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�i <br /> `'��������Ce„ CE NSTRUCTION <br /> CITY OF <br /> everett PERMIT pERMIT NO. 10068 s <br /> � CITY HALL 259�87a5 <br /> EVERETT.VJA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ' <br /> OWNFR I.IAILAUDRk55 CRY ZIP GIIONI <br /> Jeff Hegland 2013� Hewitt Everett 98201 252-2604 <br /> ARCIIiiECTOP�ESIGN[R MAILADORE55 CITY 2iP PHONE <br /> G[NERALCONIRACiOR A�AILROORE55 CIiV 21P NMONE IICEN$E� <br /> S ame '"� <br /> I' <br /> MECHAN�CAI CANiRACiOP MAI�AODRESS Clll' PP PMONE IICENSE♦ <br /> Erickson Mfg. 5532 208th S.E . Lynnwood 98036 <br /> PWM1!PltiiiC04iRACiOR MAILOODAE55 CIiY 21P �MONE IICEN�E� <br /> CIASS 0�1YOFF <br /> ❑NE\N ❑ADDIiION ❑ALTERAiION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAqAGE <br /> VALUAiION 0�WORK <br /> 5 <br /> DESCRIBE WORN <br /> f�ROPOSED USE OF BUILDING <br /> I HERtBY CERTIFY TIiAT I HAVE READ AND EXAMINED THIS AP� <br /> �eun�oescaianoNOFPeoaeanisNowoeiowoan..acNFouacor��s PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BIOCK_OF TYPE OF WORK WILL BE COMPLIED WITFi WHETHER SPECIFIED <br /> HEPE:N OR NOT. THE GRANTING OF A R�d1T DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIO TE 0 CANCEL THE i'RO� <br /> VISION£ OF ANY OTHER S ATE OR CAL W REGULATING <br /> CONSI'RUCTION OR THE P RFOR E OF ONSTRUCTION. <br /> JDI3FDORE55 • :NnTUR'_OF PACiOHG � , �O�aZE� ;F.N D t <br /> 2013�5 Hewitt Avenue X � � L9 Q/ <br /> PLUMBING M H L � <br /> N0. TYPE OF FIXTURE OR ITEM FEE TYPE OF EQUI ENT FEE <br /> WATEP C�OSET ITOILEiI �IFi CUND UNITS—�{.P.EA <br /> BATHTUB fiEFRIG'F7ATION UNITS—H P.U� <br /> LAVATORY 6VASH BASIN� BOILERS—H.P. EA <br /> SHOINER GAS FlREU A.0 UNITg—7pNNAGE EA <br /> KITCHEN SINK 8 DISA. fORCE�AIR SYSTEIdS—B.T.U. M EA. <br /> DISITYJASFIER PoALL H[AT[RS—��.U. M <br /> LAUNDRV TRAV UNIT HEATEHS—B.T.U. M <br /> CLOTHES WASHER EVAf`ORATIVE COOLERS <br /> VJATER HEATER CLOTHLS ORYEFS _ <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN 1 R4NGE HOOD <br /> FLOOR DRAIN AIR HANDLIN(i UNIT— C.F.M <br /> VACUUM BPEAKERS STOVE <br /> ROOF DRAINS—RAINLEADENS ��ETAL FIREPLACE&CHIMNEV <br /> SINK�SERVICE—BAR.ETCJ - <br /> SUB 70TAL SUB TOTAL 5 �_ <br /> PEriMIT S PEflMIT S _p.p_ <br /> TOTAL FEE S TOTAL FEE 5 <br /> SIDE YARD SETBACK STRE6T SEi BACti HEAR YARD SET��CF Pltd�CHECK NUMPER PLAt�QiECK fEE <br /> FEE RECEIPI N0. <br /> ISE ZONE LOT AREA VACANi SIiE <br /> �iYES ❑NO FEES �ALUATION FEE <br /> NPE OF CONST. OCCUPANCV GROUP N0.OP DWELLING UNITS <br /> BUILDING � <br /> SIZE OF BL�G. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING �. <br /> FIRE ZOY.t BASEMENT FIRE SPRINKLERS <br /> � REOUIRED M[C:IANICAL ],r} SO <br /> f1YES i]NO <br /> APPROVALS BY UA7E OTH[R <br /> 1 ENVIRONIdENTAL CNECK L�ST PENALTY U�A. <br /> SEC.303�a) <br /> 2. BUILUING PLANS <br /> TOTAL 14 S O <br /> i 3. FIRE HVDRANT _ � <br /> � 4. FIRE PROTEGTION S�S7EM PERMIT VALIDA710N <br /> �1'MEN PROPERLY VAl1�ATED(IN TNI: bPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � <br /> G. DRAINAGE � � I � I I • . O I <br /> 7. ENVIRONMENTALIMPACTSThiEMENT <br /> — � <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED OY AFPR.FOR ISSUANCE BY . , <br /> �� �� <br /> cr <br /> 1 <br />