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fhrf:ri�rC��'�'� ' �ON��RUCTION <br /> everett PERMIT PERMIT N0. �.4a � 7 <br /> CITY HALL 259�A7<5 <br /> eveaErr.wa9eso� � COMB�NATION ❑ BUILDING �% MECHANICAL �� PLUMBING <br /> ONNER M�IL . ,PE65 Cilr ZiP FHONE <br /> Robert 0. Nelson 1228 Ballew Gverett, IVA 9&203 355-3964 <br /> �RGNiTECt ON OESIGNEP Mnll�ODRE55 rrtv LP PNONE <br /> GiNERµLONTR�CTOR MML�ODRE55 GItY 21V P��ONC L�CEHSE� <br /> ��EGM�NIG�L CONTPIIGTOR M�R��ORE55 GiiY 21P PMOHE IICEHSE� <br /> Self <br /> +LUMBING CONTR�GTOX M�IL�ODHESS CiiY 2�P PnONE UCENSE� <br /> CL�S3 UF WOPtl —' <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ UEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVE�FIIiF.PIACE INSERT <br /> V�LUATION OF WORK <br /> ! <br /> �I SCRIBE WORR <br /> PROPOSEO USE GF BUILOIH6 <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS o <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND 1 <br /> IEGAL�E.SGRIPt10NOFPROPEFiY�SMOWBELOWOPA7i�GNFOUPGOPIESI CORRECT. ALL. PROVISIONS OF LAWS AND ORDINANCES n <br /> LOT_BLOCK__OF GOVEHNING THIS TYPE OF WORK WILL BE COMPLIED WITH m <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A �� <br /> PERMIT DOES NOT PRESUME Tn GIVE AUTHORITY TO VIOLATE ,.., ,., <br /> OR i.ANCEL THE PROVISION; OF ANY OTHER STATE UR -a T <br /> LOCAL LAW FiEGULATING CONSTRUCTION OR THE N = <br /> PERFORMANCE OF CONSTRUCTION. m <br /> JOB�DUHFSS SIGNPI��QF CONiR�CiOR OR�UIMORIZED�CENi p�1E C O <br /> 1228 Ballew, Everett, WA 9R203 X <<•-� -- n �^� � �, S/23/85 r+ n <br /> � c <br /> PLUMBINO MECMANICAL o � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE _� <br /> WATERC�OSE7�101LE7) AIR COND Ut�ITO - H.7. EA. m � <br /> BATMTU9 AEFRIGERATION UNITS— M.P.EA '� _ <br /> C <br /> LAVATORV IWASH BASIN) 001LERS — HP.EA � _ <br /> SMOWF,R GAS FIRED AL.UNITS— TONNAGE EA. �N <br /> < <br /> NITCMFN uIN:.4 DISP. FORCED AIR SYSTEMF— B.TA. M EA. � <br /> DISHWASH.R WALL HEATEPS— B.7A. M � A <br /> UUNURY TRAY UNIT HEATERS— B.TD. M ' <br /> —1 Fi <br /> CLOTHES WASHER EVAPORATIVE COOLERS 3' <br /> r i�. <br /> WATEq HEATER CLOTHGS DRYERS N <br /> u <br /> URINAL VENTILATION FAq _ _ n m <br /> OR�NKING FOUNTAIN RANGF HOOD _ ; N <br /> FLOOP DRAIN AIR HANDLING UNIT — C.F.M. m <br /> VACUUM BNEANERS STOVE— WO00 ;�r <br /> _ . m <br /> ROOF ORAINS— RAINLEADF.RS METAL FIREPLACE 8 CMIMNEY � <br /> SINN�SERVICE — BAR,ETC.I FIREPLACE INSERT ,,,� <br /> HEAT PUMP = <br /> _ _ a <br /> ' z <br /> --- - ' — � <br /> -- _ <br /> — ., <br /> — � <br /> 6UB TOfRL i BUB 70711L _ f Z <br /> PERMIT L VERMIT f � <br /> _ -� <br /> TOT11L FEE 1; TOTAL FEE f I� SO n <br /> SIDE YARD SETORCR STREET SETOACN NI'AR VARD SETBACM PLAN CHECN NUMBER PLAN CMECK FEE m <br /> FEE RECEIPT NO. <br /> USE ZONE LUT q�EA VACANT SITE — --- '— <br /> YES NO FEES _ _ __ VALUA710N _ FEE <br /> 1YPE OF CONST. OCCUP�.NCV GROUP NO. OF UWELLING UNITS <br /> BUiLOING s <br /> SIZE OF BLDG NO OF STORIES MA% OCC LOAD --�— — --�' <br /> PLUMBING <br /> FIRE ZONE BASiMENT FIRE SPPINNIEFS MECHANIGAL <br /> REOWRED I� SO <br /> YES NO <br /> APPROV�lS BY OATE OiNER —_ — <br /> 1 ENVIRONMENTAL CHECK LIST U BC <br /> _ PENALTY SEC J03�a� <br /> 7 BUILDING PLANS — � <br /> ].FIRENVDRANT — TOTAL 1� SO <br /> �.FIRE PROTECTION SYSTEM VEPMIT VALID�TION <br /> 5 GRAOING WHEN PROPERLY VPLIDA"ED pN THIS SPACEI iM1515 YO,Ufl PERMR �� <br /> 8 ORAINAGE � <br /> _ � <br /> /.ENVIRONMENTALIMPACTStATEMENT � <br /> e MEALTH OISTRICT '� <br /> APPLICATION ACC. BY PLANS CMECKEDB� APPR.FORISSUANCEEV ' � <br /> �.c. �.c. <br /> ni,uti;ss ri�� <br />