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thr Ererirccn ^O N ST R U CT I O N <br /> R: ��T, o� <br /> everett PERMIT PERMIT N0. 11101 <br /> GTY HALL 259-N�45 <br /> iv�t.tiT, eu�. c�e o� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> oY:NOI �aniIADDRt55 ��." " <br /> ���.oue <br /> DAVG DAVIS 8309 - 3rd SE rverett i4A 98204 259-8811 <br /> . ,;ni1fG1 p9 DLS6NCt1 MAILADDRESS ��Tv ZIP PHONE <br /> GL'PRFLCUtrtnAC10P AIAI�ADOREbS CILY ZIP PHONE LICtN`.t � <br /> .�:nNHiCniCONian�TOA MAIIADOPESG C�iV 21P FHONE LICENSE � <br /> Otvner <br /> �9.U!'B',4GCGNLRhCiOH MAILADDRF55 CIiY ZIP PNONE IICENS[� <br /> �i%`5 OF 1YORH <br /> ��ry[W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> J.',LPTION Oi WORF <br /> , '�.sCBiBf 1YOPK <br /> Install iaood stove <br /> - ..� r..ascn usc or umiowc _- <br /> RCSidCIICO I HER[�Y CER?IFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ... uescnrvncrroi vaovEia.s��ow e�iw:or�nrincN rouaccmcs� PIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ,,,.ncK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD <br /> � HEREIN OR NOT. THE GRANTING OF A PERMIT DOES N01 <br /> PRES E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> — , VISI NS OF ANY OTHER S ATE OR LOC�L LAW REGUI%JIPJ!�. <br /> CON TR C�N ON jHE FORMANCE OF CONSTRUCTIOhI <br /> r.i � r� iA , �,�.r,�.� �,. -x_r na�ie �, i <br /> .�oi, �.�, ��. , <br /> 3809 - 3rd SG X : � � � 1 <br /> PLUMBING M�CNANICAL � _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT __ FEE _ <br /> WA1EP CLOSCT 110ILCil �1iP COND U�lIT9 - ��P Eh <br /> �AiHTUO RBFRiGERATION UNIiS-- I��' f n ___ <br /> LIVATOfiV(V�ASH BASINI �OILENS—H P Ff� __ _ <br /> SNOW[R GASFlFEDAC UNITS—rONNAGELA _. . <br /> KITCHCN SINN R DISP. FORCFD AIR SYSiEMS—B 7 U M EA. _ <br /> DISNY�ASHEfl WAIL NEATEPS—�.T.U. hl _. <br /> LAUNOFY TFAY UIJI7 HLATERS—�.T.U. M —. <br /> CLOTHES WASHER EVAPORATIVF.COOLERS _. <br /> \YATER HEATER CIOTHESLFYERS __. . <br /> URINAL VENTIIl�TIUN FAN -- <br /> �PINKING FOUNTAIN �7�NGE HOOD — <br /> FLOOR DfiAIN AIR HANOUNG UNIT— C F Id , <br /> VACUUM BREAKERS STOVE — <br /> ROOF DRAINS—AA�NLEADEHS MEIAL PIPEPI ACE 8 CHIhWEV ___. <br /> SINK�SERViCE—BAH.ETC 1 1 1 �— <br /> SUB TOTAL SUB TOTAL S 1].._ <br /> PERMIT S PERMIT S �(J __ <br /> TOTAL FEE S TGTALFEE _ <br /> SIDE YAPD SETOACK ;14[f 1 :-f iP4('K REAR 1'ARD SET�AGK .'LAN CHECK NUM�Efi PL4N CHECK fEC <br /> rt t rcrEir�r r��� <br /> USE ZONE �U� ����h VA ES T SINO FEES VALUATION FEE _ <br /> ivPE OF CONST. IX'AUPANCY GROUP NO.OF DWEILING UNITS _ <br /> PUiIUING F <br /> SiLE OF�IOG tJ0 OF STOR'ES MA% OCC. OAL -- <br /> PWMBING <br /> HRE ZON6 BnSEN.LM �IHE SPqVdKL6H5 ldECHANICAL �� <br /> RCOUIRED 1� t� <br /> ... YF.S I -NO ---'- <br /> APPROVALS BY DATE OTHER _ <br /> 1 ENVIHONMENTAL C��FCK L15T p�NAL1Y U BC. <br /> SEC 303�a1 <br /> . [3NLDING PLANS 1� (� <br /> _ -- TO7AL <br /> 3 fIRE NYDRANT <br /> a FIRE PROTECTION SYSTEbt PERMIT VALIDATION <br /> WNHN VROnERLV VALIUl.TED tlrl if115 SPAGC111115 IS vOUR 1`iHMl1 <br /> S GRA�ING [ �� <br /> B DHAINAGE E 4 O 9 � � I �. J O �� � <br /> 7. ENVIfiONMENTAL IMPA:T STATEMENT � <br /> 8. MEALiH DISTRICT ❑ <br /> APPLICATION ACQ 0� PLANS CHECKED DV APPR.FON ISSUANCE UY � �)U_R f�EC E I PT <br /> I i, �,•^,NK YOU <br /> --L --- -- _ - -- <br /> _ _ -c r�r.T 81_ <br />