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r <br /> dicF.rergrccn CONSTRUCTIO�'' -� <br /> CITv OF <br /> everett PERMI�' PERMIT NO. 11176 <br /> CITV HALL?59�B7a5 <br /> l eve�Er v:n 98801 ❑ COMBIIJATION ❑ BUILDINu � MECHANICAL ❑ PLUMBING <br /> OIVNhR IAAILAf)URF$S CIiY ZIP PHCNF <br /> John Merkle 2532 Rucker Everett 98201 � <br /> ARCMIiFGL03Cf5iG1:LP �AAILApDRE55 Cllv 21' PNCNE <br /> GENEPALCANiRAC10R MAILAODRE55 CIiY ZIP PMONE UCItlSEI <br /> t— MF4�.4uGAlCC1`F�'CiOR MAI�ApORE55 C11V ZIP PHONE ULENS[/ <br /> � NatnraJ. Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> FlU1ABI11GCONLRALTOR MAIL ACpnC55 • CiiY ZIP PMONE UCENSE 1 <br /> LLA55OF WORB <br /> ❑NEW ❑ADGITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VNLUAiION Of 1YORM <br /> E <br /> �ESCRIpE WOHK <br /> i�OPpSC�USE OF OUILDING <br /> I HEREBY CERTIFY THAT I HAVE RE.4D AND EX.4MINED THIS AP- <br /> .ecA�oescaia*ioNoraaoreaTr�s��oweeiowoannncHFouaco�ics� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISION�OF LAWS AND ORDINANCES GOVERNiNG THIS <br /> :at eiocn_oF TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPEGFlED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT COES NOT <br /> PRESUME TO GI'JE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> — VISIONS OF AN'�' OTHER STATE nR LOCAL LAW REGULATING <br /> CO�STRUCTION OR THE PERFORMHNCE OF CONSTRUCTION. <br /> JOB ADpRE55 SiGNA1�C�1F OF CONiRPG10R OP nU1110NIZL0 AGf Nl U4iC <br /> 2532 Rucker X �,(J. � � � 10/26/82 <br /> PLUMBING MEC ANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE _ <br /> Y�ATER CLOSET(iOILEi� AIR COND UNITS—MP.Ey _ <br /> (JfTHTU� REFRIGERATION UNITS—HP.[A <br /> LAVPTORYIWASN BASIN� 801LER5—H P.LA <br /> � $1iOW�� GAS FIRED AC UNITS—TUNNFGE 6A <br /> KITf,Ii[N SINK 6 DISP FOHCED AIH SYSTEMS—OS.0 M EA. <br /> DISHWASHEP N/AILMLATERS-9.T.0 M <br /> UUNDRY 7RAV UIJIT HEA7ER5—�1 L. M <br /> CLOiHES WASNER � EVAPOf7ATIVC COOLLRS _ <br /> WATEP HEATER CLOiHES ORVERS _ <br /> URINAL VENiIL4TICN FAN <br /> DRINKING FOUNTAIN RANGE HOOC <br /> FLOOR DRNN AIR HANDLING UNIT— C F M. <br /> VACUUM BR[AhERu STOVE <br /> ROOF DRAINS—RAINLEHD[FS METAL FIREPLACE F CHIMNEY <br /> SINK(SERVICE—L7AR,EiC.I ' <br /> SUB TOTAL SUB TOTAL S 2 OO <br /> PENMIT f PEPMIT f <br /> TOTALFEE f TOTALFEE f <br /> SID6 YAR�SET�ACK S7REF7 S[T�ACK REAR YARD SETBACK PLAN CHECK NUMIIER �'lAN CHECK FEE <br /> FEE RLCEIPT NO <br /> USF ZONE LOT AREA VACAIJi SITE <br /> f ttE5 I iN0 FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NP.OF DWEIUNG UNITS <br /> BUILDING i <br /> SIZE OF�LDG. NO.OF STOIiICS NA%.00C.LOAD — <br /> PLUMOING <br /> FlRE 20NE BASEMEM FlRE SPRINNLERS M[CHANICAL 12 OO <br /> j REOUIRED <br /> � ,iYES 11N0 <br /> APPNOVRLS BY DATE OTHER <br /> L ENVIflONM.ENTAL CHECK LISi PENALTY U E�C <br /> SEC.303(a� <br /> 2. dUILDING PLANS <br /> TOTAL 12 00 <br /> 3. RRE HVDRPNT <br /> I d. RRE PRGTECTION SYSTEM PERMIT VALIOATION <br /> WHEN PROPEFLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING 919] s O. ' z.O O '�� <br /> 6. ORAINAGE • , <br /> � <br /> 7. ENVIFONMENTALIMPACTSTATEMENi ' <br /> a"� <br /> B. HE/1LiH DISTflICT YO�U R REC E I PT� <br /> APPUCATION ACG.BV PLANS CHECNED BY APPR.FOR ISSUANCE OY <br /> THANK YOU <br /> ADDRES� FIIE 2 6 �T 8T <br />