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._. . . .. , ., y <br /> "TY°` pERMIT <br /> everett PERMiT NO. O9SO3 <br /> ciTv �+nu zs�e�ns � COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br /> EVERETi,WA 98201 Li� rHor+e <br /> arr <br /> MAIL PDUPE55 g 8 2 O 1 <br /> owNeH Eve re tt <br /> 3223 Oakes "�-- <br /> Caxl Ryan zip P"ouE <br /> �IIY <br /> MAIL A��RE55 <br /> PRCIIRECt OR�ESIGNE� <br /> CILY <br /> ZIP PIiONE IIGENS[� <br /> hIFIL AODRE55 <br /> ^cNERPIGONTRACTO� <br /> Z�� PHONE L�CENSE� <br /> unanooeEss Everett 98201 <br /> 258-2441 <br /> rnec��n�+;cn�coNieacTo� 1611 East GYand <br /> Natural Gas Equipment Z„ PMONE uceNse� <br /> CITY <br /> MAIL ADDRESS <br /> P�UAID W G CONiRAGiO� —� <br /> CLASS OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERFTION ❑F7EPA�R ❑DEMOLITION ❑�-NCE ❑SIGN GARAf,E <br /> VAIU.TION OF 1VO�K <br /> S <br /> DESCA�BE WORK <br /> PROPOSEU USE OF BUILOING I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL�ESLRIPTION OF PROPERtt�SHOW BELOW OA ATTA�N FOUR GOPIES� ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> ior BiaK—pP 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 /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�U ETION. <br /> SIGNATU OFICONiRACTIOROAA����,�/ 9/18/81 <br /> J06 AD�RESS �( � ll.,l L r���� <br /> 3223 Oakes <br /> MECH NICAL FEE <br /> PLUMBING FEE NO. TYPE OF EOUIPMENT <br /> NO. TYPE OF FIXTURE ON ITEM pIR COND.UNI'S—H P.EA <br /> WATEf7 CLOSET ROILET� pEPR�GERATION UNITS—H.P.EA <br /> BATHTU� BOILERS—H.P.EA. <br /> LAVATORY(WASH BASIN) G�5 FIRED�C.UNITS—TONNAGE EA�EA <br /> SHOWER FORCED AIR SVSTEMS—O.T.U. <br /> KITCMEN SMK 8 DISP. WALL HEATLRS—B?.�� M <br /> DISHWASHER UNIT HEAT�:R�—B T��� M <br /> LAUNDRYTRAY EVAPO�AI�J[COOLERS <br /> CLOTHES WASHER CLOTMES DRVLRS <br /> WATEF HEATER VENTILATICN FA�I <br /> URINAL RANGE HOUD <br /> DRINK�NG FOUNTAIN pIR HANDCNG UNIT— C.F.M. <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKENS METAL FIREPLACE 8 CHIMNEY <br /> ROOFDRAINS—RAINLEADERS 1 Wate�� xeater <br /> SINK(SERVICE—BpR•ETC') <br /> SUB TOTAL S 4 $0 <br /> SUBTOTAL PERMIT f 3 00 <br /> PENMIT S TOTALFEE f 7 50 <br /> TOTAL FEE s PLAN CNECK FEE <br /> REAR YARD SETBACK PIAN CHECK NUMFIER RECEIPT NO. <br /> SIDEYARD SETBNCK STREET SFTOACH FEE <br /> VACAN7 SI7E ypLUATION FEE <br /> LOT AREA FEES <br /> USE ZONE L7YE5 �NO <br /> TYPE OF CONST. OCCUPANCV GROUP N0.OF DWELLING UNITS $ <br /> BUILDING <br /> NO.OF STOFI�ES MA%.OCC.LOAD <br /> SIZE OF 9LDG. PLUMBING <br /> FIPE SPRINKLERS MECHPNICAL � S O <br /> FIRE ZONE BASEMENT pEOUIREU <br /> ��YES ❑NO <br /> APPPOVALS <br /> BY OATE OTHER <br /> PENALTY SEO 303(a) <br /> t. ENVIFONMENTAL CHECK LIST � S O <br /> 2. BUILDING PLANS TOTAL <br /> 3, FIRE HYDRAN7 pEpM�7 ypLI�ATION <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDALED(W THIS SPACEI?HIS IS YOUR)EFlMIT 1 -- � <br /> i � r � <br /> 5. GRADING <br /> � <br /> 6. DRnINAGE , . � <br /> 7. ENVIRONMENTAL�MPACT STATEMENT . � � � <br /> B. HEALTH DISTRICT pppF.FOR ISSUANCE BY ' <br /> �— pIANS CHECKED BY <br /> APPLICAiION ACC.g� <br /> , I <br /> ACDRESS FILE <br />