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� <br /> '�r`"�TYP�n � CONSTRUCTIC 'V <br /> everett PERMIT PERMIT N0. 13941 <br /> C'TY HALL 458�8145 <br /> EVERE77,WA 98201 ❑ COMBINATION ❑ BUILDINO L�x MECHANICAL ❑ PLUMBIN(i <br /> OWNER M�Il�U0FE5S Cli/ ZIP PNONE <br /> Michael Mootz 1613 Haker Everett 98201 <br /> �RCNREGT OR pES10NER MAII AOORE55 CIiY 21P PMONE <br /> r <br /> OENEAAL LONTFACTOR M�R�LDPESS CdV 21P PMONE LICENSEI <br /> MECMANIL�L CONTR�CTON M�IL A�DRE55 CRY ZIP PHONE LICFNSE� <br /> Neturel Gae Equipment 1625 East Marine View Drive Everelt 98:.77. 258-2441 <br /> . PLUMBING GONIR�CTnR M�IL�OORE55 CITY 21P 1'NONE LICENSE Y <br /> � CUG4OF WORK � <br /> C;NEW O ADDITION ❑ ALTE'1ATION ❑RF.PAIR ❑ DEMOLITION O FENCE ❑ SION ❑ WOOD STqVEIFIREPLACE INSERT <br /> VALUATIOV GF WOPK <br /> i <br /> DESCNIBE WORK <br /> PROPOSEO USE I.F BUILDIN4 <br /> I HEFEBY CERTIFY THAT I HA�'E RF;�D AND EXAMINED THIS <br /> APPLICATION AND KNOW THt SAME i0 BE TRUE AND <br /> LEO�L DESGRIFTION OF PPOPERTY(SNOW BELOW OR ATT�CH FOIIR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND OfiDINANCES <br /> LO7_BLOCK__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTINf3 OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OFi THE <br /> � PERFOR CE OF CONSTflUCTION. <br /> JOB AOOREBB 610NATURE F OR OR A THOHIZED�4ENT DATE <br /> 1613 Baker X 9 19 8 <br /> PLUM�INO MECMANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILE7) AIR CONO.UNITS— II.P.EA. <br /> BATMTUB HEFRIGERATION UNITS— M.P. EA. <br /> LAVATORY(WRSH BASINI BOILERS — H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCMEN SINK S DIS�. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT MEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORA7IVE COOLERS <br /> WATEH HEATER CLOTHES DRYERS <br /> URINAL VENTILATiON FAN <br /> DRINKIN�FOUNIAIN RANGE MOOD <br /> FLOOR DRAIN AIR HRNDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE— W000 <br /> NOOF ORAINB— MINLEAOERS METAL FIREPLt�CE 8 CHIMNEY <br /> SINK�SERVICE— BAN,ETC.) FIPEPLACE INSERT <br /> HEAT PUMP <br /> 1 Water Heater <br /> sue ror�� � SUB TOTAL s <br /> PERMIT f PEPMIi i <br /> TOTAL FEE f TOTALFEE ! <br /> SIDE YAND 6ETBACK STREET SE7 BACK NEAR VAPD SC:TBACM PLAN CMECK NUMBFR PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE IONE LO7 AREA VACANi SITE -- — — <br /> : .YES .NO FEES _ VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV 6ROUP NO.OF OWELLINQ UNITS � <br /> BUILDING f � <br /> SIZE OF BLDO. NO.OF STORIES MAX.OCC. LOAD -'— <br /> PLUMB'NG <br /> FIRE ZONE BASEMENT FIRI:SPi11NNlERS MECHANICAL <br /> REOUIRFD 14 SO <br /> YES NO — <br /> 11PPNOVALS BY DATE OTMF.R �' <br /> 1.ENVIRONMEN7AL CNECK LIST PENALTV U.B C. ��— <br /> SEC.30J la) <br /> T BUILDINGPI.ANS - <br /> 1PiNEHYDRANT TOTAL 14 SO <br /> 1.FIHE PP..IiECT10N SYSTEM PEPMIT VI1LI011�ION <br /> S.ONAOINQ WHEN PROPERLV VAlIOATED(IN THIS SPACF�iM15�$Y,O�IfL PF{iM�T _':-a <br /> � , . I �i. � �' rl <br /> e.DR�INAOE <br /> Q? <br /> L I.ENVIRONMENiALIMPACTSTATEMENT �y� <br /> B.NEALLHDISTRICT � I�����.r-�� <br /> APPLICATION ACC. BV PLANS CHECNED BY APPH.FOR ISSUANL'E B� <br /> � <br /> .i <br /> i� „ I <br /> ADDRF.SS FILE <br /> L <br />