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. <br /> i <br /> ,>>��,.�.�,��,, -� CQ� �STRUCTION <br /> GTY OF <br /> everett �'�ERMIT pERMIT NO. 06651 <br /> CITY HALL 259-8745 <br /> evenerr.wn 9azo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ownca Mnanooncss cir� n�• rnor+e <br /> Dr. George Drumtteller 1515 Pacific 96201 259-2291 <br /> �RCNI1CGi Oq DCSiGNE.R MAII AO�PE55 GiY ZIP M1�NE <br /> �[NCRAL CONiRAQOR MAIL ADORESS GITY ZIP PNONE LILENSE I <br /> Sanford Wright P.O. Sox 809 98206 259-4138 <br /> M[CMANIGI LONTP/titOP IAf.IL AD�iiE65 GTY ZiP PNONE UGENSE� <br /> WR IG HS*378N0 <br /> PWA181NGGONTPACTOR IAA�LAD�RE65 CITY ZIP PHONE UCENSEI <br /> ClASS OF WpRN <br /> ❑NEW ONDbITION �+LTERATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> S 3r���.�� <br /> D[SGRIBG WORK <br /> Interior Remodel <br /> PROPOSED UJE OF OUIL�ING <br /> Offices and Treatment Rooms I HEREBY CERTIFY THAT I HAVE READ AIJD EXAMINED THIS AP� <br /> �eoni oescaiPnon or vaovcatt is�ow ee�ow oa nr.neN Founeovies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 17 718 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BLOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEJ <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 /> � �O � CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> � SIGNA1pqEOF�ONTRRCTORORAUTI CDAGkYi �ATE <br /> eoo aooncss 9/6/79 <br /> 1b�5--Paci£i� Avenue 3 d Floor X <br /> PLUMBIN6 MECNANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE _ <br /> WATER CLOSET ROIL[T) AIR CAND UNITS—Hp EA. _ <br /> 0ATN7UB REfPIGERATION UNITS—H R EA _ <br /> LAVATO�V(WASH E3ASIN) 00ILCF5—H P EA. <br /> '- -N,Fa GASFIREDAC UNITS—TONNAGEEA. <br /> KITCHEN SINK 8 DISP. f�ORCED AIR SVSTE�dS—8 T.U. M EA. <br /> DISNW4SHER l'JAILHUTERS—BT.U. fA <br /> LAUNDRV TRAV UWIT HEATERS—B.T.U. M <br /> CLOTHES WASHEF EVAPORAINE COOLERS <br /> WATER HEAT'ER CLOTH[5 DRVERS <br /> UPINAI VENTILATION PAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— CF.M. <br /> VA,;�IUM 6RFANFRS STOVE <br /> ROOF DRAINS—RAINLEADEFS METAL PIREPIACE 8 GMIMNEV <br /> SINK(SERVICE—BAR,ETC 1 <br /> SUBTOTAL SUBTOTAL f _ <br /> � PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE YARD SETDACK STR[ET SEiBACK RLAR YARD SETBACK PLAN CHECK NUMOER PLAN CHECK FEE <br /> 79/6651 FEg5.60 RECEirr o 3 <br /> USE ZONE LOi AREA VACANT SITE FEES VALUA710N FEE <br /> ❑YES GNO <br /> TYPE OF CON57. OCCUPANCY GROUP NO.OF DWELIING UNITS <br /> BUILDING s3,000.00 24 00 <br /> SIZE OF BLDG. NO.OF STOFIES MAX.OCC.LOAD , <br /> PLUMGING <br /> FIREZONE BASEMENT qEOUIRED KlERS MECMANICAL <br /> IIVES ["iN0 <br /> APPHOVALS BY DATE OTHER <br /> 1. EN�9RONMENTAL CHECK LIST PENALN U B C. <br /> SEC.303�a) <br /> 2. BUILOMG PLPNS TOTAL ZQ OO <br /> 3. FIRE FVDMNT � <br /> d. FIRE PROTECTION SYSTEM PEHMIT VALIDATION � <br /> WHEN PFOPERLV VALIDATED,(N TNIS SPACE)T4'S IS YOUR PERMIT <br /> 5. GRADING ' � <br /> 6. DRAINAGE f/ LI7 <br /> Z ENVIRONMENTAL IMPACT STATEMENT � 7�O + V Y�T.�� � � <br /> B. NEALTH DISTRICT � ' O <br /> pPPLICATION ACC.BV PViNS CHECKED BY APPR FOR ISSUANCE BY <br /> �t� YC? UR RECEtFT <br /> — . . . . ... .,-.�e <br />