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�.� '��'" . �ONSTRUCTIOR'� � <br /> , arr a ��, , '� <br /> ' `�'` ' � �� PERMIT PERMIT NO. 16431 <br /> an w�u sar�s <br /> �T,w��Ot ❑ COM�INATION � SUILDING ❑ MECMANICAL ❑ PLUMSINO <br /> wui�oo�as cm LI v�aNt <br /> t�anard Yamy 7916 H�v�rly Blvd Evarett, i1A 98203 3�7-3156 <br /> MIIILADDRE88 CITY ZIP MIONE <br /> M111L�DDRESB CITY 21P PNONE IICEN�f/ <br /> �qN M. 11 MAIL�ODRE98 CITY ZIP PMONE LICWlE• <br /> MI11L ADDRE95 C�TY ZIP iMO11E�EN �.� <br /> t <br /> ❑NEW ❑AODITION ❑ 11LTEMTION �PEPAIR ❑ DEMO�ITION ❑ FENCE ❑ SION ❑ N100D STOVEIFIREPUCE INBEfiT <br /> YNWI�ON W Wq1K <br /> ��.� <br /> A�plap dooss, add sh�et mck to existinq ceilinqe <br /> UE OF WILCINO <br /> d R�s urant Ta rn I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI3 <br /> IITY�BMOWBElOWq111R11CMFW1ICOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �ot�Koac_oF GOVERNINO THIS TYPE OF WORK WILL BE COMPUED WITM <br /> WHETHER SPECIFIED HEREIN OR NOT.THE ORANTINd OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> !Nn► D�al Tavern) LOCAL LAW REGULATIN CONSTRUCTION OR THE <br /> PERFORMANCE OF CONS CTION. <br /> �IIE1� SIONIINRE OF CTOR Ofl� IZED AOENT D/.lE <br /> 1011 FI�1/LtL AVe X 4�I��B6 <br /> /LYM�Nq M NANICAL <br /> N0. ME OF FlXTUIIE 011 ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TWLE7) AIR COND.UNITS— H.P.EA. <br /> �ATMTU! REFRIQERATION UNITS— M.P.EA. <br /> UVATORV(1NA8M BA81N) BOILERS— M.P.EA. <br /> &IOWER GAS FIREU A.C.UNITS—TONNACE EA. <br /> KITCMEN&NK�DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> pSMWAlMER WALL HEATERS— B.T.U. M <br /> LAUf10RYTRAY UNIT MEATERS— B.T.U. M <br /> CLOTNElWASMER EVAPORATIVE COOLERS <br /> W�TEI1 NEIITER CLOTHE6 DRYERS <br /> UIMNILL VENTIUTION FAN <br /> OMNKINO FOUNTAIN RANOE MOOD _ <br /> FLOOR qU1N AIR HANDLINO UNIT— C.F.M. <br /> VACWM BREAKERS STOVE—WOOD <br /> IIOOF DMINS— MINLEADERS METAL FIREPUCE d CHIMNEY <br /> &NK(SERVICE—BAR,ETC.) FIREPUCE INSERT <br /> HEAT PUMP <br /> 6U!TOTAL f SUlTOTAL f <br /> PEIIYIT f PEqMIT f <br /> TOTALFEE { TOTAIFEE i <br /> lIDE V D SETBACK STREET SEfBACK REAR YARD SETBIICK PUN CMECK NUMBER PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> GYES ❑NO FEES VAIUATION FEE <br /> TYPE CANST. OCCUPANCV GNOUP NO.OF DWELLING UNITS <br /> BUILDING :SOO.00 A 10 OO <br /> 91ZE OF BLIX3. NO.OF STONIES MA%.OCC.LOAD — <br /> PLUMBING <br /> FIRE20NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES i�NO <br /> AMIqVAlB �Y DATE OTHER <br /> 1.ENVIRONMENTAL CMECK LIST PENALTY U.B.C. <br /> 2 BUILDINO PLANS SEC.903(a1 <br /> S flRE MYDRIINT �n TOTAL 10 00 <br /> 1.FIRE PIpTEC7fON SYS PERMIT VA11011T10N <br /> s Q�p� , � WYEN PROFERLY VALIDATEO(IN THI$, J CE)THI3,�S�O�1F�P�I�IT � <br /> � � � � � �� <br /> ' D1IAINAOE . C� . �. <br /> .�7.ENVi110NME1 ALIMPIfbTSTATEMENT � <br /> .MEAL 1 IBjl11CT � <br /> �PPLICAT19N�'.BY • PUNS CHECKED BY APPR.FOR ISSUANCE BY . h� �_- C"I P I� <br /> . �i � � �� <br /> M.rl�.r_' DB <br /> C -,� <br /> � � ] Ll �t 6� <br /> ADDRESS FILE <br />