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� T—� _ �. <br /> F <br />� <br /> I <br /> i <br /> l <br />' "- C("VSTRUCTION � � <br /> �he Ei�cr�rern . - <br />� Cliv OF <br />� everett PERMIT �8233 <br /> PERMIT N(7. v <br /> I CITY HALL 259�8745 <br /> ev��en.wn qszoi ❑ COMBINATION ❑ BUILDING ��71AECHANICAL ❑ PLUMBING <br /> OWNfN MMLAUUNlSS GIiV ZIP PNOH:: <br />� G. H. Drumheller 1515 Pacific Avenue — <br />� APLHITECT OP DLS�GNEN 1APIl hDDRE55 QTY ZIP PNONE <br /> I <br />� GENERALCANiRAGTOR MA4ADDRE55 GTY 21P PHONE LIGEN�EI <br /> MELNANICnL fANiRACTOR MAI�ADDRE65 GTY ZIP PHONE UCENSE/ <br /> Haladay Parks Fabricators 401 S. Webster Seattle 4' �. 98108 7G3-8500 <br /> PLUMBING CONiRACTOP MAIL ADDRE55 GTY ZIP PNONE IIGENSE I <br /> HO LA DP F376N0 <br />� cuss oF won� <br /> ❑NEW ❑ADDI710N ❑ALTERATION ❑REVAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br />'I VAI.UATION OF WORK <br /> 1 S <br /> il <br /> DESCRIBE WORN <br />� <br />` i'ROPOS[D USE OF BUILDiNG <br />� I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />\ �ccnioescnirrionoFvnoven*v�sNowee�owoanttncNvouRcoaics� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> F ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eiocK_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> F HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />� PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> 3v O , CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> Si NAi�IPCOGGONiRAC�fON,(OR,,n�lliliOR12EDIGRA �RiE <br /> �oeaooacss �f� t�//LG'!/7G�7'� 9/9/80 <br /> Ki5—�acific Ave ue <br /> PLUMBINO CHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEN CLOSEi(TOILET) AIR COND UNITS—N P.[A <br />` BATHTUB R[FRIG[RAT�ON UNITS—H P.EA <br />. tAVATORY(WASH BASIN) 001LER5—H P.EA. <br /> 1 $HOWER GAS FIRED A C.UNITS—TONNAGE EA. <br /> K17CNEN SVJK 8 DISR �ORC[D AIR SVSTEtdS—B.T U. M EA <br /> DISHWASHCR VJALLHENCFS—CT.U. M <br /> 1 LAUNDFY TRAY UIJIT HEATGRS—0 T U. M <br />� CIOTNES WASHER EVAPORATNC COOL[RS <br />�� WATER HEATER CL�THES�RVERS <br /> i <br />• URiNAL VENTILAiION FAN <br /> DRINHING FOUNTARI HANGE��OOD <br /> FLOOR DRAIN AIP HAIJDIING UNIT— C F.M. <br />� VACUUM[3R[ANERS STOVE <br />' ROOP pRARIS—RAINLEADERS METAL FIFEPLACE 8 CHIMNEY <br /> 5 <br /> SINK(SERVICE—BAR,ETC� <br /> i — <br />' SUB TOTAL SUB TOTAL S 7 S O <br />� pEHMIT i PERMIT f 3 00 <br /> TOTAL FEE f TOTAL FEE f Z O S U <br />' SIDE YARD SETBACK STREFT S[T�ACK REAR YARD SLT�ACK PLAN CHECK NUMDER PLAN CHECK FEE <br /> � FCE RECEIPi NO. <br />� USEZONE IOTARLA VACnN75li[ FEES VAWATION FEE <br /> ❑VES ❑NO <br /> TVPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br />, BUILDM3 $ <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT pEpUIHED KLERS MECHANICAL 10 S 0 <br /> ❑YES ❑NO <br />� APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CN[CK UST P[NALTV U B C. <br /> 5[C.3031e) <br /> 2. BUILDINGPLANS TOTAL ].O 50 <br /> 3. FIRE HYDRANT <br /> 4. fIRE PROTECTION SYSTEM PEHMIT VALIOATION <br /> WMEN PHOPEPLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING 7 4 5 0 g 0 I O. ) 0 �"� C�� <br />� 6, DRAINAGE . �� <br /> 7. ENVIRONMENTALIMPACTSTATEMENT C'� <br /> a HenirHoisTaict 1'�� �' R RCCLIPT O <br /> APPUCATION ACC.�Y PLAdS CHECNED BY APPR.FOR ISSU�NCE BY , , �' i� `,� U <br /> � . i� l. ':f♦ I <br />