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� <br /> d+e bl�rrcrei•n <br /> ��� cor�srRucric� r-� <br /> everett PERMIT �ERMIT NO. 14�H4 <br /> QTY HALL 259-8745 <br /> evea�rt�aa 9ezo, V COMBINATION f� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OV:NER MAIL FpDRE55 �ITY 'IP PNONE <br /> Kingeize Photo 3231 Broadway Everett 9820i <br /> aRCHiliCi OR UES G ER MA��ApDRE55 GItV Z�P PHONE ' <br /> r <br /> GENERqL GONTRALiOR MRIL RDDRE55 CITY 21P PHONE �ICENSE 11 <br /> I <br /> MECMA111CR1 CANTRAGTUF MAIL RODRESS GTY ZIP PHONE IICENSE/ <br /> Natural Gns Equipment 1625 East MARINE View Drive Everett 98201 256-2441 <br /> PLUMBING GONiRACtOF MAIL ADflRE55 pT� ZIP PHONE LIGENSE I <br /> ClA55OF WOHN { <br /> ❑ NE1N ❑ ADDITION ❑ qLTERATION O REPAIR ❑ DEMOLI710N C �EN:E I7 SIGN ❑ Wp07 STOVfIFIREPLACE 1NSERT <br /> VALUATION OF WORK <br /> t <br /> DESCPIBE WORN CIUCt <br /> Install two dHilpk furnaces <br /> PPOPOSEp USE OF BWl01NG <br /> I HEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LE,nlOESCFIPTIONOFPROPERTY�SMOWAFInWpp.4TAvL;%OUFWfryES) APPLICATION AND KIJOW THE SAME TO BE- TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS ANp ORDINANCES <br /> tCT___BLOCK_OF GOVERNING THIS TYPf OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED hIEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> PERFORMANCE OF CONSTRUCTION. <br /> J09 RODRE$5 ;IGNAT PE OF GONTRnGiOR OR Ai1THORI2E[l 4GEN1 DaTE <br /> 3231 Broadway X 1V <br /> I - <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF fIXTURE UN ITEM —� FEE N0. TYPE OF EOUIPMENi FEE <br /> WA1EP CLOSET�TOILF.T� AIR GOND. UNITS— N.P. EA. <br /> BA7NTUB <br /> REFRIGERATION UNITS — H.P. EA. <br /> LAVATORV(WASH dASIPq BOILERS— H.P. EA. <br /> SHOWER <br /> — GAS fIRED A.C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISP. z FOR�ED AIR SVSTEMS— B.T,Uj�� A EA. ].Z OO <br /> DISHWASME!i WPLL HEATEFS— B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS— B.T.U. M <br /> CLOTNES WASHER EVAPORATNE COOLERS <br /> WATEF MEATER CLOTHES DRYER$ <br /> URINAL VENTILATION FAN <br /> DHINKING FOUNTAIN RANGE HOO� <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> _ VACUUM BREAKERS STOVE — WOOD <br /> ROOP DRAINS — RAINLEADEFS METALFIREPLACE 6 CMIMNEV <br /> SI��K(SERVICE — BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> __ SUB TOTAL f SUBTOTAI S 12 00 <br /> PEflM1T S PERMIT S ZO OO <br /> TOTALFEE f TOTAL FEE S 22 B9 <br /> SIDE YARD SETBACK STqEET SETf3ACK REAFi VARD SET�1pCN PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE ;.OT PREA VACANT SITE <br /> I .YES ..NO FEES VALUATION FEE <br /> TYPE OP CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> PUILDING { <br /> 512F. OF BLDG. NO.OF STORIES MA%.OCG LOAD � <br /> PLUMBING <br /> FiR[ZONL BASEMENT FIRE SPRiNKLCRS <br /> RFOUIRE� MECHANICAL ZZ OO <br /> YES NO � <br /> APPROVALS _ _ BY DATE O7HER � <br /> 1. ENVIRONMENTAL CNECK LIgT _ PE��A�TY U.B.C. <br /> 2.BUILDING PLANS SEC.30J(a) <br /> 3.FIREHY�lIqNT TOTAL ZZ OO <br /> J.IiRE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5.GNAD�NG WMEN PROPERLV VALIOATED pN THI6 SPACE)TH1575�Y(Mll�PERMIT <br /> 6.DRAINFGE - � � � � � � �� <br /> L 7.ENVIRONMENTALIMPACTSTATEMENT (•) <br /> 8.MEALiM DISTRICT V� <br /> APPLICA710N ACC.BY PLANS CMECKED BV APPR.POR ISSUANCE BY - �� � �� <br /> . ' <br /> I 'I <br /> i i'.� <br /> ,1DDRESS FILE <br /> _ . . _ __ _._ __ J <br />