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r _ '1 <br /> Ih�� l/vrrqn'Pn �O N ST R U CT I O�, <br /> � t. ni ' <br /> everett PERMIT PERMIT NO. 12447 <br /> CITY MALL 759�87�5 <br /> EVERCTT.WA98201 � COMBINATION ❑ BUILDING �c MECHANICAL ❑ PLUMBING <br /> OWNER M�IL�DDRE55 GITY 21P PMONE <br /> Richard Rossitier 2406 Cednr Street Everett 98201 252-7340 <br /> 1P6MITECI OR DESIGHER M111�pORE55 CIT� 21P PNONE <br /> GENERIL GONTR�GTOR M11L�pURE55 CiTv L� PMONE LIGENSE� ' <br /> MEGN�NICRI CONiRACTON M�il�DORE55 GitV 21P PHONE LICENSE I <br /> Same � <br /> PLUMBING LONiR�G10R MM�ADORESS CILY 21P PMONE LICENSE I �1 <br /> r '� <br /> CL�55 OF 140Rn <br /> ❑ NEW ❑ ADDITION O ALTERATION O REPAIR O OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPL�CE INSERT <br /> V�LU�tION OF WORN <br /> f <br /> DESGRIBE WOAK <br /> inetall free etending atove <br /> PROMSE�IISE OF BUII�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND ExAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�L OESCRiPiION OF PROPERTV ISMOW BFIOW OR Rt1ACM fOUR COPIE51 CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br /> ior_e�ocx_._or GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PFESUME TO CaIVE AUTHORITY TO VIOLATE <br /> OR CANCFL THE PROVISIONS OF ANY OTHER STATE OH <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION. <br /> JU0��DAE55 SIGN�TUR OF CO iR�C A OR�UtHOR12E0�OE DATE <br /> 2406 Cedar Str�net X 9 21 8 <br /> PLUMBINO MECMANICAL <br /> N0. TYPE O� FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCIASEf�TOILEn AIR COND IINITS — N.P. EA. <br /> BATMTUB REFRIGERATION UNITS — MP. EA <br /> LAVATORV�WASH BASIN� BOILERS— N.P. EA. <br /> SMOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> I(ITCHEN SINN 8 DISP. FORCED AIR SYSTEMS — B T.0 M EA. <br /> DISHWASHER WALL MEATERS — B T U. M <br /> LAUNDRY TRAV UNIT HEATERS— B T.0 M <br /> CLO7HES WASMEil EVAPORATIVE COOLERS <br /> WpTER HEATEF CLOTHES�RYERS <br /> URINRL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR MANDLING UNIT— QF.M. <br /> VACUUM BRERKEFS S STOVE — WOOD <br /> ROOF OPAINS — RAINLEADERS M':TAL FIREPIACE 8 CHIMNEV <br /> SINN�SERVICE — BAR, ETC.) FIREPLACEINSERT <br /> MEAT PUMP <br /> SUB TOTAL i BU!TOT�L 3 7 5 0 <br /> . PERMIT f VENMIT f _ <br /> TOTAL FEE 3 TOIAL FEE i <br /> SIDE YARD SETBRCN SiREEi SETBACK REAR YARD SETBACN PLAN CMECN NUMBEN P1.AN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOi APEA VACANT 51TE � � — <br /> YES NO FEE6 V1ILUATION FEE <br /> TYPE OF CONSL OCCUPANCY�RJUP NO. OF DWELUNG UNITS <br /> BUILDING f <br /> SIZE OF BLDO. NO. OF STOFIfS MA% OCC. LOAD -- <br /> PLUMBING <br /> FIREZONE B�SEMENT qEOUSNEU NLERS MECMANICAL 1� $O �" <br /> � YES . .NO — — <br /> APPROVALB BY DI1TE O7NER <br /> 1 ENVIRONMENTAL CHECN UST PENALTY U B C <br /> __ SEC.JOJ�e� <br /> 7 BUII.DING PLANS — TOTAL 1� S O <br /> ].FIFE MYDR�NT <br /> �.FIREPROTECiIONSVSTEM PERMITVALIDATION ��� �0��.�^ � <br /> 5.ORADING WMEN PHOPERIV V�LIDA7EOIIN iMl TMIS P IeT�� <br /> � E.DR�IN�GE <br /> B.HE�THNDIS qTCTIMPACTBTATEMENT Y'`'�u � RECLIPI``�t <br /> APPLIC�TION ACC. BY PLANS CHECKED BY APPR.FOR 188UANCE BY x�H AN K YO U <br /> 11s� 83 <br /> ADDRESS FllE <br /> � � <br />