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� <br /> d�eEcrrg,cen � CONSTRU�TIO� � <br /> C��"GF �' <br /> e�er�el�.l. PERMIT PERMIT N�D. �-`J�7 � <br /> CITY HALL 259�9745 <br /> � EVERETf,WA98207 ❑ COMBINATION x�[ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILIDORE!S pTY ZiP PMONE <br /> Everett Fireplace Shop 7016 Evergreen Way Everett 98203 775-6044 <br /> ARCHITECT OR DESIGNEIi MAIL AODRE55 GITY 21P PHONE <br /> GENEHAI GONTRAGTOR MAIL A�DRESS CITY 21P PHONE LICENSE/ <br /> City Sign Inc. P.O. Box 2'Ll"1 Everett 98203 339-2644 <br /> MECHANICAL CONTRALTOii MAIL AOOHE55 CITV ZIP °HONE LILF.NSE x <br /> CITYSSI 158DK <br /> PLUMBING GONTRACTOR MAIL AOORE55 CITV ZIP VHGNE '1LENSE I <br /> CLASS OF WORN <br /> �NEW ❑ ADDITION ❑ ALI�ERATION ❑REPAIR ❑ DEMOLITION ❑ FENGE }[�{I SIGN ❑ WOOD STOVErFIFEPLACE IN'IERT <br /> VALUATION OF WORN <br /> S 8��.�� _ <br /> DESCfl16E WOHK <br /> Install sign <br /> PROPoSE�USE OF 9UILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS Z <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGALOESCflIPTIONOFPROPERTY�:iHOWBELOWOPATfACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> ��-22 3 Beverly Hi.11s Division 4 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH ;� <br /> _OLOCK_OF WHETHER SPECIFIED HEfiEIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR j � <br /> LOCAL AW REGULATING CONSTRUCTION UR THE � � <br /> PERFO ANCE OF CO STRUCTION. N m <br /> JOB ADDRESS S�GNAT F CO TRACTOR 0 UTHORIZED AGENT nOATE <br /> 5612 Evergreen Way X �-�� ��� 7" d� I m � <br /> PLUM8ING MECFIANICAL p m <br /> NU. TYPE OF FIXTURE OR ITFM FEE N0. TYPE OF EQUIPMENT FEE <br /> s -�i <br /> —�ATERCLOSET�TOILEn AIR CONO.UNITS - H.P.EA. m <br /> —8 THTUB FEFRIGERATION UNITS- H.P.EA. _ .O z <br /> LAVATORY(WASH BASIN) BOILERS- H.P. EA. _ � _ <br /> SHOWER GAS FIRED A.C. UNITS-TONNAGE EA. �--� �+ <br /> FORCEO AIR SYSTEMS- B.T.U. M EA. � � <br /> KITCHEN SINK 8 DISP. � -� <br /> �ISHWASHER WALL HEA7ER5-� B.T.U. M <br /> O T <br /> LAUNDRY TRAY 11Nli HEA7ERS- B.T.U. M � 'r3^ <br /> CLOTHES WASHEP EYAPGRATNE COO�ERS � '2 � <br /> —� WATER HEATER CLOiHES DRYERS � � <br /> URINAL VENTILATION FAN ^ � m <br /> ORINKING FOUNTAIN RANGE HOOD C N <br /> FLOOR DRAIN AIR HANOLING UNIT- C.F.M. m N <br /> Z C) <br /> VACUUM BREAKERS STOVE-WOO� _ � m <br /> ROOF DRAINS- RAINLEAOERS METAL FIREPLACE 8 CVIIMIJEY � <br /> SINK�SERVICE- BAR, ETC.) FIREPLACEINSERT _ <br /> � <br /> HEAT PUMP = <br /> a <br /> — � <br /> � <br /> x <br /> .. <br /> � <br /> SUB TO7AL S SU9 TOTAL S <br /> PEHMIT S <br /> PERMIT t � <br /> 70TAL FEE S 70TAL FEE S .-. <br /> PLAN CHECK FEF. n <br /> SIOE YARD SE78ACK STREETSE7BACK REAR YARD SETBACK PLHN CHECK NUM9ER m <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SITE FEES VALUATION FEE <br /> iIYES "�NO _ <br /> TYPE OF CONST. OCCl1PANCY GROUP NO.OF DWELLItJG UNITS <br /> BUILDING s 600. 6 00 <br /> SIZE OP BLDG. N0.OF STORIES MAR.OCG LOAO <br /> PLUMBING <br /> FIPEZONE BASEMENT FIRE SPRINKLERS MECMPNICAL <br /> REOUIREO <br /> YES L:NO <br /> APPROVALS BY DATE �THER <br /> t.ENVIRONMENTAL CHECK LIST pFNALTY U.B.C. <br /> SEC.303 la) <br /> 2.BUILDING PLANS Fi OO <br /> TOTAL <br /> 3.FIRE HY�RANT <br /> 4.FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE THIS 1 YOy{F E 7 <br /> � U �—� <br /> 6.DRAINAGE Sign to be all on Private�Prop�r�ty. � ,� <br /> 7.ENVIRONMENTALIMPACiSTATEMENT � <br /> B.HEALTH DISTRICT ���; � �j �; R E C[I PT*-+ <br /> APPLICATION ACC. BY PLANS CHECKED 9Y APPR.FOR ISSUANCE BY <br /> , ; �,�,I`�f� YGU <br /> - r�v/Lc <br /> 2 9 s.P E� <br /> ADDRE55 :�ILE <br />