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�hetbe�.eiren �- JONSTRUCTIOP, <br /> c:rtr oF �� <br /> everett PERMIT PERMIT NO. 1526 �J <br /> CITV HALL 259-8745 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING � MECHANICAI. ❑ PLUMBING <br /> OWNeR MAIL ADORESS CRY ZIP PMONE <br />� ER BOLSTER 420 ALDER EVERETT WA 98203 Unlisted 252-1245 _ <br /> ARCHITECT OR DESIGNEN MAIL NDDRESS pTY ZIP PHONE <br /> GENERA�CONTRACTOR M�q NDORE55 CItY ZIP VMON: LICENSE• <br /> Same <br /> MECHANICA�CONTRACTOR MA�L ADDREiS CITY ZIP PMONE LICENSE Y <br /> PIUMBiNG CONTR�CTOR MAIL AO�RESS GRV ZiP PHONE LICENSE N <br /> GUSS OF WORK <br /> O NEW ❑ ADOITION ❑ ALTERATION ❑REPAIfl ❑ DEMOLITION ❑ FENCE O SIGN �I WOOD STOVEIFIREPLACE INSERT <br /> VRLUATION Oi WORK <br /> i <br /> DEa'CPIBE WORN <br /> Instali wood stove -- <br /> PROVOSEDUSE OF BUILDING I HEREBY CERTIFY THAT I HAVE NEAD AND EXAMINED THIS Z <br /> Residence ApPLICATION AYD KNOW THE SAME T'J BE TRUE AND � <br /> � <br /> LEGRL�ESCRIPTIONOFPPOPERTY�SHOWBELOWOflATTFCHFOURCOPIES) CORRECT. ALL PROV!SIONS OF LAWS AND ORDWANCES m <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH .. <br /> �pT_BLOCN_ OF WHETHER SPECIFIED HEREIN OR N07.THE GRANTING OF A <br /> PERMIT COES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE �� <br /> � OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR � � <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE N m <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB RDDPESS SIGNATUfi OF CONTPACTOR UTN IZEO GE�T DATE <br /> 8/6/$5 ^o <br /> 420 Alder � �c <br /> GLUMBING MECMANICAL �m <br /> NO. TVPE OF FIXTURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE m.-=j <br /> WATERCLOSET(TOILE'n AIR COND.UIJITS- M.P. EA. Q= <br /> BATHTUB flEFRIGERATION UNITS- H.P.EA. y � <br /> LAVATORV lWASH BASIN) . BOILEPS- H.P.EA. �� <br /> SHOWER fiAS FIRED A.C. UNITS-TONNAGE EA. �N <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. �l <br /> O Jo <br /> DISMWASHER WALL HEATERS- B.T.U. M �l D <br /> 3 <br /> LAUNDRV TRAV UNIT HEATERS- B.T.U. M =1`1 <br /> CLOTHES WASHER EVAPORATNE COOLERS m N <br /> WATER HEATER CLOTHFS DRYEFS A r <br /> URINAL VENTILAiION FAN C N <br /> DRINKING FOUNTAIN RANGE HOOD m� <br /> FIOOR DRAIN AIR HANDLING UNIT- C.F.M. �� <br /> VACUUM BREAKERS � STOVE -WOOD � 5 • D <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE&CMIMNEY 7C <br /> FIRE?LACE INSERT <br /> SINK(SERVICE- BAR,E;C.) _ ' <br /> HEAT PUMP x <br /> � <br /> S <br /> N <br /> � SUB TOTAL S SUB TOTAL S � rJO � <br /> PERMIT S PERMI� f �O OO -� <br /> TOTRL FEE 3 TOTRL FEE f �� 5 m <br /> SIDE VARD SETBACK STREET SETBACK REAR YAflD SETBNCK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> � USE ZONE LOT APEA VACANT SITE FEES VALUATION FEE <br /> '-�VES _:NO ' <br /> TVPE OF CONST. OCCUPANCY GflOUP NO.OF DWELLING UNITS <br /> BU:LDING a <br /> SIZE OF BLDG. NO.OF STORIES MAX.UCG LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT qEOUSRED KLF.PS MECHANICAi �J SO <br /> ��VES �:��NO <br /> AVPROVALS BY DATE OTHER _ <br /> U.B.C. <br /> i.ENVIflONMENTAL CHECK LIST PENACfV SEC.303(a) <br /> 2.BUILDING PLANS TOTAL ��I SO <br /> 3.FIRE HVDRANT �' <br /> 4.FIRE PROTECTION SVSTEM 9ERMIT VRlID11TION � <br /> 5.C+RADING - WMEPI PROPERLV VAIIDATED(IN THIS SPACE)THIS IS YOUR PERMIT � <br /> e.ORAINAGE N <br /> 7.ENVIRONMENTAL IMPACT STATeMENT �n <br /> B.HEALTM�ISTRICT • ° <br /> aPFUCATION ACC. BV Pl.ANS CHECKED BY APPR.FOfi ISSUANCE BY ' <br /> -� <br /> PDDRESS FILE <br />