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- �,���� � t��VS'�RUCTION � � � . <br /> cm o.F p . `. <br /> e��r�� . P��1�T . PERMIT NO. ��rJ92 ' w. <br /> � GTY MALL 259-8115 � COMBINATION � BUILDIMO� -�-�.,MECMANICAL �❑ PLUMSINO � � � �� � <br /> � 'EVERETf.WA 9B20t , ._ . . . <br /> � N � . u� � � . . <br /> Jack & Viclde Sealo 1825 - 4th Marsvville 98270 659'�413 <br /> MLHITECf OR OESIONER MW L ADORE86 � Cltt 21P <br /> GENEMICONTMCTOR MAILAODRE55 GTY 21P PMOHE UCENSE/ <br /> Owner pHpNE LICENSE I <br /> MECHRNIULCONTRACTOA MAILAODFE55 ��Tv Z�P <br /> PLUMBINGfANIPACTOP M�ILADDPE55 CITY ZIP PNONE LICENSEI <br /> QASS OF WOR1( <br /> ❑NEW ❑ADDITION ❑A����TION ❑REPAIR ❑DEMOLITION �FENCE ❑SIGN CaARPGE <br /> VALUATION OF WORI( <br /> f 55�.0� <br /> OESCRIBE WORK <br /> Install chain link fence - 4' - <br /> PROPOSEO USE OF BIIILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEGAI DESCRIPTION OF PPOPERtt�SMOW BELOW OP ATT�CH FOURfAFIES) PLICATIQN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or�Q.._��o�Q—oF EvP 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 /> �,/ /q� VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> c'3%OO �./ CONSTR/UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAT yOFCON AGTO�ORAUiN RED G DATE <br /> JOB ADOPE55 ���'�� � �� <br /> X � <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> FEE <br /> WATER CLOSET(TOILET) AIR COND. UNITS—H.P.hA. <br /> REFRIGERATION UNITS—H.P.EA <br /> 6ATHTUB <br /> LAyqTORV(WASM BASIN) BOILERS—HP.EA. <br /> GAS FIRED AA.UNITS—T�NIJAGE EA. <br /> SHOWER <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> WALLHEATERS—B.T.U. M <br /> DISHWASHER M <br /> LAUNDRY TFiAV UNIT HEATERS—�.T.U. <br /> CLOTHES W�HER EVAPORATIVE COOLERS <br /> WAiER HEATER CLOTHES DPYERS <br /> VENTILATION FAN <br /> URINAL <br /> DRINKING FOUNTAiN RANGE HOOD <br /> AIF NANDLING UNIT— CF.M. <br /> FLOOR DRAIN <br /> VACUUM BREAKERS SiOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CNIMNEY <br /> SINK�SERVICE—BAR.ETC.1 <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT S PEHMIT : <br /> TOTALFEE S TOTALFEE f <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD S[TOPCK PLAN CNECK NUMBER pECE1PT NO. <br /> FEE <br /> USE 20NE LO7 AREA VACANi SITE FEES VALUATION FEE <br /> l7YES ❑NO <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BU�LDING S 550.�0 6 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.UCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT RIEOUIRED KlERS MECHANICAL <br /> ❑YES ❑NO <br /> APPROVA'S !Y DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.0 <br /> SEC.3031a) <br /> 2. BUILDINGPUINS TOTAL 6 OO <br /> 3. FIRE HYORANT <br /> 4. FIRE PROTFCTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDA7ED(IN THIS SP'CE�)TOHIS IS Y�ORO �MO O ��� <br /> 5. GRADING i o � a <br /> � <br /> 6. ORAINAGE � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT <br /> B. HEALTHDISiRICT YO U R RE�GEIP'(o . <br /> /�pp��,Aj�pN p(C,BY PLANS CHECKED 8� APPR.FOR ISSUANCE BY T H,AN K YO U� <br /> 15wr80 . , .° <br /> ADDRESS FILE ''''' <br />