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, � , <br /> . <br /> � <br /> theE�•CTveoF CO'����STRUCTION � -- � <br /> everett PERMIT pERMIT NO. O�6O6 <br /> CITV HAIL 259�8745 <br /> EVERETf,WA sezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINU' <br /> O\Y1lER MPILAODRESS CItV ZIP �MONE <br /> Shir],Qy ' ' � 109 Walnut Everett 98201 <br /> ARCHIiECTOP�ESiGN[R IAAILApDR[55 CIiV ZIP PNONE <br /> GENERAL CONTRACTOR MAIL FDDPESS GiY ZIP PMONE LIGEtlSE I <br /> MECHANICALCONiPACTON MAILADDRESS Q7Y 21P PHONE LICENSEI <br /> PLUMBING CONTRACTOR MAII AO�PE55 CITY 21P PNONE UCENSE I <br /> ClASS OF\YORK <br /> IXJEW ❑ADDI710N ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WOFK <br /> + 600.00 <br /> OESCRIBE WOFK <br /> Concrete sla, 6' wire mesh fence <br /> PROPOSEO USE OF BNLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEGAI n TY ISMOW UELOW OR ATTACN FOUF COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or 5 0�007�28 ov E 0 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREI� OR NOT. THE GRANTING OF A PERI�AIT DnES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PRO- <br /> VISIONS nF ANY OTHER STATE OR LOCAL LAW REGULAI'ING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SiGNATUREOFCONiRACiOMURAUT110RIZE0AGENT DATE � <br /> JOD ADDFE55 <br /> x <br /> PLUMBIN6 MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMEPIT FEE <br /> WATER CLOSET(TOILET) AIR COND. UNITS—H.R EA. <br /> BATHTUB RhFRIGERATION UNITS—H.P.EA <br /> LAVATpRV(WASH BASIN) BOILERS—H.R EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTE�IS—O.T.U. M EA. <br /> DISHWASNER \NALL HEATEFS—B.T.U. M <br /> IAUNDRV TRAV UNI7 HEATERS—8 T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOL[RS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILAT!ON FAN <br /> DRINKING FOUNTAIN RANGE NOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAWS—RAINLEADERS METAL FIREPLACE 8 LHIMNEY <br /> SINK�SERVICE—BAR.ETC.1 <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT f PERMIT S <br /> TOTAIFEE S TOTALFEE f <br /> SIDE YARU SETBACK STREEi SETBACK REAR YARO SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> L]VES ❑NO <br /> TYPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING $600.00 6 00 <br /> SIZE OF BLDG. NO.OF S70RIE5 MA%.OCC.LOAD <br /> PLUMBING . , <br /> FIRE ZONE DASEMENT RE�UIRED KLERS MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKUST pENALTY U.BC. <br /> SEC.3031a1 <br /> 2. BUIL�ING PLANS <br /> TOTAL ( Q� <br /> 3. FIRE HYDMNT <br /> d. FIRE PR0IECTION SYSTEM PEHMIT VALIDATION ���� ��0�•� O � ' <br /> WMEN PROPERLY VALIDATED(IN 7HI5 IS IS M _ <br /> 5. GRADING <br /> 6. DfiAINAGE � - � <br /> 7. ENVIRONMENTAL ItdPACT STATEMENT YG U R RG C E I PT° <br /> B. HEALTH DISTRICT i H,�N K Y O U � <br /> APPLICATION ACC.BY PU1NS CHECKED BY APPR.FOR ISSUANCE BY . <br />