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_ , <br /> rheEvcivOt � C�NSTRUCTION � <br /> everett PERMIT PERMIT NO. OH731 <br /> GTY HALL 259�8745 . <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDIN(i ❑ MECHANICAL ❑ PLUMBIN(i <br /> OWNEH MAILAGORESS Cltt ZIP PNONF. <br /> F_ K_ RHF!ARC p�p DF(���t gy&3tgTT I�A1 9BZ0� 'iSi-1Q7Fi <br /> ARCHITECT OP DESIGNER MAIL ADDRE55 Cltt 21P VHONE <br /> GENERAL CONIRPCTOR MAIL ADDRE55 �ITY ZIP VHONE LICENSE� <br /> AIECHANIGILCONTRACTOfl MAlLA0DNE5S CITY ZIP PHONE LICENSEI <br /> SELF <br /> PLVMBING CONiPACTOR MAIL ADDRESS GTV ZIP PNONE IICENSE� . <br /> CLA:S OF WOfiK <br /> � <br /> ❑NEW ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAI ION OF WCdK <br /> f <br /> DESLRIBE WJRK <br /> VROPOSED USE OF BUIlDINO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LE6LLDESCRIPfIONOFPNOPERtt�SHOWBELOWOR�TTFCHFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> � ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eu�nc 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 /> CONSTRU TION O�PERFORMANCE OF CANSTRUCTION. <br /> � ,qBADDPESS SIGNATU F Q AUTHOR2EDAGENT DATE <br /> ... . ' BZ4 cL. <br /> : PLUMlINO MECHANICAL <br /> ' � � NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> , ' � WATER CLOSET OIIET) AIR CANO.UNITS—H.P.EA. <br /> �, - � .' i 9�THTUB REFRIGERATION UNITS—.H.P.EA <br /> � UVATORY ASH BAS�N BOILERS—H P.EA. <br /> � ! SHOWER GAS FIRED A.C.UNITS—TONNAPE EA. <br /> �� KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B 7.U. M EA. <br /> i <br /> DISHWASHER Whl L HEA7ER5—B.T.U. M <br /> � � LAUNORV TRAV UNIT NEATERS—B.T.U. M <br /> � CLOTHESWASMEF EVAPORnTIVEC00LERS <br /> WATER MEATER CLOTHE$DRYERS <br /> � URINAL VENTIUITION FAN <br /> URINKING FOUNTAIN FiANGE NOOD <br /> FLOOH DMIN AIR MAGDUNG UNI7— CF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAiNS—MINLEADERS METAI FIREPIACE 8 CHII.7NEY Q <br /> SIKK�SERVICE—BAR.EfCJ <br /> SU!TOTAL SUBTOTAL f <br /> iEI1MIT S PENMIT 3 <br /> TOTAL FEE t TOTALFEE <br /> SIDE YARD SETBACN S7REET SF.TBACK REAR VARD SETBACK PIAN CHECK NUMBER PLAN CMECK FEE <br /> FEE P.ECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> L ES ❑NO FEES VALUATION FEE <br /> TYPE OF CGNST. OCCUPANCI'GROUP N0.OF DWELLING UNITS <br /> BUIIDING S <br /> SIZE OF BLDG. N0.OP STJ�tlES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE B0.5EMENT FIRE SPHINKLERS <br /> ❑ESRaNO �AECHANIGL 7 <br /> APPIIOYALB er DATE OTHER <br /> 1. ENVIRONMENTAL CHEp(LIST �Nq�n. U.B C <br /> 2. BUILDING PUNS _ SEC.3091a1 <br /> 3. FIRE HVDMNT TOTAL 7 SO <br /> 4. FIRE PROTECTION SYSTEM PEIIMR VALIDATION <br /> WHEN PROPERLY VALIDATED�IN THIS SPACEI THIS IS YOUR PERMIT <br /> S. CMDING � j � 2 5 � 07. 50 - �', <br /> 6. DiUINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � , <br /> B. HEALTM DISTRICT , � � � p � <br /> APPLICATION ACC.BY P�ANS CHECKED uY APPR.FOR�SSUANCE BY ' ' �� i\� v_r-�pT O <br /> , : ,,�� Y.0 U . <br /> eW vc vc <br />