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� - , <br /> � <br /> `hee"�TY`o° - CC"VSTRUCTION <br /> everett PER�IIIT PERMIT N0. O f 926 <br /> CITV I1ALL 259�07a5 <br /> EVERETT.WA 98201 ❑ COMBINATION C�BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OIYNER MNII ADOR[55 GiY <br /> ZIP fWONE <br /> Goldfinch 2812 Rucker Avenue Everett 258-9662 <br /> nRC1111[Ci0R0E51GNfN A1qILA0�Rf55 piY )�? PHONE <br /> GENEBALCONIRACtOP MAILADDRF55 CRY ZIP pnONE LiCENSE� <br /> Sign O Lite Signs 12031 Mukilteo Speedway Lynnwood 98036 353-9000 27151 <br /> MECHANIGRLCANiRACTCd MRILADOR[55 CIiV 21P PMON[ LICENSEI <br /> PIUM?WG�NTRACiJR MAILAODRE55 CIiY ZIP PMOHE UCENSEI <br /> cwss or woer� <br /> ❑NEW ❑ADDITIDN ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �IGN ❑GAN'rGE <br /> VnlUR1:M:OF WORK <br /> { 950.�� <br /> DESCRIBE WORN <br /> Znetall an illuminated sign <br /> PROFOSED USE OF BUILDING —�� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> ��cn�oesc:aianor+oFraovearrisNowae�owoannnci�rouawwesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PFOVISIONS OF LAWS ANG ORDINANCES GOVERNING THIS <br /> ior__eioc�_o� TYPE OF WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED <br /> ' HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTH�RITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR TNE PERFORMANCE OF CONSIRUCTION. <br /> J09AODRE55 SiGNAfURCOFCONiFPCTORONAUI��ORIZLD/G[NT DAiE <br /> 2812 Rucker Avenue X � i 7/11/80 <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FcE N0. TYPE OF EOUIPMENT FFE <br /> WATER ClOSET(rOILET) AIR COND.UNI15—HP. EA. <br /> BATHTU6 qEFRIGEfiATION UNITS—HP.EA <br /> LAVA70RY(VJASH OASIN) [30LLEfl5—IIP.EA <br /> SHOWE� C,AS FIREO AL.UNITS�-?ONNAGE EA. <br /> KITCHEN SINK 8 DISP. I'ORCED AIR SVSTEMS--�S.U. M EA. <br /> CISHWASHER WALL MEATEiiS—�T.0 M <br /> 1 AUN�RY TRAY UNI7 HEATERS—0 TL. M <br /> CLOTHES WASHEN EVAPORATIVE COOLERS <br /> WATER HEATER CLOTH[5 DRYERS <br /> URINAL VENTILATION PnN <br /> DRINKINIu FOUNTAIN RANGE HppD <br /> FLOOR DP.AIN Alfl HANOLMG UNR— GF.M <br /> VACUUM BREAKBRS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FlREPLACE 8 CNIMNEV <br /> SINN(SERVICE—OAP,ETC.� <br /> SUB TO7AL SUB TOTAL S <br /> PERMI7 S PERM17 S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE VARD SET6ACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHEL'H FEE <br /> F[E RECHPT YO. <br /> USE ZONE LOT AREA VACANT$ITE <br /> L7YES i]NO FEES VALUATION FEE <br /> TYPE OF CONSi. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. N0.OF STORIES MA%.00C.LOAD �UILOING $ BSO.00 6 OO <br /> PLUMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKL:PS <br /> REOUIRED MECHANICAL <br /> ❑VES ONO <br /> __ APPNOVALS BY DATE O7HER <br /> 1. ENVIRONMENTAICMECKLIST PENALTY UBC. <br /> 2. BUILDING PLAN,-� <br /> SEC.303�a) � <br /> Y. FIRE HVDRANT TOTn: Et OO <br /> a. FIRE PROTECTION SVS7EM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED pN TNIS SPACE)THIS IS YOUR PERMIT <br /> S. GFADING 4 6 3 8 S o 0 6, o o �� �d <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> B. HEALiH GISTRICT YO U R REC E I P'1 � <br /> 4FPLICATION ACC.BY PLANS CHECNED BY APPR.FOR ISSUANCE BY ' ' � <br /> B� Tt-I,�,NK YOU <br /> I1 �. 80 <br /> ADDRE55 FILE <br />