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�heEverqrcen C�NSTRUCTION � �-- <br /> qTY OF <br /> everett PERMIT pERMIT N0. 0966� <br /> CITY HALL Z59�B7�5 <br /> eveaEn.wr, sazoi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O'/:NER MAI�ADDRL55 GItY :iP CMONE -- <br /> John Fluke Manufacturing Co. <br /> ARCHIi(„lOiiDfS�ON[R MAILADDRE55 CITY lIP M1DNE <br /> GENE4':,��;C:�TR4CtOA 61AIL ADDR[55 CIiY ZiP M�O'1< i R'CNSE� <br /> Sellen Cor�st. C��. 228 9th Avenue NORTH Seattle 98109 682-7770 <br /> MEC4ANICAL CANiRACiON MAIL ADDRE55 GIiY 21P PHONE 4CEN5(� <br /> PIUMBINGCONiRACT4ii MAIL ADDRE55 CIiY ZIP PNON[ LICENSE I <br /> GLA55Of WORK <br /> ❑NEW ❑ADDIiiON �ALTERATION ❑PEPAIR ❑DEMOLITION ❑FENCE I�SIGN ❑GARAGE <br /> VAWAiiON OF WORK <br /> S Q�QQ�. �Q <br /> DESCRiBE WOPK <br /> concrete base for sign <br /> � PPOFOSLD USL OF BUiLOMG <br /> I HEREBY CERTIFY THAT I HP.VE READ AND EXAMI;�ED THIS AP� <br /> �ccnioEscAivriorvorvaoaeervtsMcwoeiovronanncHrouacohc� PLICATION AND KNOW THE SAME 70 BE TPG� A4D CORRECT. <br /> ALL PROVISIONS 0:` LAWS AND ORDINANCF.S C'�OVERNING THIS <br /> ior eiocK_oF TYPE OF WORK WILL BE COMPUED WITH WHETH'cR SPECIFIED <br /> HEHEIN OR NOT. THE GRANTING OF A PERMIT D�ES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFO• <br /> VISIONS OF ANY OTHEq STATE OR LOCAL LAW REGULATING <br /> CONST O E PERFORMANCE OF CONSTRUCTION. <br /> JOB�ODFE SIGN REOF iRUiMORIZE AGWL pAiE <br /> � Seaway Blvd. X <br /> PLUMB�NO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi(TORFT) AIR CANO UNITS—H.P.EA. <br /> BATNTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN� f30IL[RS—HP.EA. <br /> SFIOWER GAS FlFED A C UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. F�FCCD AIR SVST[Id5—�TL. M EA <br /> DISHWASHER WALLHEATERS—BS.U. M <br /> LAUNDRY iRAY UNIT HEATCRS—O.T.U. M <br /> CLOTHES WASHER EVAPORATIVECOOL[FS <br /> WATERHEATER CLOTHLS DRVEh,] <br /> URINAL VENTILATION F'1: <br /> DRINKING FOUNTAIN RANGE HOOD � <br /> FLOO(i DRAIN AIR HANOLIN,^.UMi— CF.M. <br /> VACUUM BPEAKERS STOV[ � <br /> ROOF DRAMS—RAINLEADERS METAL FIR��LACE 8 CHIMNEY <br /> SINK(SERVICE—BAR ETCJ <br /> SUBTOTAL SUB TOTAL f <br /> PERMI7 f PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YFRD SEiBACK STREET SEiBACK REAq YARD SETBACK PLAN CHECK NUA'OER PLAN CNECK fEc <br /> FEE (iECEIPT NO. <br /> USE ZONE LOT AREA VACAIJT SITE <br /> IlYES ❑NO FEES VALUATION FEE <br /> TVPE OF CAN51. OCCUPANCY GROUP NO.OF DWEIIING UNI75 <br /> BUILDING EQ , 000. 44 SO <br /> SIZE OF BLUG. NO.OF STORIES MAA.OCC.LOAD <br /> P�UMBING <br /> FlRE ZONE BASEMENT FlRE SPRMKLERS <br /> REOUIRcD M[CHANICAL <br /> flVES flNO <br /> APPROVALS BY DATE OTHEP <br /> 1. ENVIRONMENTALCH[CNLIST pENALTY UPC <br /> SE(..303(a) <br /> 2. f3UILDWGPLANS - <br /> 3. HRENYDRANT TOTAL 44 SO <br /> 4. FAE PROTECTION SVSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN TMIS SPACE)THIS IS'IOUF PERMIT <br /> 5. GRADING <br /> 6 DRAINAGE � . , � .. . !� �: f� �' —�� <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> 8. HEALTH DISTRICT , � <br /> pPPLICATION ACC.BY PlAIJS CHECKED BV APPR.FOR ISSUANCE BV ' ' �� <br /> DAB DAB <br /> ADDRES$ FILE � <br />