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rheE c�oF CONSTRUCTIO� � - <br /> everett P+�RMIT PERMIT NO. O7Z33 <br /> CiTV HAIL 25987e5 <br /> EVERETT,WA 98201 ❑ COMBINATION �BUII.DINO ❑ MECHANICAL C� PLUMBINO <br /> OWNEP M�ILAODflE55 CIiY ZIP RpNE <br /> L. Sturmnn 2014 Hewitt 96201 <br /> ARCHITECTORDESIGNEP MAILADpRESS LRY ZIP PHONE <br /> GENERAL CONTMCTOR MAIL�DDHE55 GTY 21P PHONE LICENSF I <br /> 8 Electric 3509 Broadway Evezett 98201 27069 <br /> MELMANIGI CONTRACTOR MAIL�ODNESS GITY 21P PHONE IICENSE 1 <br /> PWMBINGCONTRACTOfi MRILADDRESS CITV ZIP PNONE LICENSE• <br /> CUSS OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �61GN CIGARAGE <br /> VALUATION OF WpR1t <br /> 3 4�0.00 <br /> DESCRIBE WORK <br /> erect illuminated sign <br /> PROPOSED USE OF BW�OING <br /> comnercial i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALOESCRIPTIONOFPROPEHTY�SHOWBELOWORATTACNFOURfAPlES) PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BIOG�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GFANTING OF A PERMIT DOES NOT <br /> PRESUM E TO GIVE AUTHORITY TO VIOLATE OR CANCEI.THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTI�R THE PERFORMANCE OF CANSTRUCTION. <br /> JOB AD�iE55 SICNFTURE t OH OF RUTHORI]ED AGENT ORTE <br /> 2014 Hewitt X ,,_�ti,----� 2/13/80 <br /> PLUMSINO MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET� AIR CAND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.E4 <br /> LAVATORV(WASH BASIN) BOILERS—H P.EA. <br /> SHOWER GAS FIRED A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEMS—B.iU. M EA. <br /> DISHWASHER VJALLHEATERS—BT.U. M <br /> LAUNDRY TRAY UNIT HEATEHS—B.T.LL � M <br /> CIOTHES WASHER EVAPoRATIVE COOLERS <br /> WATEF NEATER CLOTHES DRYERS <br /> UflINAL VENTIlAT10N FAN <br /> DflINKING FOUNTAIN NANGE HOO� <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKEFS STOVE <br /> ROOF DRAINS—RAWLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SEPVICE—BAR,E7C.) <br /> SUBTOTAL SUBTOTAL f <br /> PERMIi f PERMIT t <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE VARD SETBACK STREI.i SETBACk REAP YAqD SETOACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SITE <br /> ❑VES GNO FEES VALUATION FEE <br /> TYPE OP CANS7'. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING b 400.00 3 00 <br /> SIZE OF BLDG. N0.OF STORIES MNi.OCG.IOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> � APPpOVALS BV DATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST PENALTV U B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> r <br /> 3. FIR[HYDRANT TOTAL 3 00 <br /> 4. FIRE PROTECTION SYSTEM PEPMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SP S U CiI�515 Y0y{7p�p�: o o � M� <br /> 5. GRAUING 3 U U <br /> J 9 <br /> fi. URAINAGE <br /> M <br /> . Z ENVIRONMENTAL IMPACT STATEMENT �� ,���'�� <br /> B. HEALTH DISiRICT Y�' <br /> APPLICA710N ACC.�V PLANS CF7ECKED BY APPR.FOR ISSUANCE OY T��L,�K Y O U � <br /> Bi�B <br />