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rheP:��rrerren � JONSTRUCTIOP' <br /> everett PERMIT PERMIT NO. 13�� � <br /> GITV MFIL 7598i45 <br /> eveaeTr,r�n�e2o+ ❑ COMBINATION �Il BUILDING u MECHANICAL ❑ PLUMBING <br /> ON'MEA M4ILPDUPESS CITY iIP CNONE <br /> Secondhand Center 3116 Rucker Rverett 98201 252-3440 <br /> PPCMrt(Q OR DESIGNEN MPIL ADDNESS CITY ilG PMONE <br /> GENEP�LGONiP�GiOA �APILADORESS GTY Z�P PMGNE L'CEHSE� <br /> Sign-O-Lite Signs 12030 Mukilteo Speedway Lynnwood 98P37 353-9000 <br /> MEGMRNiWLCONTNPGiOR MAILPD�AE55 CITY ZIP PHONE UGENSEY <br /> FLUMBING CONLPAGiOR MP4��ORE55 GItT 21F PMONE UCENSE� <br /> GLA55OF WORN <br /> U NEW O ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE �SIGN ❑ WO00 STOVEIFIREPLALE INSERT <br /> V>WAiiON OF WORM <br /> f 1200.�0 <br /> DESCRIBE WORK <br /> Install illuminated si n <br /> PROFOSED USE OF BUILDING <br /> I HEREBY CEFTIFY THAT I HAVE REAO AND EXAMINED THI <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ee«oesceivnorvovrnovenlr�snowee�owoAnrTncr�Fouaeowesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING TIi1S TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_e�ecn_ov WHETHER SPECIFIED HEREIN OR NOT.THE GFANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMAN(.E OF CONSTRUCTION. <br /> JOB 4DOFE55 SIGNAiUAE OF CONTPPCTOR OR AViNORiZED RGENT DAiE <br /> 3116 Rucker Avenue X �� �P� <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR GOND.UNIiS— H.P. EA. <br /> BATMTUB REFRIGEflATION UNITS— M.R EA. <br /> LAVATORY IV�ASH BASIN� BOILERS—HP.EA. <br /> SHOWER GAS FIREO AA.UNITS—TONNAGE EA. <br /> KITGHEN SINN 8 DISP. FORCEO AIR SYSTEMS— B.T.U. �� EA. <br /> DISHWASHEF 'NALL HEATEFS— B.T.U. M <br /> LAUNDHYTRAV UNIT MEAiERS— BT.U. M _ <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTNES DRYERS <br /> URINAL VENTILATION FAN <br /> CRINNING FOUNTAIN RANGE HO00 _ <br /> FLOOR�RAIN AIR HANDUNG UNIT— C.F.M. <br /> VACUUM BREANERS STOVE—WO00 <br /> ROOF ORAINS— FAINLEADERS MEiAL FIREPLACE 8:HIMNEY <br /> SINK�SERVICE—BAR.ETQ) FIPEPLACE INSCRT <br /> HEAT PUMP <br /> SUBTOTAI f SUBTOTAL 1 <br /> PERMIT f PEPMIT S <br /> TOTALFEE i TOTALFEE f <br /> SIDE YARD SETBACK STREEi SET9AGK REAR VARD SETOACK PLAN CMEGK NOMAEH PLAN GHECN FEE <br /> FEE REGEIPT NO. <br /> USE ZONE LOT AREA VACANi SITE FEES VALUATION FEE <br /> VES NO <br /> TYPE OF GONST. OCCUPANCY GROUP N0.Of DWELLING UNITS <br /> Bw�DING 51200. 9 00 <br /> SIZE OF 9LPG. NO.OF STORIES MAK OLG LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FlFESPRINKLERS MECHANICAL <br /> REOUIREO <br /> YES NO <br /> APPROYALS BY DATE OTHER _ <br /> 1. ENVIRONMENTAL CNECK LISi PENALTY UBC. <br /> SEL.J03�al <br /> 1.BUILDINGPLFNS _ TOTA� B OO <br /> 3.FIPE HYDRANT <br /> �.FIRE PPOTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(M THIS SPACE)THIS IS VOUR PERMIT Q) <br /> S.GRADING C �i � C � (� �1 (]. O 0 _ ('{) <br /> I 6.DRAINAGE <br /> � 1J1 N <br /> 7.EN VIRUNMENTAL IMPACT STATEMENT C�7 <br /> B HEPLTHDISTFICT n p (� � <br /> APFLICATION ACC.BY PLANS CHECKEO BY APPR.FOF ISSUANCE BV �. ' �1 I'. li=C 1.I PT , <br /> � � . . . � � ��� �� . U <br /> P.f�C!'`. .� , .I.� <br /> � � �i iZ i��j <br />