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!hr E�r.crcen � C O N ST R U CT i C `V <br /> �itv GF � <br /> everett PERMIT PERMIT N0. 12201 <br /> CI7Y MALL 259�87a5 <br /> EL'ERETT.1'JA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> t 01NNER MAiLFDORE55 QTY ZiP PHONE � <br /> � RUTH NEL30N 1920 Broadway #3 Everett WA <br /> ARGHITECT ON DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br /> GENERRL LONTRRCTOR MAIL AUDRE55 LITY ZIP PMONE LIGENSE� <br /> MEGMANICAL CONiRACTOR MAIL AODRE55 GTY ZIP PMONE LICENSE� <br /> Natural Gas Equipment 1611 E Grand 258-2441 , --1 <br /> PLUMBING CONTRRGTOR MAIL ADDRE55 GIiY 21P PMONE LICENSE� <br /> CLASS OF WORK <br /> J�, NEW ❑ ADDI710N ❑ ALTEHFTION ❑REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br /> VALUATION OF VlORK <br /> S <br /> �ESCRIBE IVORK <br /> Install hot water tank I <br /> PROPOSED USE OF BUILOING <br /> Residence i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESCRIPiION CF PROPERTY�SHOW BE�OW OP ARACH FOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �ot_e�ocn_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR PlOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PRCVI510NS GF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOa.���esBroadway #3 SIGNAiURE CON TOR OR TMORI2[0 AGENT ��q��83 <br /> � x S � • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7EPCLOSFT�TOILEn Alfl COND.UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVA70RY�WASH BASIN) BOILERS — H.P. EA. <br /> SHOWER GAS FIPED A.C. UNITS — TONNAGE EA. / <br /> KITCHEN SINK801SP. FOPCED AIR SVS7EMS— B.T.U. M EA. ; <br /> DISMWASHER WALL HEATEfl$— B.T.U. M <br /> LAUNDRV TRAY UNIT MEATERS— B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEP CLOTHES DRYERS <br /> URINAL VENTILAiION FAN <br /> DRINKIN� FOUNTPIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE— WOOD <br /> ROOF DRAINS— RAINLEADEFS METAL FIREPLACE 8 CHIMNEY <br /> SINK 1SERVICE— BAR, ETQ) FIREPLACE INSER7 <br /> HEAT PUMP <br /> 1 r h a r <br /> SUB TOTAL S SUB 70TAL S <br /> PEHMIT f PERMIT S (�_ <br /> TOTAL FEE S TO7ALFEE S <br /> SIDE VARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE --' <br /> �:YES �..NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF SiORIES MA%. OCC. LOAD <br /> PLUMBING � <br /> PIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 14 50 <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> L ENVIRON1dENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.903(a1 <br /> 2.BUIL�ING PLANS <br /> 3.FIREHY'DRANT TOTAL 14 50 <br /> 4.FIFE PROTECTION SYSTEM PERMI7 VALIDATION � <br /> �� 5.GRADING WNEN PROPERLV VALIDATED pN THI�?PBiE)THIS ISOVQU�i PER�117 - � <br /> 6.DRAINAGE � � I I �� 5 U <br /> N <br /> 7.ENVIPONMENTALIMPACTSTATEMENT �� <br /> 8.HEALTH DISTRICT YG U R REC E I PT �� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPa. FORI55UANCE BY <br /> THANK YOU <br /> 13 �. 83 <br />