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Ure Llrrxmen <br /> °T`°° � - �pNSTRU�TlO�'� <br /> everett PERMIT PERMIT N0. 12687 <br /> CITY HALL 159�B7d5 <br /> EVERETT,WA 9B2p7 � COMBINATION C� BUILDING ❑ MECHANICAI ❑ PLUMBING <br /> OWNER MAILADDRE55 �RY ZIP PMONE <br /> GEORGE SCHROEDER 7520 6HYSRSY RAINIER DR. EVERETT 98203 355-7749 <br /> APGHILEGT OR DESiGNER MpIL qODRE55 CItY ZIP PnONE <br /> GENEHnLCONiRACTOfl MAII ADDRE55 �RY ZIP FNONE UGEHSE� <br /> AL KITTLESON P. 0. BX. 396 CLINTON, WA. 98236 221-2734 AL KITE 241 LN <br /> MECH�NICAL COYTP�GTOR MPIL ADORESS CITY ZIP PMONE IICENSE� <br /> PLUMBING GONTR�GTOR MAIL ADDRE55 CITY 21P PMONE LiGENSE M <br /> CLASS OF WORY, <br /> ❑NEW � ADDITION ❑ A�TERATION ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALURTION OF WORN <br /> s2500.00 <br /> OESCRIBE WORN <br /> ADD REQUIRED 2nd EXIT � <br /> PROPOSED USE OF BWLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS n <br /> TAVERN � <br /> IEGRL OESCRIPTION OF PROP[HiY�SHOW BELOW OR ATTACH FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE ANO <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ��T]1��LOCK�J,],9_OF F�n.+pF 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 THE PROVISIONS OF ANY OTHER STATE OR i-+ H <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE '� � <br /> PERFORMAN L!1F C ��STRUCTION. � �y <br /> JOB RDDRE55 SIGNRT E F `� qUtMORREO AGENT DRiE � �,j <br /> 11/14/83 <br /> PLUMBIN6 MECMANICAL y � <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATERCLOSET�TOILEn Alq COND.UNITS — H.P. EA. <br /> BATMTUB REFRIGERAfION UNITS— M.P.EA. p� ty <br /> LAVATORY�WASM BASIN) BOILERS— N.P. EA. C z <br /> SHOWEfl — F H <br /> GAS fl�C7 A.Q UNITS—iONNAGE EA. L- x <br /> NITCHEN SINK 8 OISP. FOPCEO AIR SYSTEMS— B.T.U. M EA. y y <br /> OISHWASMER WALL HEATERS-- B.T.U. M K ry� <br /> LAUNOf1Y TRAY _ UN17 MEATERS— B.T.U. M ��xJ y <br /> C LOTHES WASHER EVAPORATIVE COOLERS y � <br /> WATEfl MEATER CLOTHES DRYERS [� M <br /> URINAL VENTILATION FAN p(p(pry}} y�+ <br /> DRINKING FOUNTAIN RANGE HOOD � [eJ <br /> FLOOR DRAIN AIR MANOLWG UNIT— QF.M. VI <br /> VACUUM BREAKERS STOVE—WOOD , (� <br /> ROOF�RAINS— RAINL[ADERS METAL FIREPLACE 8 CHIMNEY � <br /> _ SINK�SERVICE — BAR.ETC.) FIREPLACE INSERT y <br /> NEATPUMP � <br /> _ � <br /> SUB TOTAL f SUB TOTAL f f~JI <br /> P[PMIT L PEPMIT f y <br /> TOTAL FEE f TOTAL FEE { � <br /> SIDE VARO SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUtdBER PLAN CHECK FEE {] <br /> FEE RECEIPT NO. ��� <br /> USE ZONE LOT AREA VACANT SITE <br /> ;�YES , .NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELIING UNI15 <br /> SRE OF 9:DG. NO.OF STORIES MA%.OCC. LOAD BUILOING = ZSOO.00 3g Q <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINNLERS � <br /> RECUIRED MECHANICAL <br /> VES " NO <br /> APPpOVAlS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECN LIST PENALTV U B C <br />'�I 2_DUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRA�,i TOTAL 38 0 <br /> d.FIRE PROTE�:TION S�STEM PENMIT VALIOATION <br /> 5.GRADING _ — WHEN PROPERLY VALIDATED QN THLS sP,p�)THI�I$�VQlle F[F�11T ry. <br /> 6.DNAINAGE � L [ J U J 0 l tl � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT CL� <br /> B.MEALTH DISTPICT �..�I �.I � R I_C F I PT ;�i <br /> APPLICATION ACC.DY PLANS CMECKED BY APPR.PpR ISSUANCE BV - - <br /> lc jf lc � � ��,�.tl: ���) U <br /> � 5 ` � r � <br /> i�Jl UJ <br /> .^I�DRESC FIL[ <br />