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- , <br /> � = <br /> � <br /> ,�r jl'r�lCCn ,� C��..ySTRIlCTION � � ♦ <br /> CIiV OF <br /> everett PERMIT PERMIT NO. 06321 <br /> CITY HALL 7S9 P7d5 <br /> eveaEtt.wn yaeui ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL I�CPLUMBING <br /> OWNE� MFILAODfiF55 CIIY ZIP �NONE <br /> City of Everett 3002 Wetmore 98201 258-8883 <br /> ARCHITEGT OP DLSIGNEP MRIL ADORE55 GiY ZIP i'MON! <br /> GLNERALfANTPRQOH MAILAD�RES$ CIiY ZIP PNONC UCENSE/ <br /> MEGHANICAI CANiRRCTOF MAiL/D�AE55 Cliv IIP PNONE UCENSE I <br /> PWM91N�ame TOR MAILAODRESS GTV ZIP PMONE LICENSE� <br /> GLP55OF WORK <br /> ❑NEW ❑�DDITION ❑ALTERATION ❑REi'AIR ❑DEMOUTION ❑PENCE ❑SIGN ❑GARAGE <br /> VALVATION OF WORK <br /> E <br /> OESCNIBE WORK <br /> PROlqSE�USE OF BWLDING <br /> I HEREBY CERiIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecnioEscaianoNOFraoreaT�isNowse�owoaaro�cHFouacoPies� PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTINa OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUAE OF GONiRACiOA OR AUiHOR12C0 AGENT UAiE <br /> JOBADDRE55 Check #559927 7/5/79 <br /> 11400 Silver Lake Drive S .W. X <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(iOIIET� <br /> AIR GOND.UNITS—H R EA <br /> � BATHTUB REPRIGERATION UNITS—H F [A _ <br /> 4 LAVATORY(VJASH BASIN) H O O BOIlEFS—H P EA. <br /> SHOWER 2 OO GASFlRfDAC UNITS—TONNAGEEA. <br /> KI'fCHEN SINK 8 DISP. FORCCD AIR SYSTEMS—B T U. Id EA. <br /> DISHWASHER WALL HEATERS— �T U. M <br /> UIUNDRY TRAY UNIT HCATCRS—�T U. M <br /> CLOTHES WASFIEP EVA{'ORA7N[COOLERS <br /> \YATEP HEATER CIOTHES Df7YEFS <br /> URINAL V[NTIU+710N FAN <br /> DRINKING FOUNTAIN RANGE NOOD <br /> O FLOOR DRAIN AIR HANDLIIJG UNIT— C EM <br /> VACUUM PREANERS S10VE <br /> ROOF DRAINS—RAMLEADERS METAL FlREPL4CE A CHIMNEY <br /> SINK(SERVIC[—DAR,ETCJ <br /> SUD TOTAI. SUB TOTAL f <br /> PERMIT f PEPMIT f <br /> TOTRL FEE f TOTAL FEE f <br /> SIDL VARD SETOACK S`F[F.T SETBACK REAR YARD SETBACK PLAN CHECN NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION PEE <br /> LiYES GNO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. 40.OF STORIES MAX.OCC.LOAD <br /> aLUMBING ZB OO <br /> FIRE ZONE BhSEMENT FIRE dPRINKLERS MECHANICAL <br /> REOUIRED <br /> f]Y[S IlNO <br /> APPROVALS BY DATE OTH[R <br /> t ENVIRDNMENTAL CHECK LIST PENALTV U BA <br /> SEC,3�3�a) <br /> 2 BUILDING PLANS <br /> TOTAL 2 8 0 0 <br /> ; FIRE NYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEflM1T VALIOATION � <br /> WHEN PROPERLV VALIDATED pN THIS SPACE)TNIS IS YOUP PERMIT <br /> 5. GRADING 'f Qp ///��� ��. <br /> fi. DRAINAGE �O`O �O ( E.V O ��� � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT <br /> � <br /> B. H[ALTH DISTRICT - <br /> pPPLICATION ACC.BY PU+NS CHECKED BY APPR.FOR ISSUANCE BY YO��U�R REC E(PT� � � <br /> , THANK YOU • <br /> � <br /> ADDRESS FILL _ . � - 1 `� 11 . <br />