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ihe£rrr�men C��N ST R U CT I O N � <br /> CITv OF I - <br /> eyerett �ERMIT PERMITNO. 14129 <br /> qTY HALL 259�87d5 <br /> EVERE7T,WP 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNEF MAILA��RE55 CITY 21P PHONE <br /> Jennifer Hughes 1319 Broadway Everett 98201 <br /> ARCMITCGT Ofl D"c51GNER MAI�AOOPESS GTY 21P PMONE <br /> GENERRL GONTF�LTOR MAIL ADDRE55 GITY ZIP PMONE LILFNSE I <br /> MEGHRNICAL CONiRRQOfl MAIL AD�RESS CITY 21P PHONE LICENE�/ <br /> Valley Natural Gas 519 S.E. Everett Mall Way Everett 355-7730 <br /> PLUMBING GON�HACTOR MAIL AD�HE55 CITY 21P PHONE LIGENSE• <br /> CUSS OF WORK <br /> ❑NEW ❑ ACDITION ❑ ALTERATION ❑ftEPA1R ❑ DEMOLITION ❑ FENGE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORN <br /> S <br /> OESCRIBE WOPK <br /> Install gas water heater <br /> PPOPOSE�USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGPL OESCRIPiION OF PROPERTY�SHOW BELOW OR ATTACH FOUR COPIES) CORfiECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF 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 THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR NCE OF CONSTRU T ON. <br /> JOB A�ORESS SIGNAT F CO TRnCTO �A AGENi. DQE <br /> 1319 Hroadway X � i 11/6/84 <br /> PLUM6ING CH ICAk <br /> NO. TYPE OF fIXTURE OR ITEM FEE NO. T F E�UIPMENT FEE <br /> WATER CLOSEi(TOILEn AIR COND.U TS— H.P. EA. <br /> BATHTUB REFFIGERATION UNITS— H.P.EA. <br /> LAVA70fiV�WASH BASINI BOILERS— M.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS —TONNAGE EA. <br /> KITCMEN SINKB DISP. FORCED AIR SYSTEMS— B.7.U. M EA. <br /> UISHWASHER WALL HEnTFRS— B.T.U. M <br /> LAUN�RY TRAY UNIT HEATERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTMES DRVERS <br /> URINAL VENTILA710N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOfl DRAIN AIR HANDLING UNIT— C.F.�7. <br /> VACUUM BREAKEFiS STOVE—WOOD <br /> ROOF DRAINS— RAINLEAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SE(iVICE— BAR,ETC.) FIREPLACE INSER7 <br /> HEAT PUMP <br /> 1 Water Henter <br /> SI1B TOTAL S SUB TOTAL S 4 5 <br /> PERMIT f PERMIT S <br /> TOTALFEE t TOTALFEE = 14 S <br /> SIDE1'ARD SET6ACK STHEETSETBACK REAR YARD SE78ACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> .:YES :.:NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE20NE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIREO 14 50 <br /> : �VES f-.NO <br /> APPROVALS BV DATE �THER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEQ 903 lal <br /> 2.BUILDING PLANS iQ SO <br /> �.FIRE HYDRANT TOTAL <br /> 4.FIRE PROTEC710N SYSTEM PENMI7 VALIDAl!ON <br /> 5.GRADING WMEN PROPEFLY VALIDATE�(IN THIS SPACE)THIS IS YOUR PERMIT � <br /> � ,. � 2 ,� :. � ll � '� —�� <br /> 6.DRAINAGE ' " � - ' <br /> � <br /> 7.ENVIRONMENTALIMPAGTSTATEMENT �. <br /> e.HEALTH DIS7RICT . . , -� <br /> APPLICATION ACC.6Y PLANS CHECKED BY APPR.FOR ISSUANCE BY • • � � <br /> i <br /> ADDRESS FILE <br />