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,- <br /> '`"��'��TY�� �'ONSTRUCTION , <br /> everett PERMIT <br /> CITY HALL 259�8745 PERMIT NO. 1 O H 8 9 <br /> evenerr.wn eezoi ❑ COMBINATION �] BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> � <br /> OWN61 <br /> LUCIUS GOETZ 1908 MOMROE EVERETT98203 c Y o <br /> zir i�Hour <br /> nqCiutECtORDESiGNER MAILApDRE55 J5 '� <br /> pTV ZIP i'MONE <br /> GEt�ERAL CONT�ACiOP AIAIL ADOFE55 <br /> SELF CITY Z�P ��IONE LICENSE• <br /> h1ECMANiCFL CONiRACiOR AIAIL ADCBE55 <br /> Q�Y ZIP PHONE LICENSE I <br /> PLUI.IpING CONTRACiOR �Iqq pDORE55 <br /> ��rY l�P PMONE UCENSE/ � <br /> CWSSOf WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION RLPAIq ❑DEMOLITION ❑FENCE ❑SIGN ❑GAqAGE <br /> VALUFiION OF WORK <br /> =Y�1.00 <br /> oEscaieE woaK <br /> REROOF <br /> FROPOSED USE OF BUILOING <br /> iecnioesea�crionoFvaovearv�sioweeiowoannneNrouaeowesi PLICATIONCAND KNOW THE SAME TO BE�TR E AND CORRECT. <br /> �or 13-14 aioc 2�8 oF � ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WIT'+ WH�=THER 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 /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JJ�RDOR[55 Si,NqiURFO NiPAGiOROFAUiH 12ED ^hNT f <br /> DAiE <br /> • X ..il"�-GC4L � <br /> PLUMBING <br /> MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT <br /> WATER CLOSET(TOI�ET) FEE <br /> �ATHTUB AIR COND. UNITS-H.P.EA. <br /> LAVATORV REFRIGFRATION UNITS-H.P.EA <br /> (WFSH BASINI BOILERS-H.P.EA. <br /> SH0IVER <br /> KITCNEN SINK&DISP. GAS FlRED A.C.UNITS-TONNAGE EA. <br /> FORUED AIq$VSTF;dS-B.T.U. M EA <br /> DISITYlASHER l"✓ALL HEATERS--9.T.U. <br /> , LAUNDRI'TRAV Id <br /> CLOTHES WASMER UNII HEA7EF?=-B.T.U. h� <br />' , WATER HEATER EVAPORATNE COOLERS <br />� URINAL CLOTHES DRYERS — <br />� URINKING FOUNTAIN �ENj�U+T�ON FAN <br /> i FLOOR DRAIN �ANGE HOOD <br /> AIR HANDLING UNIT- C.EM. <br /> VACUUM�R[AKERS <br /> ROOF DRAINS�-RAINLEADERS STOVE <br />' — METAL FIREPLACE 8 CHIMNEV <br /> SINK�SEqVICE-BAR,GTCJ <br />' SUB TOTAL <br /> PEHMIT = SUB TOTAL = <br /> 70TAL FEE S PERMIT S <br /> SIDE VnRD SETBACK STREE7 SET�qCK TOTAI FEE S <br /> liEAR YARD SETBACK PLAN CHECK NUMOER <br /> PLl�N CHECK FEE <br /> USE 20NE LOT AREA VACANT SITE FEF RECEIPT NO. <br /> i.1YE5 L]NO FEES VqLUAT10N <br /> TYPE OF CON57. FEE <br /> OCCUPANCVGROUP NO.OFDWELLINGUWTS <br /> SIZF OF BLDG. N0.OF STORIES BUILDING b <br /> MAX.pC,C LOAD 500 a <br /> PLUMBING <br /> FIRE ZON[ BASEIdENT FIRE SPRINKLEqS <br /> R[OUIRED MECNANICAL <br /> IIYES I .NO <br /> APPROVA�S BY OATE �THER <br /> 1, ENVIRONMENTAL CHECK UST <br /> 2. BUILDING PLANS PENALTY U.B.C. <br /> � SEC.303(a) <br /> 3. FIRE HYDRAry7 TOTAI <br /> � 4 FIRE PROTFCTION SYST 1 O OO <br /> ' PERMIT VALIOATION <br /> 5, GRADING N WHEN PROPERLY VALIDAT[D pN THIS SPACE)THIS IS 7DU(1 PFRMIT -� <br /> 6. DRAINAG: <br /> ' �i. ENVIROfjME 'AL IMPACT TA7EMENT � <br /> �'A. HEALTH�DIS�CT p � <br /> �PP��CAT10�AC�'j DY CANS CHECKED BY APpp,FOR ISSUANCE BV O <br /> �po )C fll T-I <br /> h.1 �` n �C <br /> C -p t <br /> � � <br /> ADDRE: ' rILE <br />