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-• -�.. <br /> • — -- � <br /> �h`L,�T.`�n ; CONSTRUCTIO' ' <br /> everett PERMI� PERMIT NO. 123 � 9 <br /> CITY MALL 259�B7a5 <br /> EVERETT,WA 98207 ❑ COMBINATION CI BUILDING ❑ MECHANICAL �c PLUMBING <br /> OWNEF MAIL A�DRE55 CITY ZiP PMON[ <br /> Cheveron USA Sox 211 Seattle 98111 628-5222 � <br /> APCHITECT OR DESIGNER MAIL ADDFE55 GITY ZIP pMONE <br /> GENERAL CONTRACTOR MAIL ADDRE55 LITr 21P PMONE ULENSE 1 <br /> MEGMANIGRL GONTRAGTOH MAIL ADDRE55 CITY Z!P PMONE L�GEYSE� <br /> PWMBING GONTRACTOR MAIL ADDPE55 GTY ZIP PHONE LICENSE� <br /> Davis Industries 6425 212th S.W. Lynnwood 98036 775-9491 <br /> � CU55 OF WORK � <br /> O NEW O ADDITION O ALLEFATION �REPAIR O DEMOLITIUN O FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br /> VALWTION OF WORK <br /> f <br /> UESCRIBE WORK <br /> PROPOSEO USE OF BUILDING <br /> I HER[BY CERTIFY THAT I HAVE READ ANC EXAMINED THIS <br /> APPLICA710N AND KNpW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPHOVERTY�SNOWBELOWORATTRCMFOURGOPIES� CORRECT. 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 /> PERFO OF CON TRUCTION. <br /> JOB AD�HESS SIGNAT RACTO O UiMORIZEO AGENT DI.TE <br /> 3105 Broadway X 8/17/83 <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> 1 WATERCLOSET�TOILEi) Z OO AIR COND.UNITS— H.P.EA. <br /> BATMTUB REFRIGERATION UNITS— H.P.EA. <br /> 1 LAVATORY�WASH BASIN) 2 00 BOILERS— M.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK6 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRVTqAY UNIT HEATEAS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYEFS <br /> URINAI VENTILATION FAN _ <br /> DRINKING FOUNiAIN RANGE HOOD <br /> FLOOR ORAIN Alfl MAN�LING UNIT— C.F.M. <br /> VACUUM BREAKEflS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADEHS METAL FIHEPLACE 8 CMIMNEV <br /> SINK(SERVICE— BAR,ETC.� FIREPLACE INSERT I <br /> HEAT PUMP <br /> I <br /> SUB TOTAL f 4 00 SUB TOTAL f <br /> PEHMIT f PERMI7 S <br /> TOTAL FEE S TOTAL FEE f <br /> SIDEYARD SETBACK STREETSETBACK FEAR VARD SE70ACK PLAN CHECK NUMBER PLAN CHEGK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> [�YES I._NO FEES VALUATION FEE <br /> TYFE OF CONST. OCCUPANCV GHOUP NO.OF DWELLING UNITS <br /> BUILDING 7� <br /> 51:E OF BLDG. NO.OF STORIES MAY.OCG LOAD — <br /> PLUMBING � OO <br /> FIRE20NE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> ' YES : NO <br /> APPROVALS BY DATE O7HEH <br /> L EN\'IRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.30J(e� � <br /> 2.BUILDING PLANS � OO <br /> 3.FIRE MYDRANT TOTAL <br /> 4.FIRE PROTEGTION SYSTEM PEflMIT VALIDATION I <br /> 5.GRADING WMEN PROPERLV VALIDhTE�pN THISO�PiG��TMIS1SOY(ZU�PF�R�IT � <br /> 6.DRAINAGE O � D � 1I U <br /> 7.ENVIRONMENTALIMPACTS7A7EMENT <br /> 6.HEALTH DISTRICt <br /> APPLICATION ACC. BV PLANS CHECKED BV APPR.FOR ISSUANCE BY YO li R R.EC E I PT � ' <br /> il-IANK YOU <br /> I l a� 8 3 <br /> �DDRESS FILE <br />