSEI <br /> Plumbinq Repair Specialiats P.O. 5656 Everett 98206 353-6299 <br /> MECH�NIGL CONTRACTOR MAIL ADDRE55 Lltt ZIP PHONE LICENSE/ <br /> PL IIM 9R S203CR <br /> PWMBINGCONTRAGTOR MAILADDRE55 LiTY ZIP PHONE LICENSE� <br /> CU55 OF WqiK <br /> ❑NEW ❑ADDITION �LTERA710N ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> V�WRTION OF WORK <br /> f 10�50���� <br /> , DESCRIBE WOfM <br /> interior remodel of exiating building-fire code doors � jams <br /> PNOfqSED USE OF BUILOING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGAL DESCRiPfION Of Pf10VEPTY�SHOW BEIOW OR ARACM FOURCOFIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �oT 28-2 685 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �Locrc_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 /> . SIGNAtUREOFCONiRAGTOPORPUTHORIZEDAGENT DATE <br /> JOB ADDR 55 12 1 O B O <br /> 1806 Hewitt X / / <br /> PLUMSINO MECXANI � <br /> NO. TVPE OF FIXTURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� B OO AIR CAND.UNITS—H.P.EA, <br /> 4 &4THTU8 REFRIGERATIONUNITS—H.P.EA <br /> UIVATORV(WASH BASIN) BOILFRS—H.P.EA. <br /> 4 SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASMER WALL HEATERS—B.T.U. M <br /> IAUNDRY TfiAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL B VENTILATION FAN <br /> OflINKING FOUNTAIN RANGE HppD <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREP�ACE 6 CHIMNEY <br /> SINK(SERVI^.E—BAR.ETCJ <br /> SUlTOTAL Z SUlTOTAL f <br /> PERMIT ! PERMIT i <br /> TOT�L FEE f TOTIIL FEE i <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> 80/8603 FEE 52 . 33 51154 No. <br /> USE ZONE LOT AREA VACANT SITE <br /> g_3 UYES X,�10 FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V—N Remodel n'�3 BUILDING E 10�500. 86 50 <br /> SIZE OF BLOG. NO.OF STOAIES MA%.OCC.LOAD <br /> PLUMBING Z4 OO <br /> FIRE 20NE BRSEMEN7 FIRE SPRINKLERS <br /> REOUIRED MECHANICAL 2�I 00 <br /> OYES}pjp10 <br /> Ayy�pVAlg !Y DATE OTHER <br /> 1. ENVIRONMENTAL CHECIC LIST pENALTY U.B.C. <br /> SEC.3031e) <br /> 2. BUILDING PUNS <br /> 3. FIREHYDMNT � TOTAL 134 50 <br /> 4. FIRE PROTECTION SVSTEfa PERMIT VALIDATON <br /> WNEN PROPERIY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. ��,o�Na �� 24. 00 — 3 1540 5086. 50 — M <br /> B. OMINAOE -� � Q <br /> . ENVIRONMEIVT�AL IMPAC�L�TATEMENT CD <br /> . HEALTH�DISR�I �' ' � " --,,,i:1PT `.`.�� -�) 2 R���CFIPT � <br /> �'RPPLICATI01(A�BV NS CHECKE�BV APPR.FOR ISSUANCE BY � �•.• �,�;�� l� - ' ' ' ''��'� Y C U <br /> o ,-• ,.,y �I HWM . . . .� ... <br /> C -p <br />