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i <br /> dieE��cr�;reen ����� �9 l�� i ��� <br /> CITY oF � <br /> everett PERnIIIT PERMIT NO. OS237 <br /> CITY HALL 259�87n5 � <br /> EVERETT.WA sezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILApDRESS Ci�T ZiV �H011E <br /> Tiz Door Sales 2118 38th Everett 98201 259-6051 <br /> qqCHREGT OR OESIGNER MAIL AODFESS CIiV 21P PHONE <br /> GENEPAL CONiPACTOR h1AIL ADDRE55 CRY ZIP PHONE UCENSE� <br /> Mel Forrey 7532 Lower Ridge ROAD Everett 353-4659 <br /> MECHANICALCOHTRAGTOR MAILPDpRE55 CITY ZIP PHONE LICEASE/ <br /> P:'JIA61NGfANTRACTOR MAILADOPE55 GRY 21P PMONE L'CENSEI <br /> CLA55 OF 1VORK I <br /> ❑NEW ❑ADDITION �tiLTERAT10N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GNRAGE <br /> VALUATION OF WORK I <br /> 5 L� �Q��. �� ' <br /> DESCRIBE WORH <br /> interior remodel <br /> anoro�_[ use oF ouaoinc <br /> com^ercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> i-ccn�oescaianoNOFaaoaearvisr+owee�owannrrncHFouacoPies� PLICATION AND KNOJJ THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING ThiIS <br /> �or 17-27fl��,�3 �� J.S . Sines Acre Tracts TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED <br /> HEREIN OR NOT. THE GRANTING OF A PFRMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7HE PRO� <br /> VISIONS OF ANY OTHER STAT[ OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIG�. <br /> SIGN RE OF WNl AGTOR OR HORIZED AGENi UATE <br /> JOB ADDRE55 <br /> 2118 38th Street X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> IVATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA_ _ _ <br /> BATHTUB REPPIGERATION UNITS—H.P.EA <br /> LAVATORY IWASH BASIN) BOILERS—H.P.EA. <br /> SNOV;ER GAS FIRED AC.UNITS— �ONNAGE EA. <br /> KITCMEN SINK 8 DISP. FORCED AIR SYSTEAIS—B.T.U. M EA. <br /> DISHWFSHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B.T.U. h� <br /> CLOTHES WASHER EVAPOFATIVE COOLERS <br /> WATEfl HEATER CLOTHES DRYEPS <br /> URINAL VENTIIATiGN FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF M. <br /> I VACUUM OREAKERS — STOVE <br /> ROOF�FAINS—RAMLEADERS METAL FIREPIACE 8 CHIMNEY <br />( SINK�SEFVICF.—BAR ETG) _ <br /> SUB TOTAL SUBTOTAL _ 5 <br /> PERMIT S PEFMIT _ S <br /> T�TALFEE S TOYAL FEE S <br /> SIDE YARD SEiBACH STFEET SETBACK RGAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FCc RECEIPT NO. <br /> 80 6237 33 . 80 50274 <br /> USE ZONE LO7 AREA ���ES T��O FEES VALUATION FEE _ <br /> TYPE Of CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS _ <br /> B-z BUILDING s1O , 000 . S2 OO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> Z PLUMBING <br /> FIRE ZONE BASEMEN7 qE0 IRED KLERS MECHANICAL <br /> 3 ES ❑NO <br /> OTHER <br /> APPHOVALS BY DATE _,_ <br /> 1. ENVIRONMENTAL CHECK LIST pENALTY U.8 C. <br /> SEC.303(a) <br /> 2 BUILDING PLANS TOTAL <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTEC710N SYSTEM PENMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PEfiM1T <br /> 5. GRADING p O � �. O 0 ` � <br /> 6. DRAINAGE 7 � p � W <br /> 7. ENVIRONMENTALIMPACT STATEMENT � <br /> e. HEALT41 DISTRICT ' r-�.��PT Q <br /> APPLICAIfOh ACQ B} PtAN$CHECKED BV APPFl.FOR ISSUANCE 6Y � � , . �'�_ .� '. <br /> . . . • �� . �( l`. �� <br /> V.C. � <br /> - �— <br />