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everett � �ONSTRUCTIOII� • 16511 <br /> CITY OF <br /> cirr H�u zss�e��s <br /> PERMIT PERMIT NO. <br /> EVERETT,WA 88201 ❑ COMBINATION Cy� BUILDING ❑ MECHANICAL ❑ PLUMBIN� <br /> OWMEN MAILADDRE55 CITY 21P PHONE <br /> nava3�a c�„�� r�_ �a�acr�s &ve� �• <br /> �RC ITECT OR UESIG RR Ad� 55 L ZIP PNONE <br /> GENER�LCONTP4GTOR MAILqPORESS diY 21P PHONE IICE�SE� <br /> Berry tleon Inc. P.O. Box 5?.69 Lvnnwood 98046-5269 776H��$�N4247LD <br /> MEGHANICAL CONTP�LTOR MqIL qpORESS dTY ZIP PMONE LICENSE/ <br /> PLUMBING CONTR�CTOR MrIIL ADDRE55 CITY ZIP PHONE LICENSE II <br /> CLA55 OF WOPK <br /> IB NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> va�ipqT10N OF WORN <br /> S 3695. 00 <br /> OESCRIBE WORN <br /> Install (1) D/F 6' ' � � n <br /> PROPOSED USE OF BUILDING <br /> Commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW T!1E SAME TO BE TRUE AND <br /> LEGRL DESCNiPTION OF PROPER7Y�SMOW BELOW OR RTTRCN FOIIP COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BLO:.K_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL TNE PROVISIONS OF ANY OTHER STATE O� <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> J09 PUDRE55 SIGN�URE OF CONT9ACiOR OP AUTMORIZED/.GENT DAT <br /> 2919 Rucker , <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TUPE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET�TOIIET) AIR COND.UNITS— H.P. EA. <br /> BATMTU6 REFRIGERPTION UNITS—H.P.EA. <br /> LAVATORY�VJASM BASIN� BOILERS — H.P.EA. <br /> SHOWER I GAu FIRED A.G UNITS—TONNAGE EA. <br /> KITCHEN SINK d DISP. FOFlCED AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASHER �yALI HEATERS— B.T.U. M <br /> LAUNORYTRAV UNIT HEATERS�- B.T.U. M <br /> CLOTHESWASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> URINKING FOUNTAIN qANGE NOOD <br /> FLOOR ORAIN AIR MANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> NEAT PUTAP <br /> SUBTOTRL S SUBTOTAL S <br /> PERM�T f PERMIT f <br /> TOTAL FEE S 70TAL FEE f <br /> SIDE VARD SETBACK STREET SETBACK qEAH VARD SETBACN PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE I RECEIPT NO. <br /> USE ZONE L0T AREA VACANT SITE <br /> VES . NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> BUILOING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAO -- -nfl--- <br /> PLUMBING <br /> FIREZONE BASEMENT fIRE SPRIN:(LERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY DATE OTMER <br /> 1.ENVIRONMEN7AL CHECK LIST PENALTV U.B.C. <br /> SEC.30J(a� <br /> 2.BUILDING PLANS <br /> J.FIRE HVDRANT T�Tp� ZS <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING �'�'MEN PROPERLY VALIDATED IIN TMIS SPACEI TMIS IS VOUR PE(�RMIT •--� <br /> 6.DRAINFGE 3 � 2 � � � � �. �J � — "'� <br /> 4� <br /> 7.ENVIRONMENTAL IMPACT STA7EMENT � „ <br /> 8.HEALTH DISTRICT <br /> . � � <br /> APPUCIIT�ON ACC.BY PLANS CMECKED EY APPR.FOR ISSUANCE BV �. . . �� j�, � <br /> �' � <br /> ADDR[55 FILE - ' f � � <br />