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dn' !�_n'rerarn <br /> everett CONSTRUCTIC V <br /> PEF3MIT PERMI7 NO. 13JH6 <br /> CIi'/ HALL 259�B7a5 <br /> evEaerr.wneezoi ❑ COMBINATION ❑ BUILDING � MECHANICAL I� PLUMBING <br /> OWNCF M�IL AUUNE45 GIiY Z�V VNOHF <br /> G, KENNETH CHAPMAN 4312 Bell Everett 41A 98201 259-3896 <br /> APGHItECi OR OESIGNER MNIL A��RESS fI1Y ZIP PHONE <br /> GENERIL CONLIdLiOR M�IL�O�RR$ GIiY 21P PHONE UCENSE� <br /> Paul A. Campbell <br /> MECI��NILAL CJNLR�LTOR MRIL�DDRE55 GRY ZIP PMONE UCEHSE� <br /> PlUM91NG LONLRAGIOR M�R�ODRE55 GITv 2�P PMONE 4CENSE r <br /> L1�SS Of WORN ,y, <br /> ❑NEW O ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION � FENCE ❑ SIGN LNX WOOD STOVEIFIREPLACE INSERT <br /> VRW�tION OF WONK <br /> S <br /> DESCRIBF WORN <br /> Instalt fire lace insert _ <br /> PROPOSED USE OF BUILOiNG <br /> 1 HEREBY CERTIFY THAT I H.4VE REAG AND EXAMINED THIS <br /> Residence APPLICATION AND KNOW 'HE SAME TO BE THUE AND <br /> LEGALpESLRiPTiONOFPROPERTYISMOWBELOWORATT�CNFOURC0VIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_e�ocn_or WHETHER SPECIF�ED HEFEIN OF NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESL'ME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL lAW REGULATING CONS7RUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AUDRESS SIGNRiURE OF CONIRRCtON OR AUI 0 12ED AGENL DAiE <br /> 3412 Bell X 7/5/B4 <br /> .�_ <br /> PLUMBIN6 MECMANICAL _ <br /> N0. TVPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIP COND. UNITS — M.P. EA. <br /> BATMTUB H[FRIGERATION UNITS — MP. EA. <br /> LAVATORV�WASHBASIN� BOILERS— MP. EA. <br /> SHOWER GAS Flf1ED A.Q UNITS— TONNPGE EA. <br /> NITCNEN S�NN 6 DISP. PbRCED AIR SVSTEMS — 81.U. M EA. <br /> DISMWFSHER WALL MEA7ERS— B.i.U. M _ <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASMER EVn^ORATIVE COOLERS _ <br /> WATER MEATER CLOTMESORYERS __ <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DFAIN AIR NANDLING UNIT — QF.M. <br /> VACUUM BMEANERS PJ� _— � <br /> ROOF DRAINS— RAINLEADERS METAL FIRF.PLACE 8 CMIMNEY <br /> SINK(SERVICE — BAR, ETC.) FIPEPLACE INSERT <br /> — MEAT PUMP <br /> SUB TOTAL 1 SUB TOTRL f � 5� <br /> PERMIT f PERMIT f _�_Q Q'i <br /> TOTAL FEE f TOT�L FEE f <br /> SIDE YARD SETBACK STREET$ETBACK REAR YARO SETBACK PLAN CMECN NUMBER PLAN CMECN FEE <br /> FEE RE(,C7PT N0. <br /> 115E ZONE LOT ARE4 VACANT SITE --- --� <br /> YES NO _ FEEF __ VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS _ <br /> BUIiDING s <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC LOAD � — <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL � �] 5O <br /> REOUIRED <br /> vES NO — <br /> qCPROVALS BY DRTE aT11ER — <br /> 1. ENVIRONMENTAI CMECK LIST PENALTV U B C <br /> _ SEG 707 lel <br /> 2.BUILOING PLANS __ TOTAL 17 50 <br /> ? FIREHVDRAHT <br /> �.FIRE PFOTECTION SVSTEM PERMIT VALIDRTION <br /> 5.fiRADING WHEN PROPERLY VALIDATED pN THI i SPACEJ TMIF�S YO�I�'F�NIT_�j_)� <br /> � � � /rji <br /> B.ORAINAGE ��'i <br /> LkNYIRONMENIALIMPACTSTATfMENT (ij <br /> B �EALTMDISTRICT ! ..'.I� �� i <br /> APFUCATION ACC. BY PLAN�CH[�NED BY APPR. fORI$$UANCE BY <br /> 'J <br /> - _ ,. � <br /> noo�Es; r i�r <br />