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� <br /> . <br /> '1 <br /> ihe E�YrRreen <br /> `"Y°� '� CONSTRIl�TI('N � � <br /> � everett PERMIT PERMIT NO. 12O3H <br /> CITY HA�L 259E7�5 <br /> EVERETT,WA 88701 x� COMBINATION ❑ BUILOING ❑ MECNANICAL ❑ PLUMBINO <br /> � �� q M.�t�OORE55 <br /> JAMES M. SMITH 2610 - 200th St. NE Arlington MA 652-7005P PMONE <br /> Aq�qiTECT OR DESIGNEX MML�OORE55 <br /> CITV ZIP PNONE <br /> OENEN���ONTR�CTOR MI11L ALOfiE55 <br /> � Sel f ��tt Z�P PMONE LICENSE� <br /> MECN�NIC�L CAryTqACTOR M�IL ADDRE55 pTY <br /> Z�P PNONE LICENSE• <br /> PIUMBINO fqNTN1CTOR MAIL�DDPE55 CITY <br /> ZIV PMpNE LICENSE I <br /> CLA53 OF WOpN <br /> ❑NEW ❑ADDITION X� ALTER�TION ❑qEPA1R ❑ DEMOLITION O FENCE ❑SIGN ❑ WppD STOVF/FIREPUCE INSERT <br /> ' V�LUATION OF WppN � <br /> i2 QOQ.O� <br /> DESCqIBE WJRK <br /> Partition walls bath <br /> PIIOPOSED IISE OF BUILUINO <br /> Retail � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TMIS <br /> LEp��DESCPIPTIONOFPl10PEqry�SXOWBEIOWOq�TTACNFOUPCO%E5� APPLICATION i.ND KNOW THE SAME TO BE TRUE qND <br /> �oT22 ei�K688 oF Everett CORRECT, qLL pqOVISIONS OF LAWS 4ND ORDINANCES <br /> GOVERNING THIS ttpE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PqESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL lqW REGULATING CONSTRUCTION OR THE <br /> � JOB ADDRE55 PERFO ANCE OF CONSTRUCTION. <br /> . SIGN�TUN 0 ONTP�CTOqp OR D�pEHi < D�TE <br /> X 6/2/83 <br /> PLUMlINO MECMANICAI <br /> NO. TVpE Of FI%TUqE OR REM FEE NO. TYPE OF ECUIPMENT <br /> WATER C_OSET�TOILET) FEE <br /> Z OO AIR COND.U41T5—M.p,EA. <br /> BATHTUB ' <br /> ' REFRIGERATIO��UNITS—H.P,EA. <br /> IAVATORY(WASM BASINI P OO BOILERS—H.P.En. <br /> SMOWER GAS FIRED A.C.UNITS—TONN�GE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIq SVSTEMS—B.T.U. M EA. <br /> � DISMWASNEF <br /> ' LAUNDRY TRAY �'�'A��HEATERS— B.T.U. M <br /> UNIT HEATERS—B.T.U. M <br /> CLOTMES WASHER EVAPOR�TIVE COOLERS <br /> � W�TER HEATER CLOTMES DRYERS <br /> URINAL <br /> DRINKINC FOUNTAIN VENT�LATION FAN <br /> RANGEHOOD <br /> _ FLOOq DRAIN AIR H�NOlIN6 UNIT— <br /> V�CUUM BREAKERS QF.M. <br /> STOVE—WppD <br /> ROOF OflMNS—RAINLE�DERS METAL FIREPLACE d CNIMNEY <br /> . SINK(SERVICE—BAR,ETC.) FIREPLACE INSERT <br /> ME�7 PJMP <br /> SU!TOTAL : 8UC TOTAL f <br /> PEPMIT { <br /> TOTIIL FEE � PENMIT = <br /> : SIDE YARD SETBACN STREETSETBACK REAR YAflD SETBRCK PLAN CHECK NUMBER TOTAIFEE t <br /> PLAN CXECK FEE <br /> ' USE ZONE LOT AREA VACANT SITE FEE RECEIPi NO. <br /> � LYES f'.NO FEES VAlU�l10N FEE <br /> TYPE OF CONSi. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF S70RIES MA%.OCC.LOAD BUILDING _ S '1�000. 3Z SO <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS '— — —�---�- <br /> REOUIREU MECNANICAL <br /> GVES �_NO <br /> �PP�����$ s� GATE OTMER <br /> 1.ENVINONMEHTAL CHECK LIST U.B.C. J <br /> � .2.BUILqNOPUNS PENALTY SEC.�(al <br /> � 3.FIRENYDRANT N TOT11L <br /> �.FIREPIiOTiCf10NSY M 36 5� <br /> PEIIMIT VAIID�TION <br /> � S.ORA � WHEN PROPERLY V�LIDATED(IN TMIS SPACE�TN�gJgOyp�p pEpN�T_- <br /> ,�v e.°""'r �"� I 61� i 3 T 5 0 c°4,. <br /> f� 7.ENVI TI1lIM STATEMENT O <br /> �! E.HEA U RICT � <br /> b 11PP��CADO CC.BY PLANS CHECKED BY APPR.FOR ISSU�NCE BV YO U R REC E I PT� <br /> W ��� <br /> O m THANK YOtI <br /> c ^ <br /> � p <br /> ADDRf.SS RLE � � � o� <br /> J <br />