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(hP6l�Pr1rP('n i- --� CONSTRUCTIC'�! � <br /> ,� <br /> ever�tt PERMIT P�RMIT NO. 119HZ <br /> CITv HALL '159-07a5 <br /> eveaerr wnsezoi ❑ COMBINA710N ❑ BUILDING CL� MECHANICAL f7 PLUMBING <br /> OWNEii M�IL�DORE55 Gliv 21P PMONE <br /> Lyle J. Gordon 1321 Aallew Avenue Everett 98203 355-5482 <br /> APCHITEC OR DESIGNER MRiI ApORE55 CIiY 21P PHONE <br /> GENER�I GONiR�LTOR M�II ROD�[55 CIIY ZIP PnONE LILENSE I <br /> MECH�NICAL CONTR�CiOA MAII�ODRE55 CITY ZIP PMONE LIGENSE� <br /> $8111C' <br /> PLUM91hu CONTfULfOR MAIL ADORESS CRY ZIP PMONE LICENSE I I <br /> CLA55OF WORN <br /> ❑ NEW ❑ ADDITIUN ❑ ALTERATION ❑flEPAIR ❑ DEMOLITION ❑ FENCE O SIGN (�( WOO�STOVFJFIREPUCE INSERT <br /> ��LUATION OF IVORN <br /> f <br /> OF.SCRIBE WORI( <br /> Install free ai:anding wood stove <br /> VROPOSED USE OF BUIIDING <br /> I HEREBY CEHTIFY THAT I HAVE FtEAD AND EXAMINED THIS <br /> APPLICATION AND KNOVJ THE SAME TO BE TRUE AND <br /> LEG�L DESCRIPTIUN OF PROPE�ITYISNOW BELOW OR RT7�CM FOUR COPiE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK_�F _ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> -- OR CANCEL TI�E PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATIN CONSTRUCTION OR THE <br /> PERFORMAN F CONST CTION. <br /> JOB ADORE55 SIGNAT❑ F Ct 0 UT1 EU AOE DATE <br /> 131G Sallew Avenue X 1/24/86 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�iOILET) AiR COND. UNI75 — HP. EA. <br /> BATHTUB PEFRIGERATION UNITS— H.P. EA. <br /> LAVATOHY�WASH BASIN� BOIL[RS— H.P. EA. <br /> $MOWER GAS FIRED A.G.UNITS— TONNAGE EA. <br /> KI7CHEN SINK 6 DISP. FpRCED AIR SYSTEMS— B.TL. M EA. <br /> OISHWASHER WALL MEATERS— B.T.U. M <br /> LAUNbRY TRAV UNIT HEATERS— fl.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOI.ERS <br /> WATER HEATER CLOTMES DRVEFS <br /> URINAL VENTILA710N FAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FLOOR DRAIN AIR MANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAIHS— RAINLEADEFS METAL FIREPLACE 8 CHIMNEY <br /> SINN(SERVICE — BAR, ETCJ FIREPLACE INSERT <br /> NEAT PUMP <br /> .� <br /> BUBTOTAL 1 SUB 70TAL f 7 50 <br /> PEHMIT S PEHMIT f 10 00 <br /> TOTAL FEE f TOTALFEE f <br /> SIDE YAND SETBACK STREETSETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AfiEA VACANT SITE "— <br /> YES . .NO FEES VALURTION PEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BIDG. NO.OF SiORIES MA%.OCG LOFD — <br /> PLUMBING <br /> FIREZONE iBASEMENT FqE SPRINNLERS MECMANICAL <br /> REOUIRED 1� SO <br /> YES NO <br /> pPPROVRLS BY DATE OTMEF <br /> 1. ENVIRONMENTAL CHECK LIST pENp�Ty U 8 C <br /> SEC.703 lal <br /> 2.DIiILDIN�i PLANS — <br /> .9.FIREH+DRANT TOTAL 17 SO <br /> �.FIRE PROTECTION SYSTEM PEHMIT VALID�TION <br /> 5 GRAOING . , WHEN PFOPERLY VALIDATEO(IN TM(S�RA�E)iHl�'ISIY�U�1 f�F1�11L � <br /> il I J II <br /> c ORAINAGE <br /> � <br /> 7.ENVIRONMEN?ALIMPAC�STATEMENT � <br /> 1�HEALTM DISTRICT � � , ; ; � �..i <br /> APPUCATION ACC. BY PLANS CHECKED BV APPR. FORISSUANCE BY <br /> . , I <br /> i . <br /> i �: J <br /> ADDR[SS filF <br />