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rheErert'rein , ������������� <br /> everett P�RMIT PERMIT NO. 13961 <br /> GIT I MALL 259�b7d5 <br /> EVEFETT,VJa 88201 [] COMBINATION � BUILDIKG ❑ MECHANICAL ❑ PLUMBING <br /> CIiV ZIP PMONE r <br /> OWNE I MnLL ADORE55 259-4606 <br /> Ryan Daughert} 4806 Seahurst Everett <br /> AFC iLi OR DESIGNER MAIL AD�RE55 <br /> crtr Zia oHnrvE <br /> GENERh�CONTR�:TOP MPII FODA[55 <br /> CITY 21P PHONE ll[ENSE� <br /> Bellewe 98004 451-8168 <br /> Econoline Const. Co. 1331 102nd Avenue ,�� P„onE ucense• <br /> MECMAWCALC04TRRQOR <br /> rnai�aooaess c��r 16643 <br /> PLUMBING CONTPALLUP <br /> MAIL ADORESS CI1Y ZIP PHOYE L�CENSF� <br /> GLA55OF WOPK <br /> ❑NEW ❑ AODITION ❑ A�TERAT!ON }�ji REPAIR C �EMOLIi:^_N ❑ FENCE O SIGN ❑ WOOD SiOVfJFiqEPLAGE INSEPi <br /> VALUAilOY OF WOFN <br /> s 3575.00 <br /> oEscRieE wor+n <br /> Re-roof Shake <br /> PROPo$[D USE OF BIIILDING I HEREBY OERTIFY THAT I HAVE READ AND EXAMINED TNIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL�ESCRIPTIONOFVPOPERTY(SNOWBEIOWORATTPCMiOJPGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND OR�INANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPI IED WITH <br /> lOi__BIOGN__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> ?ERMIT DOES NOI�PRESUME TO GIVE�UTHORITY TO VIOLATE <br /> OR CANCEL THE PRCVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW H�GULATING CONSTRUCTI�JN OR THE <br /> PERFORMAN CONSTRUCTION. oAiE <br /> - F C TPRC OR OR 4LtHOPIZEO AGPIL <br /> �oa nooaess X 9/24/84 <br /> 4806 Seahurst <br /> PLUMBING MECHAN A <br /> NO. TYpE OF FIXTURE OR ITEM FEE NO. T�PE OF EOUIPMENT FEE <br /> AIR C' "0.UNITS— H.P. EA. <br /> V:AiER GLOSE?�TOILEn <br /> REFRIGERATION UNITS— H.P.EA. <br /> BqTHTUB <br /> LAVATJRV�WASM dASIN) BORERS— N.P. EA. <br /> — GAS FIFED A.Q UNITS — TONNAGE EA. <br /> ShIOWER <br /> FORCEO AIP SYSTEMS— B.T.U. M EA. _ <br /> KITCHEN SINK 8 DISP. <br /> WALL HEATERS— B T.U. M <br /> DISNWASMER <br /> UNIT HEATERS — B.T,U. M <br /> IAUNDPYTflAY <br /> CLOTMESWASHER EVAPOHATIVE COOLERS <br /> CLOTHES DRYERS <br /> WqTER MEATER VENTILATION FAN -- <br /> U(iINPL <br /> DRINKING FOUNTAIN RANGE HOOD Z <br /> Alfl MANDLING UNIT— C.f.M. � <br /> FLOOR DRAIN — 1— <br /> VACUUM BREAKERS STOVE —V100D — ('; <br /> ROOF DRA:N:' — R�INLEADERS <br /> MEIAL FIREPLACE 6 GMIMNEV f� <br /> SINK�SERVICE — BAR, EiC.� FIREPLACE INSERi <br /> MEAT PUMP <br /> H F <br /> a � <br /> sue ro1n� _ ~ '" <br /> — SUB TOTAL s N �. <br /> __ PERMIT s v <br /> PERMIT f — [" <br /> . TOTAL FEE f � r. <br /> TOTAL FEE f PLAN CNECN FLE y P <br /> SIDE 1"AP.D SETBACK STREET SETBAGH REAR YARD SETBACK PLMN CHECK NUMBER FEE REC[IPi N0. p �� <br /> U.`�1�.ZON@ LOT APEA VACANT SITE FEES VALUATION FEE .T� � <br /> YES � NO -- ��^� <br /> TYP[OF CONS7. OCCUPANCY GROUP NO.OF DWELLING UNITS �— C � <br /> euaoir+� S 3575. 44 50 � F <br /> SIZE OP BLDG. NO.OF STORIES NA%.OCC. LOAD � � �� <br /> PLUMBING __ <br /> �Flf�E ZONE BASEMENT FlH[ SPRINKLEFS MECHANICAL O ' <br /> REOUIREU � r <br /> VES NO <br /> pTH'iN <br /> APPROVALS BY DATE _ ' �. <br /> L E4VIHONMENTAL CHECK LIST PENAITY SECC303(a) <br /> 2.BUILDING PLANS QA SO � ' <br /> iOTAL � ' <br /> 3.FIRE HYDRANT <br /> d.FIRE PROTECTION SYSTEM PERMIT VALIDATION Z '� <br /> WHEN PROPERLY`/ALIDATEO pIJ THIS SPACE�TH1515 YpUfi Pi[NMIT � � <br /> •' 1 <br /> 5.GRADING � ' � �- <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT ' <br /> (f MEALTN DISTRIGT - " � <br /> APPLICAt10N ACG. B� PLANS CNECKEO BV APPR. FOH ISSUANCE BV <br /> :'.CUPISI� I�ilt <br />