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,,,`�`�``.""c„ �CONSTRUCTIO� � <br />� �r. ��� ; <br />everett PERMI'T PERMIT Nd. 1J71C� <br />CITV HALL 259�ft7<5 <br />EVERETT,VJA9B201 � COMBINATIQN ❑ BUILDING Q MECHANICAL ❑ PLUMBING <br />OWNEA MARADORESS CITV ZiP PNONE <br />SHERRI MC CARTHY 670 MRGYLE FRIDAY HARDOR WA 378-8328 <br />ARCNRECT OF D[SIGNEN MAIL ApORE55 CITY ZIP PMJNE <br />GENERALWNiRPLTOR MAiLADDPE55 CITY Z�V PMONE LIGENSE� <br />Same <br />MECMANICAL CONTRnGTOA MAIL AD�RE55 GITY ZIP PHONE UCENSE • <br />PWNBING LCNTRRGLOH MRIL ADDRE55 CiTv ZIP PMONE LILEHSE � <br />❑ NEW ❑ ADDITION X� A�TFflATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />S <br />Install gas line <br />PHOPOSED USF OF BUILOING <br />Rental <br />LOT_OLOLK__OF <br />State <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET Q� <br />BATMTUB <br />LAVATORVIWASN <br />SHOWER <br />KITCMEN SINN S 0 <br />LAUNDRYTRAY <br />CLOTHESWASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />RE OR <br />ROOF DRAIM1S — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />USE ZONE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE MYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STAI <br />0. HEALTH DISTRIGT <br />APPLICATION ACC. BY PLA <br />�S <br />aEAR YARD SETB <br />VACANT 511E <br />YES NO <br />NO. OF OWELUN� <br />MA%.00G LOAD <br />FIRE SPRINKLER: <br />REOUIRED <br />FOR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />bJHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUM� TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL �W REGULATING CONSTRUCTION OR THE <br />OF GO T 6R I.UTHORIZEO AGENi DATE <br />�� 11/19/85 <br />TYPE OF EOUIPMENT <br />AIH COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS -- M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATII'E COOLERS <br />CLOTMES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — H'OOD <br />, METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT _ <br />HEAT PUMP <br />BUILDING <br />PLUMBING <br />MECMA'�ICAL <br />OTMER <br />PENALTY <br />TOTAL <br />FEt <br />SUBIOTAL S 4 U <br />PERMIT f � O O <br />TOTAL FEE S j 4 O <br />PLAN CMECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S <br />14 50 <br />U.B.C. <br />SEC. 9U3 lal <br />14 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THI, (P;ii I TMIS�S�Y IUR PERMIT— („Q <br />4 Jll �f <br />� <br />1_^ <br />� ' � ' , 'I��� a � <br />BV '. � , <br />. 'i `il <br />nDDRE55 l�ILE <br />� �� �,�ii uJ <br />