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�. <br /> 1 <br /> i� ihr£rr�xreen <br /> ��"�° r ;ONSTRUCTION' <br />' everett PERMIT PERMIT NO. 12yO7 <br />�I CITV HALL 259�87a5 <br /> il EVERE7T.WA 98207 � COMBINATlON ❑ BUILDING �Dc MECHANICAL ❑ PLUMBING <br /> I OWNER MAIL ADDRE55 CITY ZIP PMONE <br /> Ole Sletten 8516 196th S.W. #311 Edmonds 98020 776-1516 <br />� � RRCMITECT OR DESIGNEP MAIL ADDRE55 pTV ZIP PMONE <br /> I� GENERqLCONTR�LTOR MAIL�ODRESS CITY ZIP PMONE LICENSEI <br /> MEGMANIGAI GONTRAGTOR MAIL ADORE55 CITV 21� PMONE LIGENSE� <br /> Same <br /> PLUMBING CONTqApTOR MAIL RODFE55 dTY zIP PMONE LIGENSE M ` <br /> i <br /> • GlASS OF WORN <br /> �NEW O ADDITION � AL7ERATION ❑REPA�(i ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INSERT <br /> VALUATION OF WORN <br /> S <br /> DESGRIBE WORK <br /> Instal Wood Stove <br /> PROPOSEO USE Of BUILDING <br /> I HFqEBY CERTIFY THAT I HAVE READ AND EXAMINFD THIS <br /> LEGAL DESCRIPTION OF PRpPERTY�SMOW BELOW OR ATTACH FOURCOPIES) ti+'F�ICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPE;,IFIED 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 t W REGULATING CONSTRUCTION OR THE <br /> NERFO M OF CONSTRUCTION. <br /> JDB NODRESS SIGNATUR 0 0 AC OR AUTNORIZEO AGENT ORTE <br /> 2zzo sroaawa #i X 1/23/83 <br /> PLUMBING MECHANICA <br /> N�• TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA- <br /> LAVATORY(WASH BASIN) BOILERS — M.P. EA. <br /> SHOWER GAS FIREO A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIP SYSTEMS— B.T.U. M EA. <br /> _ DISMWASHEfl WALL HEATEflS— B.T.U. M <br /> LAUNDRY TfiAY UNIT MEATEFS— B.T.U. M <br /> CLOTHES WASHER EVAPONATIVE COOLERS <br /> WATER H[ATER CLOTHES DRVERS <br /> URINAL VENTIL '�TION FAN <br /> ORINKING FOUNTAIN PnNGE HOOD <br /> _ FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> _ VACUUlA BREANERS S STOVE —WOOD � SO <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 GHIMNEY <br /> SINK(SERVICE — BMR, ETQ) FIREPLACE INSERT <br /> HEAT PUMP <br /> sue rora� s sue rorn� s 7 50 <br /> PERMIT f PERMIT S ZO O <br /> TOTAL FEE f TOTALFEE S <br /> SIDE YARD SETOACK STHEET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AHEA VACANT SITE <br /> �, .VES �,-,NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MA%. OCC. LOAO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL ],�J SO <br /> REOUIRED <br /> � YES �. �.NO <br /> APPROVALS BY DATE OTHER � <br /> 1. ENVIRONMBNTAL CHECK LIST PENALTV U.B.C. <br /> 2.BUILDING PLANS SEC.7U3(a) <br /> 3.FIRE HVDHANT TOTAL 1� 5� � <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION I <br /> 5.GRADING WHEN PROPERLV VALIDATEO pN .'MI��PBC�)THIS�So-'(#J�P�iglT— � � <br /> 6.DFAINAGE 0 I <br /> 7.ENVIRONMENTAL IMPACT STATEMENT O� <br /> B.HEALTHDIiTRICT �`,1;.� R RECCIPTN ' <br /> epPLICATION ACC.BY PLANS CHECKEO BY APPR.FOR ISSUANCE BY I <br /> -,�:-�n>>K You ; <br /> ? ; Ji�IJ b�I , <br /> ADDRESS FILE � <br />