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` <br /> `'"� `'��TY`oF ^ONSTRUCTION <br /> everett PERMIT PERMIT N0. 10077 <br /> CITY HALL 259�8745 <br /> evEaerr.wn sezo� ❑ COMBINATION ❑ BUILDING � MECHAN�CAL ❑ pLUMBING <br /> 01YNFR AIAiI ADDNE55 CrtY ZiP FNO��t <br /> Phill.. Gilday 1105 Walnut Everett 98201 <br /> ARCH�i[CTORDESIGNER h�aiL.1pDRE55 CIiY (iP P��ONE <br /> GCN[PAL LONTRACtOR I.IqIL ADDRE55 ` CiTY ZIP PHONE LIG[NSE r <br /> ldLC��ANICFL WNiqACTOR MAIL ADDRE55 CIiY 21P PHONE �IC[NS[r <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2991 <br /> PWM1�l3itIGGONiRACTOR MAiLADDRE55 OIY ZiP CNpNE LICE1l5[� <br /> CLA55 OF\YORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE��OLItiON ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> b <br /> OESCRI�E\YORN <br /> PROPOSE�USE OF OUIl�U1G <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCPIPiIONOfPI':PENTYISMOWBELOWOPATTAGHFOLIRCOPIES) PLICATION AND KNOW THE SAME TO BE TRUt AND CORRECT. <br /> ALL PFOVISIONS OF LAWS AND ORDI�!ANCES GOVERNING THIS <br /> �or BLOCK_OF TYPE OF WORK WILL BE COMPUED WITH WHETHER SFECIFIED <br /> HEREI^I 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 STAT[ OR LO�AL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADORE55 /� �// t- S.;NAlU�EO�lG�J1fuGTORORAU1f�ONIZEUAGENT D�� E <br /> 1105 .W�,}�mrt C ii/tt2l�� �l�v U X �1� �� OUA.� �o�- � � <br /> PLUMBING MECH NICAL <br /> N0. TYPE OF FIXTURE OR ITEM. FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOI�ET) AIR COND.UNITS—H.fl EA. <br /> BATHTUB REFRIGERATION UNITS—HP.EA <br /> IAVATOflY(WASH BASIN� BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—IONNAGE EA. <br /> KITCHEN SINK&DISP. FOfiCEO AIR SYSTLMS—B.T.U. M EA. <br /> DISHSYASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B T.U. M <br /> CLOTHES WASHEfl EVAP0�7ATIYE COOLEFS <br /> WATEH HLATER CLOTI{[S DRYERS <br /> UFINA� VENTILATION FAN <br /> DNINKING FOUNTAIN HANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.P A1 <br /> VACUUM �REAKERS S'OVE <br /> ROOF DRAINS—RAINLEADERS M'c1AL FIREPLACE R CHIMNLY <br /> SINK�SERVICE—BAR.ETC� 1 ATE R $ Z O O <br /> SUB TOTAL SUR TOTAL S 2 0 0 <br /> PERMIT S PERh:IT Q�_ <br /> TOTALFEE S 707ALrEE S S 0 <br /> SIDE VARC SETBACK STREEI SETBACY, REAR YARD SETOACK PLAN CHECK NUA10E� PLAW CHtCri�CF <br /> � FEE RECEIot NO <br /> USE 20NE LO7 AREA VACANT SITE _ <br /> L1YES CNO FEES VALUATION FEE <br /> TYPE Of CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING £ <br /> SIZC OF BLDG. N0.OP S70RIES MAX.OCC. LOAD <br /> PLUMBIN6 <br /> I IRF ZONfi BASEIdENT FIRE SPRINKLLRS <br /> REOUIR[D MECHANICAL S OO <br /> I iVES ONO <br /> APPHOVALS BY UATE OiHER <br /> 7. ENVIRONA7ENTAL CHECK LIST PENALTV U B.0 <br /> 2. BUIIDING PLANS SEC.303(e) <br /> 3. FIRGHYDRANT TOTAL S 00 <br /> •L FIRE PPOTECTION SYSTEM PENMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS 1'OUP PERMIT <br /> 5 GRADING <br /> � <br /> fi. DRAINAGE ' � <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT O <br /> n. H[ALTH DISTRICT � <br /> APPLICATION ACC.BY PIJ�NS CHECKED OY APPF.FGR ISSUANCE BY - � � <br /> ' <br /> ;;i;�r�ess r-i�e <br />