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`"�E,����oF �ONSTRUCTION- - <br /> everett PERMIT PERMIT NO. ZO141 <br /> GTY HALL 259�0745 <br /> EVERETf.WF �38201 ❑ COMBINATION ❑ BUILDING Gt�tMECHANICAL ❑ PLUMBING <br /> OWNEB FIAILAO�PE55 CITY IIP PHCNE <br /> Voth Hrothers Construction Inc. 123001 N.E. lOth Place Bellevue 98005 <br /> qRCNiiEQOPDESiGNER MRiLADDR[55 CI1Y 21P PNONE <br /> 453-9414 <br /> GENERALfANiPFGTOR MAILA�DBE55 GTY 21P PHONE ULCNS[I <br /> MEGNANIGAICONTPFCiOP MAILN��RE55 CI1V 21P PNONE UCENSEI <br /> PWAIBiNGCANTRACTOR MRILAD�RE55 CIiY 21P PHONE LICENSE� <br /> C1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENCF ❑SIGN ❑GARAGE <br /> YAlUR110N OP WORK <br /> f <br /> pE5CR10[WOFN <br /> PROPOSE�USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGRlOESCRIPt10NOFPPOPERTY�SNOWBELOWONATTACNFOUPCOPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�oc�_ov 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 TNE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW PEGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR NTFACi R ORIIE DATE <br /> JOU AODRESS <br /> 3105 Lne Street X / /� ��, <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE Of FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATEF Cl�SET(TOILEn AIR COND.UNITS—H.P.EA. <br /> BATHTUB PEFRIGEPATION UNITS—H.P.EA <br /> LAVAiORY(YlASH BASIN) BOILERS—H.P.EA. <br /> $NOWER GAS FIRED AG.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.LL M EA. <br /> DISHWASHER WALLHEATERS—OT.U. M <br /> IAUNDRV TRAV UNIT HEATERS—BT.U. M <br /> CLOTMES WASHER EVAPORATNE COOLERS <br /> WATEfl HEATEfl Z CLOTHES DRYERS <br /> URINAL S 9 �ENTIIATION FAN Q.Q_ <br /> DRINKING FOUNTAIN Z RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF�RAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—�AR.ETG) <br /> SUB TOTAL SUB TOTAL f )S <br /> PERMIT f PERMIT S ZO OO <br /> TOTALFEE f TOTALFEE f <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMDEP PLAN GHECK FE[ <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> DVES ❑NO FEES VALUATION FEE <br /> 1YPE OF CANST. OCCUPANCY GRCUP NO.OF DWELLING UNITS <br /> BUILDING b <br /> SIZE OP BLDG. N0.OF STORIES MAl(.OCC.LOAD <br /> PLUM�ING <br /> fIRE ZONE BASEMENT FIPE SPFINKLEflS <br /> REOUIFED MECHANIGAL 8OS OO <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.BC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIREHY�RANT TOTAL BOS OO <br /> d. FIRE PROTECTION SVSTEM PERMIT VALIDRTION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING - - i: : ? C i' ___ .'� <br /> fi. DRAINRGE � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> ��- 8. HEALTH OISTflICT � . I � <br /> c-� <br /> APPLICATION ACC.�Y PLANS CHECKED BV APPR.FOfl ISSUANCE BY � • � <br /> B.W. <br /> i <br /> ADDRESS FILE <br />