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• , <br /> tNeF_vergrnen �� C(�-NSTRUCTION � <br /> CITY OF r' <br /> everett PERMIT pERMIT NO. OS233 <br /> CITY HA�L 259�8745 <br /> evEr�eTr.wn eezui ❑ COMBINATION ❑ BUILDING LXi34VIECHANICAL PLUMBING <br /> vwr�ia <br /> MAI�PUDRESS CItY 21P ��E <br /> G. H. Drumheller 1515 Pacific Avenue <br /> AACHII[CTORDESIGNEfl MAILAUDR[SS d7Y 71P MONC <br /> GENEAALCONTRACiOp MAILADDRESS LItY Z�G PHONE UCENSEI <br /> MCCHANICnL CONTf1ACTOR MAIL A�DPE55 q7V :iG PMONE UCENSE� <br /> Haladay Parks Fabricators 401 S. Webster Seattle Wa. 98108 763-8500 <br /> PLUMBINGCANTBAQO� MFILAD�PE55 CITY ZIP PMONE ULENSEI <br /> HO LA DP F376N0 <br /> CU55OF WOqK <br /> ❑NEW ❑ADDI710N ❑ALTERATION ❑R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAWA�ION Of WORK <br /> S <br /> D[SCRIBE WORK <br /> PRO�'OSEO VSE OF BUILDING <br /> � HEREBY CEFTIFY THAT � HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESCRIPTipNOFPflOPERTYISHOWBEIOWORRTTAGNFOURCO�E61 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAVJS AND ORDINANCES GOVERNING THIS <br /> ior 9LOC�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCELTHC PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> 3v D CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 51 NPIU(IfOFCONiH�CiOBOtiRU1HGRIZC�AGCM DRiE <br /> �oB nooncss y�y�g p <br /> 1-5-i-5-Pacific Ave ue C�L� . ���- <br /> PLUMBING CHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAT[R GLOSET(TOILET) AIR CAND.UNIiS—H P.EA <br /> BATHTUf3 REFRIGEHATION UNIiS—HP EA <br /> LAVATORY(WASH BASIN) BOILCRS—H P LA. <br /> SHOWER G/.SfIREDAC UNITS—TONNAGEEA. <br /> NITCHCN SIIJK B DISR FOHCED AIR SYSiEMS—BT U. M EA <br /> DISHWASHLA WALL HEATC�S—�7 U. M <br /> IAUN�RY TRAY UNIT HEATCRS—�T U. M <br /> CLOTHES WASNER CVAPO�QTIVC COOLERS <br /> WAfEA HE/TER CLOTNES DRVERS <br /> V[N71LA i ION FAIJ <br /> URIN�L <br /> ORIIJKING FOUNTAIN RANGE HOOD <br /> AIR HANDLIIJG UNIT— CF.M. _ <br /> FLOOR DRAIN <br /> VnCUUM OREnKERS STOVE — <br /> ROOF DAAlIJS—RAINLEADERS METAL FIRFPLACF 8 CHIMNEY <br /> 5 <br /> SWK(SLRb1C[—BAR,ETC) <br /> SUB TOTAL SUB TOTAL f 7 5 0 <br /> PEHMIT S PERMIT f 3 00 <br />� TOTAL FEE f TOTAL FcE f 1 O S O <br /> SIDE YARO SETBACK STREET SEfBACK RE4R VAFD SETBACK PLAN CH[CK NUMBER PLAN GHECK FEE <br /> F[E AECEIPT NO. <br /> USE ZONE LOT AAEA p ES TONO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUIL�ING E <br />� SIZE OF BLDG. NO.OF STORIES MHX.OCC.LOAD <br />� PLUMBING <br /> FIRE ZONE BASEMCNT FIRE SPRINKLERS MECHANICAL I.O S O <br /> l REQUIRED <br />� fIVES ❑NO <br /> APPROVALS BY DATE OTHER <br /> t ENVIRONMENTALCHECKLIST PENALTV U6C. <br /> SEC.303(e) <br /> 2. BUILDING PLANS TOTAL 1 O S O <br /> 9. FIRE HVDRAN7 <br /> a. FIRE PRO7ECTION SYSTEM PEHMIT VALIDATION <br /> WMEN PROPEPLY VALIDATED QN THIS SPACE)TH1515 VOUR PERMIT <br /> 5. GRADING 14 5 0 � O I 0. 5 O �"" p� <br /> 6. DRAINAGE � �� <br /> It EIJVIRONMENTAL IMPACT STATEMENT r N <br /> B. HEALTH OISTflICT �, . ' . n n C(�(�� � <br /> . ��.. <br /> APPUCATION ACC.BY PLANSCHECKED BY APPR.FORISSUANCEBY <br /> , , . .����� �IC' U <br /> - 9 �.P 3� <br /> ADDRESS FILE <br />� <br />� _ r. _ <br />