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�hc[rertrcen CO�'+ISTRUCTION � <br /> CITV OF <br /> everett PERMIT PERMIT NU. Q6Q6O <br /> QTV HALL 759�P745 <br /> eveaeil,wn se�oi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEA MAILhUDNfSS Cltt ZIP FHONF <br /> John Fluke Mfg Co. Inc. P.O. Box 43210 Mountlake Terrace 99043 <br /> PRCHIiECTOR0E51GNER IAAILApDRC55 CrtY ZIP PHONE <br /> GEN[PAL CANTRnGTOR MAIL ADORE55 CItY Zlv p1�ONE IJC[NSE 1 <br /> Sellen Const. Co. Inc. 228 9th Ave. N. Seattle 98109 682-7776 <br /> MLGNAMCnI COM��NGiOR MhIL oLD��65 QTV ZiP P40NE LICENSE! <br /> PLUMBING CANiRFPUR MAII RDDflC55 QiV Zlv PHONE LICENSE� <br /> CLA55OF WOPK <br /> ❑NEW OADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VnLU4➢ON Of WORY <br /> 3 <br /> OI SGRIBE WOPK <br /> Clearing and site grading <br /> •nCf�OSCD U6E OF BWIDING <br /> office I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN[D THIS AF- <br /> uca�oe�c;aiarioNorraorearr�sNowoe�owoent�no+rouacowe5l PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eiocK_or TYPE OF WORK WILL BE COMPLI[D WITH WHETHER SPEGFIED <br /> SOCtlOriS 2-3—LO-11 TWII. 23N RgE 4 E44 FIEREIN OR NOT. THE GRANTING OF A PEPMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATF OR CANCFL THE PaO� <br /> VISIONS OF ANY OTHER STATE OR LOC^,L LAW REGULF+TING <br /> CONS �JR THE P[RFOFMANGE OF CONSTRUCTION. <br /> � enooa.ss s�sn< i �o ��r��*- oao .un� _o<si�.r 6�1�79 <br /> °Extention 20th S.W. X � ' u-'� <br /> PLUMBINCa MECHANICAL � <br /> / <br /> N0. TYPE OF FI%TURE OP ITEM FEE NO. TYPE EOUIPMENT FEE <br /> WATFR CLOSET(TOILET)� AIR COND UMTS—H P EA. <br /> OATNTUB RCFRIGCHATION UNITS—HP.EA <br /> LAVATORY�VJASH BASIN) U J�ERu—H P CA <br /> SHOWCR GA51°17EDAC IIIJIT$—TONNAGELA <br /> KITCHCN SINN 8 D'SP. FOPQ'�AIH SYSTEMS—9TL. M EA <br /> DISHWASM[R WALL HFAI I.liS—B T.U. M <br /> LAUNDRV TRAY UIJIT HEnTCFS—8 T U. M <br /> GLOTHES WASHER EVA1'ORATNE COOLERS _ <br /> WATEP HEATEii CLO7HE5 DRVERS <br /> URINAI. VEMILAIION FAN <br /> UHINKING FOUNiAIN PANGE HOOD <br /> FIOOR URAIN AIR HFtJDI.ING UNIT — C.F.M. <br /> VACUUId BREAKERS STOVB <br /> 1700F DRAINS—RAINLEADERS METAL PIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC) <br /> SUB TOTAL SU9 TOTAL f _ <br /> PERMIT Y PERMIT _ S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE IARD 9ETBACk STR[C7 S6TBACK NEAR YARD SETBACK PLA"!CH[CK NUMBER PLAN CH[CR FEE <br /> F LL � FECEIPT NO. <br /> USE ZONE LOi AFEA VACANT SITE <br /> L1YE5 i�NO FEES VALUATION FEE <br /> tVPE OF CANST. OCCUPANCY G(iOUP NO.OF DWELLING UNITS <br /> BUILDING 5 OO OO <br /> SIZE OF BLDG. NO.OF SiORIES IAA% OCC.LOAD <br /> PLUMBING <br /> FIR[ZONE BASEMENT fIRE SPRINKL�RS <br /> REOUIRED M[CHANICAL <br /> IiVES ���NO <br /> APPROVRLS BY DATF. OTHER <br /> 1. ENVIRONMENTALCHECKLIST iJOC <br /> ___ PENALTY SEC.303�e) <br /> 2 �UILDING PLANS <br /> 3 FIREHYDRANT TOTAL OO OO <br /> d. FIRE PROiECTIUN SYSTEM PEflM1T VALIDATION <br /> WNEN PROPERLY VALIDA7[D(�N THIS SPACE)THI515 YOUR PEflMIT <br /> 5. GRADING a q O� �O O p.n O ��.y� <br /> 6. DRAINAGL d 51 p � <br /> 7 ENVIFJNMENTAL IMPACT SiATEM[NT ' ' V' <br /> P "'A�T"°'STA'°' YOUR RECE1Pto <br /> APPI ICA710N ACC.PV PLANS CHECNED BY APPR FOR ISSUANCE BY ' <br /> x.c. TH �L�'f( Yp�U <br /> - I "�' �9 <br />