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� <br /> �hr ErrrAreen <br /> � ���°� ' COIVSTRUCTIO�' <br /> everett PERMIT PeRnnir No. 13444 <br /> CITV MALL 259�8705 <br /> EVERETT WA 98201 � COMBINATION [] BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER M41L RD�RE55 CITV ZIP PMONE <br /> Bob Rome 2315 Cleveland Everett 98201 <br /> �NCHIiECi OR DESiGNER MML qpORE55 CrtY ZIP PHONE <br /> r <br /> GENER�LCONiR�CtOR M�ILADDPE55 GiTY 2iP PNONE IiCENSF� <br /> MECHANiC�L CONiF�GTOF M�IL�OORE55 CiTY 21P PMONE �ICENSE� <br /> Natural Gae Equipment 1625 Eaet Marins View Drive 98201 258-2441 <br /> PWMBIN6 COIIiR�CtOR M�IL�DDRE55 CIiV ZiP PNONE LIGENSE 1 <br /> CL�55 OF WORK � <br /> ❑NEW ❑ ADDITION ❑ A�TERATION ❑REPAIF ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> V�WATION OF WORN <br /> ! <br /> DESCRIBE WORN <br /> PPOPOSED USE OF BUILDING <br />� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LE01L UESCRIFTION OF PAOPEF•Y�SMOW BEIOW OB�TT�CH FOUN WPIE51 APPLICATION AND KNOW TNE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND OFiDINANCES <br /> LOT__OLOCN_pF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN Ofi 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 /> JOB�DDRE55 PERFORMANCE OF CONSTRUCTION. <br /> SIGN RE OF CONTR�CLOR OR�ViNORIZED�GENt D�TE <br /> 2315 Cleveland X -{ _ c , �-�, 1/6/B4 <br /> PLUMBINO MECHANICA <br /> N0. TYpE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT fEE <br /> _ 'NATERCLOSET�TOILEn _ AIR CON�.UNITS- H.P. EA. <br /> 13ATHTUB REFRIGERATION UNITS - N P. EA <br /> I.AVATONY�WASHBASIN) BOILEFiS - MD. EA. <br /> 1iHOWER ' <br /> GAS FIRED A.C. UNITS -� TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS - B.T.U. M EA. <br /> UISHWASMER WA��MEATEFS - B.T.U. M <br /> I.AUNORVTRAY UNIT HEATERS - B.T.U. M <br /> CLOTHESWASHER EVAPORATIVE COOLERS <br />� - <br /> ✓YRTER HEATER CLOTHES ORYERS <br /> URINRL VENTILATION FAN <br /> ORINKINQ FOUNTAIN RANOE HOOD <br /> FLOOR ORAIN AIR MANDLING UNIT- <br /> VACUUM BREANERS QF.M. <br /> STOVE - WOOD <br /> ROOF DRAINS - RAINLEADLRS METAL FIREPLACE 8 CMIMNEY <br /> SINK(SERVICE - BAR,EiC.) FIREPLACE INSEHT <br /> MEAT PUMP <br /> — 1 Water Heater _ q 5 <br /> _ SUB TOTAL ; SUB TOTAL { 4 SO <br /> __ FERMIT f - <br /> _ __ PERMIT f <br /> TOTAL FEE { TOTA�FEE f —14 SO <br /> SIDE YAPO SETBACR STREET SETBACK REAR YARD SFTBACK PLAN CHECN NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> VES NO FEES V�LUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> 9UILDING j <br /> SIZE OF BLDO. NO. OF STOFIES MA%. OCC.LOAO <br /> PlUM81NG <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS - - - <br /> REOUIRED MECHANICAL <br /> ves No — 4 50 <br />�� �PPPOVALS BY DATE OTHER � <br /> 1. ENVIRONMENTALCHECNLISi pENALTV UBC. <br /> Y.BUILDING PLANS SEG JOJ�e) <br /> 3,FIREHVDRANT TOTAL S4 SO <br /> �.FIRE PHOiECTION SYSiEM PERMIT VALID�TION <br /> 5.ORADING WMEN PROPEflLV VALIDATED�IN TM�S SP��EI TH1915�YQUR i�EqN1T _ � <br /> 8.DRAINAGE � �� � � � I �I <br /> L 7 ENVIRONMENTAL:MPACTSTATEMENT �) <br /> 8.MEALTH DISTRICT �.� <br /> ,, • I('T . ; <br /> APPLICATION ACC.BY P�ANS CMECNED BY APPq FOR ISSUANCE BY • <br /> I <br /> � . � - <br /> ADDRL'i5 flll. <br /> L <br />