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rhe£vergreen � <br /> -•��T�oF � CON UCTI�DN M <br /> e�eret� P MIT PERMIT NO. O�OZO <br /> CITY NALL 259�B145 <br /> eveaerr.wn eezo� ❑ COMBINATION � BUILDING U MECHANICAL ❑ PWMBING <br /> rnvr�iA �aniinooacss cirr zia �,�oN� <br /> Staeheli .;522 Smith Str.eet 98201 <br /> nRCwiLCTOi ^.._CSIR NAiLADDRC55 Ci�V ZIP CHONE <br /> GEN[RhL pJNiRACIDe MAiI ADORE55 CITY ZiP PHON[ UC(NSE� <br /> "B" Llectric 3509 Broadway Everett 98'?O1 <br /> MECIIANICAI CONiRAC1GR AIAq hpDRE55 QiV ZIP pHONt LICENSE� <br /> FLUMBIN^CANifiACiOR MAII ADDRE55 CRY ZIP PHONF LICENSE� <br /> QPSS Of IVDaH <br /> ❑NEW ❑ADUITION ❑ALT[RATION ❑REPAIR ❑DEMOLITION ❑FENCE j�SIGN ❑GARAGE <br /> VAWAiION OF WORR <br /> s 300.00 <br /> LESCRiBE 4VORK <br /> erect liPfBX� an existing =ign <br /> rao�osm usc or ouao�r+c <br /> I HEREBY CERTIFY THHT I HAVE READ AND EXAMINED THIS AP� <br /> �.rcn�oe5caa�rioN�.�aoaeatv�swwoeio;vonr,rrnoirounco����si PLICA710N AND KivvvJ 7HE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIOIJS OF LAWS AND ORCINANCES GOVERNING THIS <br /> �or ewcK_oF TYPE OF WORK WILL BE CGM�LIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERIv11T DOES NOT <br /> _ PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VI.'IONS OF ANY OTHER STATE OR LOCAL LAPJ REGULATING <br /> ^,OIJS��9UCTION 09 THE PERFORMANCF OF CONSTRUCTION. <br /> �oenooarss . - ,� �r-,rr,nc��+o��r,�.,u�c=�no�.�,i.ur onri <br /> 3522 Smith • <br /> X � ����'�«•,� L �LC.��.cj�/ 12/7/79 <br /> 0 <br /> PLUMBING MECHANiCAL <br /> NO. TYPE OF FI!CTURE Ofl ITEM FEE MO. TYPE OF EOUIPMENT FEE <br /> WATEFQOSEI ITr1'LET) AIRC0IJ[J UtJI75—NP Ll. <br /> B�1HTU� qEFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASN�ASIN) �OIlERS—H P.EA <br /> _ SHOWER GASFIREDAC UNITS—TpNNAGELA <br /> KITCHEN SINK 8 DISP. PORCED AIR SYSiEMS—0 T U M EA. <br /> DISHWASHER \1'ALL HEATERS�-�S.0 M <br /> LAUNDRYIRAV UNITHEAT[RS—OTU. M <br /> CLOINES WASHER [VAPpRATNECOOLERS <br /> WAiGP H[ATER CLOTHES DRYERS <br /> UPINP� y[NiILAiION FAN <br /> DRINKING FOUNTAIN RANG[HOOD <br /> F�OOR DRNN AIR HFNDUNG UNIT— C F M <br /> V�CUUM BHEAKERS STOVG <br /> HOOF URAINF—RAINLEPDERS MEiAL PIFEPLACE 8 CHIMNEV <br /> SINK(SERVIGE—BAR,?TC 1 <br /> SUBTOTAI SUBTOTAI S <br /> PERMIT f PEqM1T S <br /> TOTALFEE S TOTAL FEE f <br /> SIUE YARD S6ifACK STHELi SLT�ACF 17UR VARG SET9ACK PLAN CHCCK NUh18ER PLPN CHECK FEE <br /> I�LE PECEIPT NO. <br /> USEZONE �Oi AMEA VACANTSITE <br /> �iVES iJ:NO FEES VALUATION FEE <br /> ;vPE OF CONST. OCGUPANCY GROUP N0.OF DWEILING UNITS <br /> SIZE OF BLDG NO OF STORIES MA% p�. �pqD BUILDING 5 300.00 B OO <br /> PLUTABING <br /> FIRE ZON[ Ein56A:CNi FlFE SPHINKLERS <br /> REOUIpFD IAECHANICAL <br /> ivGS I'NO <br /> APPROVALS OY DATE GiH[R <br /> 1. ENVIl70NMENTAL CH[CK LISi —' <br /> PEIJALTV U.BC <br /> ; OUILDING PLAI:S SEC.3�3(a� <br /> :f FIRe HYDRANT TOTAL 3 OO <br /> t FiR[PROTECTION SYSTEM PERMIT VALIDATION r �Q j� p <br /> R'HI I.I f'POPCRLI'YALIDAT[D�IIJ THIS:�7�dFW�S IS YdI�IP{�ia�TO O ��' ' I <br /> 5. GP?UMG <br /> 6 DRAINl.GE � <br /> ]. ENV�RONMENTAL IMPACi STAT[MENT �'p J R REC E I P� <br /> B. HEALTH��STRICT �/ �/ � <br /> APPLICATION ACL �Y PLANS CHECK[C BV APPR FOR�SSUANCE 8Y T H A�\ .!'.O U O <br /> ». •�, <br /> . ='jmc79. , . <br /> ADDRESS FILE <br />