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_ � <br /> rhr Ll'erxrerr. <br /> r � �� �� ';�NSTRUCTIOf�' <br /> ���1 ��" PERMIT PERMITNO. 1�7 � 1 <br /> CITY HALL 259�8749 <br /> EVERETT,WA9B201 �] COMBINATION ❑ BUILDING �it MECHANICAL ❑ PLUMBING <br /> OWHER MRII�ODPE55 CIiY LiP v��O�+f � <br /> d.E. Al1en 1705 Baker Everrtt __ 98201 _ <br /> �RGMREGt OR DESiGNEF MAIL�[lOHE55 CR� Zia cNObE <br /> � <br /> GENERAL CONiR�CfOR M�IL R�DHE55 GItY IIP PMONE LICEN'•E� <br /> MEGN�NiG�L LOhiN�GiOR MAIL�DDRE55 GiY ZIV PHONE �iCCNiF i <br /> Nl[YJlJ[X Natnrnl Gae Equipment 1625 Eaet Marine View Drive Evurett 98201 25�'-2441 <br /> PLUMdING CONTR�C'OP M�IL p00NE55 CiIY ZIV PnONE IiCENSE� <br /> ClASS OF WOFM !� <br /> ❑NEW ❑ ADDITICN ❑ ALTERATION D REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIflEPLACE INSERT � <br /> Y�LU��ION OF W ORN <br /> t <br /> �FSCPIBE WORN <br /> PROPOSEU USE OF BUILDINO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> lEa�llESCAIPTIONOFPROPERT'lISHOWBEIUWOPRTT�GMFOURCOPIES� CORRECT. ALL PROViSIONS OF LAWS AND ORDINANCES <br /> �oT___e.ncK_ov_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANT�NG 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 CONSTFUCTION OR THE <br /> PERFORMA E OF CONSTRUCTION. <br /> JOB�DDRESS SIGNRTUFE OF ON P C �O1N RI ED AGENT DATE <br /> 1705 Bnker X <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FI%fURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSEI'�TOILET) A R COND.UNITS - N.P. EA. <br /> BATHTUB R2FRIGERATION UNIiS - HP. EA <br /> LAVATORY�WASMBASIN) B�ILERS - HP, EA. <br /> SI:OWER GA$FIREO 4D. UNIiS - TONNAGE EA. <br /> KITCMEN SINN 8 0150. FJRCED AIR SYS�EMS - B.TL. M EA. <br /> DISMVJASHER NALL MEATERS �- B.i.0 M <br /> �AUVDHVTRAV UVITMEATERS- BS.U. M <br /> CLOTHES WASHEfl E'/APORAI IVE COO�ERS <br /> WATER MEATCR Ci.OTMES ORYERS <br /> URINAL VI:NTILAiION FAN <br /> DriINNIN6 FOUNTAIN R/�NGE HOOD <br /> FLOOP DRAIN A1 i MANOLING UNIT- C.F.M. <br /> VACUUM BREANERS STCVE -WOOD <br /> ROOF DRAINS - flAINLF.PDERS METAL FIflEPI ACE 6 CHIMNEV <br /> SINK IEERVICE - BAR, ETQ) FIFF.PLACE IN:ERT <br /> NE�1T PUMP <br /> 1 Water Heater 4 50 <br /> SUB TOTAL f SUBTOTAL f 4 SO <br /> VERMIT f _ __ PERMIT f _p� <br /> TO7AL FEE f TOTAL FEE S <br /> SIDE YARD SETBACtt STPEET SETPACK REAR Y�RD Sc79ACM PLAN GMEC<NUM�ER �LAN CMECK FEE <br /> FEE RECEIPi NO <br /> — --_ —_' <br /> USEZONE IOTAHEA VACANTSRE --------- -----� - l--------- --- --- <br /> VES NO �EeS VALURTION fEE <br /> ---'-___._�__ - — —__ <br /> 1YPE OF CONST. OCCUPANCV GROUP N0.OF DWf:I I ING UNITS <br /> BUILDING S <br /> $IZF OF 9LDG. NO.OF 5T0lilE5 MA%.OCC IOA� -- — —�— <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPNNKLERS MECHANICAL <br /> REOUIRED ZQ SO <br /> VES NO — — <br /> APPPOVALS BV OATC OTMER <br /> --_—' _ "__ —_ � <br /> 1 ENVIRONMEN7AL CHECN LIST pENA�T� U B C. <br /> - ------ '. -.. --.----- SEC 70?lal <br /> 2.BUII.DINGPLANS —'-- --- --- <br /> 7.PIHEHVDRANT -- -- -- TOTAL l4 50 <br /> l FIRE PROTECTION SYSTEM VENMIT VALIDA"ION <br /> S.ORA�ING WMEN PROPERLY VALIUATED pN iH15 SPAGE�THiS IS YOl1R PERMIT �.-{ <br /> 6.ORAINAGE ! � � <br /> 7.ENVIRONMF�TA�IMPACTSiATEMENT Cv <br /> B.MEALTH OISTRICT � � <br /> APPLICATION ACC. 9Y PLANS CHECNEO BY APPR. FOP ISSUANCE 9Y , , <br /> n�oRE�s i i'�� <br />� -- <br />