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- , <br /> � <br /> `"eE1���TY`oF � C('-lVSTRUCTION -- '� <br /> everett PERMIT pERMITNO. O77HH <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> owntn ur.i�nooness citr zm r�wne <br /> Seaview investment Inc. & Momoich Nakata 536 Medical Dental Everett 252-9457 <br /> ARCIIItECi OR�ESIGNER MAII ADDRE55 �IiV 21P YMONE <br /> GENERAL CANiBACiOR MAIL ADDPESS CIiY IIP MIONE LICENS[/ <br /> Same <br /> A'ECHANICALCANiRqCTOR IAA�LADDRE55 CI1V ZIP PHONE LI6FNSEI <br /> PLUMBINGCANiRACiOR IAAILADDRE55 GITY ZIP PMONE LICENSE� <br /> CLASSOF WORK <br /> ❑NEW ❑ADDITION ❑AITERAT10N �r]REPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUATiON OF WOFN <br /> s 5,000.00 <br /> oEscaioE woaK <br /> Repair fire damage <br /> rnovo>eo u5E oc emiDwc <br /> ApaYtment I HEHEBY CERTIFY THAT I FIAVE READ AND EXAMINED THIS AP- <br /> �ew�oescaivnoNOFreoveArvrs��owe«owoannncHrouacories PLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS <br /> ior�_e�oc�3�r TYPE OF WORK WILL BE COMPLIED WITH WHETHER SF%.CIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW NEGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB PDDRE55 SiGNatUFE OI CON1RACiOR OR AUiHORiZEO AGENT DATE <br /> X _ Lu. ✓>C � 6 23 80 <br /> PLUMBIN� MECHANICAL <br /> NO. TYPE OF FUCTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WA7EF CLOSET(fOIIET) AIF COND.UNITS—NP.EA. <br /> BATHTUB REFqIGERA7lONUNITS—HP EA <br /> LAVATORY n'JASH BASIN) BOILERS—N.P.EA. <br /> SHOWER GAS FIRE�A C.UIJITS—TONNAGE EA <br /> KITCHEN$INK 8�ISP. FORC[D AIR SVSTE615—8 T U M EA. <br /> DISHWASHER WALIHEAI[RS—�7L. M <br /> LAUNDRV TRAY UHIT HEATERS--�T U. �d <br /> CLOTIIES WASHER EVAPOqATItlE COOLE85 <br /> WATER NEATER CLOTHES DRVERS <br /> URINAL VENTILAiION FAk <br /> DRINkING FOUNTAIN RANGE HOOD <br /> FLGOR D9AIN AIR HANDLING UNIT— C P M. <br /> VACUUM BREAKERS STOVE � <br /> ROOF DPAINS—RAINLEADERS METAL FIRCPIACE 8 CMIMNEv <br /> SINK(SERVICE—BAP,ETCJ <br /> SUB TOTAL SUB 70TAL S <br /> PEqMIT S PERMIT f <br /> TOTAL FEE f TOTAL FEE t <br /> SIDE 1'ARG SETBACK STR[ET SETOACK REAR VARD SETBACK PIAN CHECK NUMBER PLAN CHFCK FEE <br /> FEE RECEIPi NO. <br /> US[ZONE LOT AREA VACANi SITE <br /> LJVES LNO FEES YAWATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWEILING UNITS <br /> SIZE OF BLDG. NO.OF S7CRIES MAX.OCC.Lppp BUILDING $S �OOO. 3Z OO <br /> PWMBING <br /> PIRE ZONE BASEMENT FIRE SPRINHLEflS — <br /> REOU!RED MECHANICAL <br /> ❑vE5 ❑NO <br /> APPROVALS BV DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> PENALTV U.BC <br /> 2. BUILDINGPLANS SEC.303(a) <br /> 3. FIRE HVDRANT TOTAL <br /> 32 00 <br /> d. FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> WHEN PROPERIY VALIDATED�M THIS SPFCE)THIS IS YOUR PERMIT <br /> 5 GFADING p S 1 <br /> 6. DRAINAGE � 0 O� " � � �• O O -•� " <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT . � <br /> 9. HEALTHDISTRICT YOI; R RECEIP� <br /> APPLICATION ACC.9Y PLANS CHECKED BY APPfl.FOR ISSUANCG OY T E�fi�y R �V U <br /> 23 � 80 <br /> ADDRESS FILE <br />