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`'"�`"�"��"�" CONSTRUCTIC �� <br /> �.�„�� � <br /> everett PERMIT PERMIT NO. 13Z43 <br /> GI1Y HALL 259�87A5 <br /> evEaETr.aineaso� [] COMBINATION CX BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> QW��E� - MPIL A��RESS <br /> CITY LP PMONE <br /> Dwayne Lane 2902 Rucker Avenue Everett 98201 252-2157 <br /> ��Ty Zip PHONE <br /> RRCNrtCCI OR�EYGNEA IfAIL AODRE55 <br /> ��iy Z�p PNONE UCENSE• <br /> � GENENnI CON1RACtOR MAIL NDDRE55 <br /> Same <br /> MELMANIGL�JNTRAGfOR <br /> M!4/ODRESS CIiY .'IP PnONE LiCEYSE� <br /> PLUMBING GONTRALTON <br /> MAIL AOORES$ CITV ZIP PHONE LIGENSE I <br /> GU55 Of WORK <br /> ❑NEW ❑ ADDIiION ❑ ALiERATION ❑REPAIR �OEMOLITION ❑ FENCE � SIGN C WOOD STOVEIFIPEPLALE INSER <br /> VALUATION OF WORK <br /> f <br /> DESGRIbE WORn <br /> Demolish Commercial Building <br /> vSOPosco use oF em�oine I HEREBY CERTIFY THAT I HAVE READ AND EXAtdINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> ircnToesca�arior+oFreorearrisHowae�owoan**ncHwuacoviesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 2-5 681 Everett GOVEFNING THIS TYPE OF WORK WILL BE COMPLIEU WITH <br /> ioi_e�acn_oc WHETHER SPEGFI�D HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIV AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS ANY OTHER STATE OR <br /> LOCAL AW REGULATING STRUCTION OF THE <br /> PERFO ANCE OF CONSTR ON. <br /> JO���ORE55 \SIGNAi OF GONiRACTON OR Uil ZLD AGENT �At� <br /> 2901 Rucker Avenne X ' <br /> PLUMBING CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM <br /> FEE NO. TYP[ )F EOUIPMENT FEE <br /> WATERCLOSEi�TOILEn AIR COND.UNITS- M.R EA. <br /> -- REFRIGERATION UNITS - HP. EA. _ <br /> yATHTUB <br /> LAVATORV I�'�'ASM BASIN� BOILEHS - H.P. EA. _ <br /> GAS FIRED A.C.UNITS- 'ONNAGE EA. <br /> SHOWER <br /> NITCHEN SINK h DISP. FOPCE�AIR SYSTEMS - B T.U. M EA. _ <br /> WALL HEATEHS- B.T.U. M <br /> DISMWASHER <br /> UNIT HEATEflS- �.T.U. M <br /> LAUNDRVTRAY <br /> CLOTHES WASMER EVAPOPAT�VE COOLERS _ <br /> WAiEN HEATER CLOTHES DRYERS - <br /> VENiILATION FAN <br /> URINAL — <br /> ORINKING FOUNTAIN HANGE HOOD — <br /> - AIR HANDLING UNIT- QF.M. � <br /> FLOOR DRAIN <br /> VACUIIM BREAKERS SiOVE - WOOD �('� <br /> M <br /> ROOF DRAINS- RAINLEADERS METAL PIPEPLACE 8 CMIMNEV <br /> SINK�SERVICE- BAR.ETC.) ft^cYi ACE INSERT <br /> HEAT PUMP <br /> — H 1- <br /> N �; <br /> SUB TOTAI S SUB TOTAL t - N _ <br /> ' - PERMIT S PENMIT f _ UI � <br /> TOTALFEE S TOTAL FEE s <br /> PLAN CHECK FEE � �' <br /> SIDE YARD SETBACK STREET SETBAGK REAR YARD SETBACK PLAN CNECK NUMGER FEE RECEIPT NO. r' <br /> C <br /> USE ZONE LOT AHEA VAGANT SIiE FEES VALIIATION FEE ,� �� <br /> �.YES � .NO �.,� ' <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS r ; <br /> f 00 00 � <br /> BUILDING � : <br /> SIZE OF BLDG. NO.OP STORIES MAX.OCG LOA� F. l <br /> PWIABING H ' <br /> K <br /> FIREZONE �F4'�EMENT FNE SPRINKLERS MECHANIGAL C ;- <br /> AEOUIRED '-7 ; <br /> YES NO <br /> APPROVALS BY BATE <br /> OTMER _ � ` <br /> — ' U.B.C. t7 � <br /> 1. ENVIRONMENTAI CHECK USi _ PENALTV SEC.30�lal _ <br /> _ � <br /> 2.BUILDING PLANS _ T�TA� OO OO �; ' <br /> 3.FIRE HYDRANT �� <br /> 4.FIRE PROTeGT10N SYSTEM PENMIi VALIOATION �. <br /> WHEN PROPERL�VALI�ATED pN TF1155PA�E)TH181$,�Ol� iERMIT C� <br /> S.GRADING � � � . <br /> fi.DRAINAGE � � <br /> 7.ENVIRONM.ENTALIIAPACTSTATEMENT � � <br /> r t i <br /> B.HEAITHDISTFICT . .�. 1r:1.L". �� <br /> APFLICATION ACC.BV PLANS CH6CKED BY APPR.POR ISSUANCE BY ,;� \',C ' 11 <br /> 1 V <br />