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u;r EcrrqrePn � f -O �+l ST R U CT I 0 ��' <br /> everett v PERMIT PERMIT NO. 1�� .�`� <br /> CITY MALL 25A-tl7i5 <br /> eveaerT,wnsesoi � COMBINATION IC�] BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER AAILAODRE55 �IiV ZIP PMON[ <br /> William H-Pfonahan Everett 98203 355-4585 <br /> , ARCNItELi OR pE51GNER MPIL ROORESS LIiY 21P PMON[ <br /> GENERRI GONiPACiOB MRILPD�RE55 CIiY ZIP PNONE LICENSE� <br /> Same <br /> MELHANICAL CONiBAGTOP MAIL AU�RE55 CITY 21P PMONE LIGENSE� <br /> PIUMBING CONTRAGTOR MAII AUDRE55 CITY ZIP PHONF UGENSE� <br /> GLA55 OF WORR <br /> ❑NEW ❑ AD�ITION ❑ AITERATION �fiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVJFIREPLACE INSERT <br /> VA W ATION OF N'ORN <br /> S 100.�0 - <br /> �ESCBIBE WORN <br /> re-roof patio (fiberglass) <br /> PROPOSEU I15E OF BUILDING <br /> I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCPIPTIONOFPPOVERTY�SNOWBELOWORATTACMFOUPGOPIE51 CORRECT. ALL PROViSIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK_ov GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERM1IIT DOES NO7"PRESUME TO GIVE AUTHORIN TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF C NSTRUCTION. <br /> JOB ApOHEES SIGNAIUP[Of COYiRFCi R O AUIMORIZE�> CNT DAtE <br /> 3522 Upland Avenue X 1 ✓ i7 �L� 10/10/83 <br /> PLUMBING ^ MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAT[FCLOSET�TOILEn AIF CON�.UNITS—H.P.Ew. <br /> BATH7U� REFRIGERATION UNITS— H.P.FA. <br /> LAVAiORY�WASM BASIN) BOIlEBS— H.P.EA. <br /> SH0IYER GAS fIFED A.C.UNITS—TONNAGE EA. <br /> KIiCMEN51NN8015P. FORCEOAIRSYSTEMS— OT.U. MEA. <br /> DISHN'ASHEP WALL HEATERS— B.T.U. M _ <br /> LAUNDRV TRAY UNIT H�ATEFS— B.T.U. M <br /> CLOTMES WASHEF EVAPOaATIVE COGLERS <br /> WATER HLATER .�.IOTHES DRYEPS <br /> URINAL VENTILATI01� FAN <br /> DRINKING FOUNTAIN AANGE MOOD _ <br /> FLOOR ORAIN AIR H/�NOLING UNIf— GF.M. _ <br /> VACUUTA�NEANERS SiOVE —WOOD <br /> ROOF DRAINS— flAWLEADERS METAL FIRF.PLACE 8 CY.IMNEV _ <br /> SINK(SERVILE— BAR,ETQ) FIflEPI.AGE iNSEPi <br /> MEATPUMP <br /> SUB TO'fAL S SUB TOTAL f <br /> CERMIT f PEPMIT S <br /> TOTAI FEE S TOTPL FEE f <br /> SIDEYARD SETBACK STREETSETBACK REAR VARDSET�ACK PLAN CHECN NUMBER PLAN GMECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE -- <br /> YES �.NO FEES VALUATION FEE 11 <br /> TYPE OF CONST. OCCUPANCY GFOOP NO.OF OWELLMfi UNITS I t <br /> � <br /> oUILDING $OO.00 lO. O <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCC.LOAD <br /> PWNBING <br /> FIFE ZONE BASEAtENi FIPE SPRINKLEFS MEGHANICA: <br /> REOUIRED <br /> YES NO <br /> APPHOVALS BY OATE OTMEH _ <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.0 <br /> SEC.30J(a) <br /> 2.BWLOINGPLAPIS 1� OG <br /> TOTAI <br /> 7.FIRE MVDRANT <br /> d.FIRE PROT ECTION SYSTEM PEPMIT VALIDATIO'1 <br /> 5.GFADING WMEN PiiOAEqLV VALIDATED�IN TyJ�S��CE�iMl$1$�l�R�PE�RMIT �' <br /> � i � V :�% <br /> I 6.�RAINAGE � <br /> ' 7.ENVIRONMENTALIMPACTSTATEMENT (V <br /> 9.HEALTH OISTRICT '. n n�^�I�� �—I <br /> APPLICATION ACC.BY PLANS CHECKED BY APPP. FJR ISSUANLE OY ' � �� �� l� <br /> � � ��1!U\ V��� U <br /> ; �i r�i :� <br /> >,, iir <br /> � <br />