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� � 4 <br /> � <br /> theEreCrgroF �O"'STRUCTION - ' � <br /> everett PERMIT pERMIT NO. 0�932 <br /> CITY HALI 259�8745 <br /> eveaen.wa 38201 ❑ COMBINATION Ca�BUILDING ❑ MECHANICAL PLUMBING <br /> OWNER M41lADDRE55 CIiY ZIP PHONL <br /> Alex Gyorog <br /> AHCN1IECT OR OESIGN[P AIAIL ADOR[SS CITY ZIP f'HDNE <br /> GCNERALf,ONiR4CTOB MAILADDRE55 ��T� ggp03 337N4222 ���ENSEI <br /> Damage Repair Service Box 2045 Everett <br /> M[CNANICAL GONlRACiOR MAiI ADDRE55 CITV ZIP PI ONt 4CENSE 1 <br /> PlUM01NG(:ONTRACTOR MAIL PODRE55 CITY ZIP PNONE UCENSE• <br /> GLASS OL WORK <br /> ❑NEW ❑AD'JITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> \OLUITION OF WORK <br /> S 15��0�.�0 <br /> 9ESCRiB6 YIORK <br /> repair fire damage no structural <br /> PIIOMl5E0 USE OF EU�LDV:G <br /> comnercial I HEREBY CERTIFY THAT I HAVF READ AND EXAMWED THIS AP� <br /> iecai.oes+;aiaiioNOFarrorearv�sNuweeiowoanTrncNrouncri�si — PLICATION AND KNOW THE SAME TO BE TRU� AND COFRECT. <br /> 21_?,Z 622 HYitSt[ Everett ALL PROVISIONS OF LAWS AND ORDIN�NCES GOVERNING THIS <br /> ior__n�oca_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PEHMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> — — VISIONS 0` ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE �� CONSTRUCTION. <br /> SIGVAlUqEO Nl C�ty InRAUiMJOiZ[DPGL4i DAL[ <br /> JOBF]DRE55 � �//�/ ^ � � 7�11�8� <br /> .722 Rucker Avenue X /�' c.c_ <br /> PLUMBING MECHANICAI. � <br /> Np. Tl'PE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIpMENT FEE <br /> WATER CLOSCT(TOILET� A�R COtlD.UNITS—H.R EA <br /> BATH7UB R[FRIGEBAiION UNITS—H P.EA <br /> LAVAiORY(WASH BASIN� DOILERS—H P.EA. <br /> SHOKER GAS RR[D A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISR WRCED AIR SVSTEMS—BT.U. M EA <br /> DISHWASHER YlALL H[AiER$—�T.U. M _ <br /> LAUNDRV 1PAV UIJIT NEA1Efi5—B.1 U. M — <br /> CLOTHES WASHER LVAPORATI\'E CJ�JLERS <br /> WATER HEAIEP CLOTHES DRYEFS <br /> URINAL bENTILATION f 4N _ <br /> DRINKING FOUNIAIN R4NGE HOOD <br /> FLOOR DRAIN AiR HANO�ING UNIT— C.F.M. <br /> VACUUM BREAKE(15 5'OVC <br /> ROOF�PAINS--RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—DAR.ETC.) <br /> SUSTOTAL SJB TOTAL S <br /> PEpMIT f PERMIT f <br /> TOTAL FEE S TOTRLFEE f <br /> SIDE VARD SETBACK STRECT SETBACK REAR YAFD SEIBACK PLAN CHECK NU.dBER PLAN CH[CK FEE <br /> FEE RI:CEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION rte <br /> ❑YES ❑NO -- <br /> 'YPE OF CqNST. OCCUPANCY GFOUP NO.OF OWELLING UNITS <br /> B'JILDING $ 1S,OOO.00 72 OO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD . <br /> Pl�"MBIN(a <br /> FIRE ZONE BASEMENi qEpUIREU KLERS NECHANICAL <br /> ❑VES ❑NO <br /> APF90VAL5 � BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECR LI57 pENALTY U B C. <br /> _ SEC.303(a) <br /> 2. BUILDINGPLANS 70TAL �2 �� <br /> 3, FIRE HYDFANT <br /> d. FIRE PROTECTION SYSTEM PERMIT VALIDRTION � � <br /> __ WNEN PROPERLY VALIDATED pN THIS SPACE);/I�I�YOUR��� q Q O N <br /> 5. GRADING y 0 9 0 L <br /> 6. DRAINAGE � M <br /> L ENVIRONMENTALIMPACTSTATEMENT 11 REC�'L T <br /> B. HEALTH D�STRICT ,�O v � <br /> APPLICATION ACC.BY PLANS CNECKED BV APPR.FOfl ISSUANCE BY �}.1 AN K Y�1 <br /> x.c. ; : .• . <br /> � � �- g0 <br /> ADDRESS FILE _ I <br />