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�, <br /> �h�e,����P�n rpNSTRUCTION <br /> CITV OF <br /> everett PERMIT PERMIT N0. 08669 <br /> CITY HALL 259�87d5 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> EVEREIT.N1A BB201 <br /> OWNER MRIL P��RE55 <br /> CILY ZIP FHONE <br /> Tom Treadway 1521 Rucker 98201 <br /> cRG�iiiECT OR D[SIGNEP <br /> MA4 ADDPE55 LItY lIF f NONE <br /> GE��ERRL CANiRACTOR <br /> MAiLPDDPE55 Ci1V ZIF 4'��ONE IICENSE� <br /> MEC��ANICAL CANiPRCTOR MRIL/+DDAE55 <br /> CITY ZIP FHONE UCENSE� <br /> Jorgensen Mechanical 9702 Smoke Point Blcd. Mar svZ lle 98ZPHOHE 659 u8e4s 4 <br /> p W���NG GOHTRACTOR MRIL AD�RE55 <br /> CLASS OF WORK <br /> ❑NEW ❑AD�ITION ❑ALTERATION ❑RCPAIR ❑DEN�OLITION ❑FENCE ❑SIGN GARAGE <br /> VPLUATIONOF WOAK <br /> b <br /> CCSCRIUE WORN <br /> PROPOSED VSE OF PUILDWG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> iecn�oescFiPnoNor vnorearrisNow oe�owon nttnc�rouecoai[ei ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> Lor B1�K_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 TO VIOLAT[OR CANCEL THE PRO- <br /> CONSTRUOCTION OR THE PERFORMANCOE OF CO STRUCTIONING <br /> 5ierv i eE F ConiRACTo��o�tiUmonrzeo AGErur <br /> onr[ <br /> JOBFDDPC55 12 9 8� <br /> 1521 Rucker Avenue <br /> MECHANICAL <br /> PLUMBING FEE <br /> FEE N0. TYPE OF EOUIPMENT <br /> NO. TYPE OF FI%TURE OR ITEM qiq COND uNiTS—��P�EA. <br /> WATER CLOSET ITOILET) REFfiIGEAATION UNIT$— HP 6'1 <br /> �ATHTU� OOIL[Ii5—H P EA. <br /> LAVATORY(WASH BASIN) GAS FIPED A C UNITS—TONNAGE EA. <br /> SNOW[R ]. FORCFDAIRSv5TEM5—BT. <br /> RITGHEN SIYK 8�ISP. �yq�L NEATERS—B T.U. M <br /> �ISHW�SHER UtJITNEAiERS—�T�U. M <br /> U`�N�R�TRA� EVAPORATIVE COOLERS <br /> CLOTH[5 W�SHER CLOiHES DRVERS <br /> WAT[R HEATER VENiIIATION FAN <br /> URIHAL RANGE HOOD <br /> DRINFING FOUNTAIN qIH NA4DLING UNIT— CF.M. <br /> FIOOF�ORAIN STOVE <br /> VACUUM BREAkEPS METAL FlREPLACE B CHIMNEY <br /> HOOF DRAMS—RAMLEADtRS <br /> SINY.�SEPVICE—BAR.ETC) <br /> sue rora� s 6 5 0 <br /> SUB TOTAL _ pERMIT f <br /> PEHMIT = TOTAL FEE S 9 S <br /> TOTAL FEE s r'LAN GHCCK FEE <br /> ;IDE VAPD SETBACH STPEET SEif3ACK P[AR YARD SETE3ACK PLAN CHECK NUM�ER RGCEIPT NO <br /> �EE <br /> U56 70NE l0T A(7EA VPCANT SITE FEES VALUATION F <br /> ; �,YES liNO <br /> 7vPC OF CANST. OCCUPANC�GPOUP NO.OF DWELLING UNIT$ 5 <br /> �UILDING <br /> [.I7L OF BLUG. NO.OF SiORIES MAX.OCC.LOAD <br /> PLUM�ING <br /> FIPESPRINKLERS MECNANICAL 9 SJ <br /> FIIiEZONL BAS[MENT REOUIRED <br /> I�YES '.1N0 <br /> BY DATE OTHEH <br /> pPPROVALS — �.BC. <br /> 1 [NVIRONMENTAL Pi@CK UST PENA�T� SEC.303(a) <br /> 2. UUIL�INGPlANS T�TA� 9 50 <br /> 7 RRE HYDRANT <br /> PERMIi VALIDATION <br /> .� �IR[PPOTECTION SYSTEM \'JHCIJ PRONCRLY VALIUATED IIN THIS SPAC[I THIS IS YOUii PEPMIT <br /> � <br /> 5 GaADING I �. : ,'� C � �i C; �j ,� .._ � <br /> 6 DHNNAGE D <br /> 7 EIJVIRONMENTAI IMPACT STAiEMENT �� <br /> � <br /> u NLPLTN DISiRICi —� � ' ��� <br /> ppPq FOH ISSUFNCE BY ' � <br /> nPPLICAI�ON ACC.BY PLANS CH(.CKC�BY _ . � <br /> � <br />