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,. <br /> 1 <br /> rnr Llr.k.�•en __ <br /> everett CO NSTR U CTIO � � <br /> PERMIT PERMIT NO. 1�931 <br /> CITV HALL�59�97�5 <br /> EVERETT,Wp9gp01 � C�MBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWHFR M�IL ADDRESS CITY LI' VHONE <br /> ' Tim Phillips 3423 Bell Avenue Evezett <br /> �RCNITECT OR OESiGNEN M�4 ApORE55 CITY IIP PMONE <br /> GENER�L CONiF1Gi0R MAIL AOOPE55 ;;ITv 21P PMONE LIGENSE I <br /> MEGHANIG�L COHTR�CTOR MAIL ADDRE55 GRY IiP PHONE I ILENSE� <br /> Natural Gas Equipment 1625 Eaet Maine View Drive Everett 98201 258-2441 <br /> PLUMBING CONiR�CiOR M�IL AODNE55 GTV ZiP PnOHE IiLENSE• � <br /> GU55 OF WORR -- <br /> ❑NEW ❑ ADDITION ❑ A�TEFATION ❑REPAIR G OEMOLITION O FENCE ❑ SIGN O WOOD STOVEIFIflEPUCE INSERT <br /> VAIU�TION OF WORN - <br /> 3 <br /> OESCRIBE WOPK <br /> PROPOSE�USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> LEGAI DESGPIPiION OF PROPERTY ISMOW BELOW OR AtT�CH FOUR COPIE51 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORGINANCES <br /> �or_eiocK_ov GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PF.RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY �THER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> _ PERFORMANCE OFCONSTRUCTION. <br /> JOB�DORE55 SiGNATUHE OF CO idACT R OR�Ui REU AGEMT OQE <br /> 3423 Bell Avenue X 1/31/84 <br /> PLUMBINO MECHANICAL <br /> N�• TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WRiERCLUSET�TOILET) qIR CONO. UNITS- M.P EA. <br /> BATHTUB REPFIGERATION UNITS - MP. EA. <br /> LAVATOFY�WASM BASIN� BOILERS- M.P. EA. <br /> _ SMOWER GAS FlHED A.C. UNITS - TONNAGE EA. <br /> KITCMEN SINK 8 DISP. PORCED AIR SYSTEMS - B.T.LL M EA. <br /> DISMWRSMEH WALL MEA7ER5- B.T.U. M <br /> LAUNDRV TRAV UNIT MEATERS- B?.LL M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WRTER HEATER CLOTHES�RYERS <br /> _ URINAL VENTILATION FAN <br /> DRIhKING FOUNTAIN RANGE MO00 <br /> FLOOR DRRIN AIP HANDLING UNI7- C.F.M. <br /> VACUUM BREANEHS STOVE - WOOD <br /> ROOF ORAINS - RAINLEAOERS METAL FIREPLACE 6 CMIMNEY <br /> SINK�SE9VICE - BAR, ETC.� FIqEPLACE INSERT <br /> HEAT PUMP <br /> _ 1 Water Heater 4 50 <br /> SUB TOTAL { SUB TOTAL { <br /> _ PERMIT f PERMIi i 1� ()� <br /> T0T11�fEE f TOTAL FEE f 19 50 <br /> SIDE YARD SETBACN SiNEE7 SEiBACN REAR YARD SETBACK PLAN CMECK NUMBER PLAN CMECN FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE <br /> YES NO FEES VALUATION FEE <br /> 1YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILUING t <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC. LOA� <br /> PLUMBING <br /> � FIRE ZONE BASEMEAt FIRE SPRINKLERS MECHANICAL l4 $O <br /> REOUIREO <br /> YES NO <br /> APPp0VAL6 BY DATE O7HEfl <br /> 1. ENVIRONMENTAL CHECK UST PENALTY U B C <br /> 2.BUILDING PLANS _ SEC.70J p� <br /> J.FIREMYOF�NT TOTAL 14 SO <br /> /.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> � 5.GRADING WHEN PROPERLY VALIDATED(IN TH16$P/�(�C�THIS�S/yQUI�P�MIT�� � <br /> B.DFAINAQE � � �) � �� V <br /> 7.E��VIRONMENTALIMVACTSTATEMEN? � <br /> B.HEALTH pISTRICT � ' .I n ��:C E 1 PT.� <br /> APPLICATION ACC. BY PUNS CHECI(I.J BY APPR. FOR ISSUANCE BY ' <br /> � ' IY 1��_� U <br /> � <br /> - � r�o84 <br /> ADDRESS Fllfi <br />