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�h� �,�����en CO NSTR U CTIC 'V <br /> <�,� �F ; <br /> everett PERMIT PERMIT NO. 1.2202 <br /> CITV HFLL 259�8765 <br /> EVERETT,1NA 98201 � �OMBINATION ❑ BUIIDING f�X� MECHANICAL ❑ PLUMBING <br /> OWNEa fdAIL ADDFE55 GITY 21P PMONE <br /> BEN SCOTT 3426 Broadway Everett <br /> <HGMiiEGT OR DESIGNER MAiL ADORE55 GTV 21P PHONE <br /> GENERAL GONTRACiOR MqIL ADDRE55 qTY 21P PMONE LICENSE 1 <br /> MECMANICAL CONTRRCTOR MAIL AD�RE55 CITY ZIV PHONE 4CENSE� <br /> Natural Gas Equipment 1611 E. Grand Everett 258-2441 <br /> PLUMBING GONiRAGTOR MAIL ADDRE55 CITV ZIP PMONE UGENSE� t <br /> CLA55 OF WORK <br /> �NFW O ADDITION ❑ ALTERATION ❑REPAIN O DEMOLITION ❑ fENCE O SIGN O WOOD STOVFJFIREPLACE INSERT <br /> YALUAT'�N OF WORK — <br /> S <br /> DESCRIBE WORK <br /> Install hot water heater <br /> PROPOSEO USE OF BUILDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> tEGALJESC�iIPTIDNOFPROPENTY�SMOWBELCWO° '�'-ACHfOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOi_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPL�ED 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 STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ApDRE55 SIGNATURE OF CONTRACT P.�q AUIMOW'ED AGEI{S <br /> 3426 Broadway X , � , 7f��/83 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOiLETI AIR COIJD. UNITS — H.P. EA. <br /> BATHTUB REFRIGEFATION UNITS — H.P.EA. <br /> LAVATOflV�WASHBASIN) BOIlERS — H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS —TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISMWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATE(i CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN Alq NANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS — FAINLEAOERS METAL FIREPLACE& CNIMNEV <br /> SIIJK(SERVICE — DAR,ETG) FIREPLACE INSERT <br /> HEAT PUMP <br /> 0} W�tEI' {1P.1}'PI^ �_ <br /> sua rora� ; sue rorn� s 4 50 <br /> PERMIT S PERMIT S �O OO <br /> TOTAL FEE S TOTAL FEE S �4 5O <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK Nl1MBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �VES . .NO FEES VALUATION PEE <br /> 7YPE OF CONS7. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG, N0.OF STOPIES MAX.OCC. LOAD <br /> PLUMBING � <br /> FIRE ZONE BASEMENT FIFE SPRINKLEP.S MECHANICAL �G 5� <br /> REOUIRED <br /> VES NO <br /> APPROVALS BY DATE �THER <br /> t ENVIRONMENTAL CHECK LIST U.B.C. <br /> PENALTY SEC.903(a� <br /> 2.�UILDING PLANS <br /> 3.PIflE HVDRAWT TOTAL �G 5O <br /> a.FIRE PRO7EC710N SVSTEM PERMIT VALIOATION <br /> S.GRADING WHEN PROPERLV VALI�ATED(IN THI�S�ASC4 THIS�S yO�F�11PF.EiFyT—(�� <br /> 6.�RAINAGE D V '1 5 U �r <br /> 7.ENVIRONMENiALIMPACTSTATEMENT � <br /> 8.HEAL'iH DISTRICT N <br /> APf`LICATION ACC. BY PLANS CHECKED BV APPR. FOR ISSUANCE BY YO U R REC E I PT� ` <br /> �;;,�IJK YO U <br /> ��-���;�� F�,� I 3 .�u 83 <br />