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thn Erer,Creen �o � \ �d ! � ■ W � 1 � O �� <br />CITY OF <br />�everett PERMIT pERMIT NO. 1O75g <br />GT� HALL 259�8745 <br />eveaerT. wn �azoi ❑ COMBINATIUN ❑ BUILDING X� MECHANICAL ❑ PLUMBIKu <br />OYRlEP I.UIL AUDNESS Cltt ZIP PMOtlE <br />KARR 3128 Norton Fvaratt 98�n7 <br />�.RC�uiEGT OR �ESIGNER 1dAIL O.pORE55 Cltt IIP PIIOIIE <br />GENERAlCON1�ACTOR MMLFCORE55 CRY ZIP PHONE UGENSE � <br />Rob Lund <br />rnea�nu�cn�corurracton innn.nooAess "" Z�P rPZ33LT ��reuse. <br />Dave Bemis <br />v�wrri��ccoNrHFcioa �.��a.�oo�.ess arr na vr�a+� uaNsrr <br />C W SS OF \':ORK <br />❑NEW LADDITION XXA�T�HATION ❑REPAI(7 ❑DEMOLITION ❑FENCE ❑SIGN ❑GARNGE <br />4 <br />oEInstallK <br />propane gas lines t.n 3 outlets <br />CRC'OSED USE OF BUIIDING <br />Glinlc <br />iecn� oesanario:a or� rnor�enrr �s�+ow eeiow oH nrrnc•+ <br />LOT BLOCK_OF <br />PLUMBING <br />N0. <br />!/ /s' ,32+�.✓ S <br />OR ITEM � FEE <br />LAUNDRY TRAY <br />CLO7HES \VASHER <br />VlATEF HEPTER <br />URINAL <br />DRINKING POUNTAIN <br />FLOOR ORAIN <br />VnCUUM �REAKERS <br />ROOF URAINS — Rf.INLEADERS <br />Si�'K ;$ERVICE — BAR ETC.) <br />Sl1B TOTAL <br />SIDE �ARD SETBACK <br />USf: 20NE <br />iYPf OF CONST. <br />S�ZE OF BLDG. <br />FIHF. Z.ONE <br />STREE75cTBACK <br />Lp7 AFEA <br />OCCUPANCY GR( <br />NO.OFSTOPoFS <br />PASEM1IENI <br />1. ENVIRONIdENTAL CHECK LIST <br />2 BUILDING PIJ�IJS <br />3. FIRE HYDRANT <br />4. RRE PROTLCTION SYSTEAI <br />5 GRADING <br />6 DRAINAG� <br />7. ENVIRONMENT�LIMPACTSTATEMENT <br />P. HEALiH DISTRICT <br />qPPLICP.TION ACC. BY PLANS CHECKED B'( <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAM[ TO BE TRUE AND CORRECT <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPEC�'IED <br />H[REIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLF�TE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STA-iE OR LOCAL IAW REGULA?ING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />sica;,rua�e oc7 cc=�.rnn�con on o in+onrzeo noenir onit <br />X i�fYl��—C�r��—o ��9�82 _ <br />ANICAL <br />TYPE OF E�UIPMENT <br />AIF CON�. UNITS — H.P. EA. <br />fiEFRIGERA710N UNITS -- H.P. EH <br />BOILERS — HP. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />FORCED AIR SYSTEIAS — BS.U. M EF. <br />VJALL H[ATERS — B.TL. M <br />UNIi HEATEHS — B 7.U. M1� <br />[VAPORf.TIVE COOLF.RS <br />CL07HES DRYERS <br />VGNTILATICN FAN <br />RANGEHOOD <br />AIR HANDLiNG UNIT — Gf.M <br />STOVE <br />!dF?Ai FlRFPI ACE E CHIMNEV <br />A61R YARD SETBACN PLi,N CH6 <br />VACANT SITE — <br />:.i.YES JNO <br />NO. OF DWELUNG LINITS <br />BUILDING <br />IdAX. OCQ LOAD <br />PWMBM( <br />F IRE SPR W KLERS <br />REOUIRED A�EI'-HANII <br />(�VcS i1N0 <br />BY DATE OTHER <br />PENALTY <br />TOTAL <br />APPR.FOFISSUANCE�Y <br />TOTALFEE 3 � <br />dBEH PLAN CHECK FeE <br />FE[ RECEIPT NO. <br />FEES VALUATION FEE <br />— � <br />2 <br />U.B.0 <br />SEC. :iO3 �a� <br />2 <br />WHEN PROPeHLY VALIDAT[D (IN THIS SPACE) THIS IS YOUR PERMIT <br />Added to existing Mecra�I���al Ppq(ndt, 4� _, � <br />,dUUL <br />0 <br />YOU R RECEIPT `� <br />T!-fA�K YOi1 <br />J r:l ' <br />:��_��'��'__ .' <br />- 7 �t� R 2 <br />� <br />