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everett ri `ONSTRUCTIOI� • 15897 <br /> PERMIT PERMIT NO. <br /> CITY M�LL 25987�5 <br /> EVEHETT,WA 98201 ❑ COMBINATION j�p BUILDINO ❑ NlE�HANICAL ❑ PLUMBINO <br /> OWNEP M�IL AODRESS GTV ZIP WIONE <br /> Everett Surqical Center 3025 Rucker Everett 98201 339-2164 <br /> •RCMITECT OH DESIGHEF M41L RDOR'c55 CITY LIP P!IUNE <br /> GENEN��GONTR�GTOR MAIL ADORE55 QTY ZIP PMONE LICENSE� <br /> $aI11E' <br /> MECNANIGAL CONTRAGTOR MAIL ADDRE55 CITY ZIP PMOHE LICENSE� <br /> PLUMBING CONTp�GTOP MAIL RDDRE55 CITY 21P PMONE LICENSE� <br /> QASS OF WORK <br /> O NEW ❑ ADDITION �CALTEqATION O REPAIR O DEMOLITION ❑ FENCE � SIGN ❑ WpOD STOVFIFIREPLACE INSERT <br /> VAWATION Oi WOPN <br /> S 15��.0� <br /> DESLRIBE WOR1< <br /> Constn�ct Storage Area lst floor base:aent area <br /> GROPOSED USE OF BUILOING <br /> clinic I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THtS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRI DESCPIFTION OF PROPERTY�SMOW 6ELOW OR ATfRGM FOUR GOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINAhCES <br /> l0T_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHEH 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 <br /> LC�CAL AW GULATING CONSTRUCTION OR THE <br /> PERFO ANC OF ONST U TION. <br /> JOB��ORE55 SIGN U OF CON ACiOR �Ui D AGENi Dr1TE <br /> 3025 81[ Rucker X <br /> PLUMSINfi MECHANICAL ' <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILE� AIR COND. UNITS— H.P.EA. <br /> BAi�HTUB qEFRIGERATION UNITS— H.P. EA. <br /> LAVATOPY(WASM BASIN� 001LER5— H,P. EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KITCMEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> OISF.WASMER WALL HEATERS—� B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLO7HE5 WASMER EVAPOPATIVE COOLEflS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING 11N1T— C.F.M. <br /> VACUUAIBREAKERS STOVE —WOOD <br /> ROOF DIIAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEV <br /> SINK(SEIiVICE— BAR, ETC.) FIREPLACE INSERT <br /> MEAT PUMN <br /> SUB TOTAL f SUBTOTAL f <br /> PERMIT S PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDEVARDSETBACK STREETSETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CMECK� '_E <br /> N�A N�A N�A 86/15897 FEE 1G.25 ����No. <br /> USE ZONE LOT AREA VACANT SITE � <br /> C-1 N�A YES � FEES VALUATION _ FEE <br /> TVPE OF CONST. OCCUPANCY GHOUP NO.OF OWELLING UNITS <br /> V-1 Hr. B-2 0 BUILDING E15�0. ZS �0 <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC. LOPD <br /> �.0.SX22 1 PLUMBING <br /> FIRE ZONE 6ASEMENT FIRE SPRINKLERS MECHANICAL <br /> F[OUIPED <br /> YES NO <br /> APPROVALS BV DAiE OTNFR <br /> 1.ENVIRONMENTAL CMECK LIST PENALTY U 8 C. <br /> 2.BUILOING PLANS SEC_30J(a� <br /> 7.FIREHYDflANT TOTAL ZS OO <br /> 4.FIRE PROTECTION SYSTEM PEflMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATED(IN TH/S5 CAUE)THI$I$Y7O fR PEq�MIT � <br /> 6.DRAINAGE D �1 [ "7 �i <br /> 7.ENVIFONMENTALIMPACTSTATEMENT � <br /> 8.HEA�TM DISTflICT <br /> APPLICATION ACC. BY PLANS CNECKED BY APPR.fOR ISSUANCE BV � ... r I ��'� � <br /> � <br /> JEF . � 'i�( �� �,� <br /> f� cii <br /> ADDRESS FIL[ <br />