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� <br /> ���� � ��������� ':ONSTRUCTIOf� <br /> �,. �,, <br /> everett PERMIT PERMIT N0. 14270 <br /> CITY HALL 459�07<5 <br /> EVERETT,WA 98701 [] COMBINATION ❑ BUILDING 7(� MECHANICAL ❑ PLUMBING <br /> OWNER M�II��ORE55 CRY ZIP PNONE <br /> r Jerry Weir 1112 Clinton Place Everett 98201 � <br /> •RCMiiEGi OR DESiGNER M�iL��OFE55 �iiY 2iP PNONE . <br /> OENER�L CONTH�CiOR M�IL�DORE55 diY ZiP PMONE LiCENSE� I <br /> MEGM�NIC�L LONiRACtOR M�R 1DORE55 �ITY IIP PMONE LICENSE 1 1 <br /> Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 � <br /> PIUMBING CONtP�CiOR M�II.�O�RE55 GiTY 2iP PHONE �IGENSE� /q , <br /> j <br /> CUSS OF WORI( <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> V�LU�TION OF WORI <br /> f <br /> �ESGRIBE WONe <br /> PROPoSED USE OF BUILDINO <br /> 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL OESCRIPtION OF PpOPEPiY�SMOW BELOW OR�TTACN FOUR WPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND OPDINANCES <br /> lOT_BIOCK_OF GOVERNING THIS TVPE 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 STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMA E OF CONSTRUCTION. <br /> JOB�ODPESS SIGN�TIIRE OF p �/pq OR AUTNORiZED AGENt DAtE <br /> 1112 Clinton Place X 12/19/84 <br /> PLUMBINO MECHANICAL <br /> NO. TVpE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> _ WATERCLOSET�TOILET) AIR COND. UNITS— H.P. EA. <br /> _ BATHTUB REFRIGERGTION UNITS— HP.EA. <br /> LAVATORY(WASH BASIN� BOILERS— MP.EA. <br /> SHOWER GAS FlREU A.C. UNITS — TONNAGE EA. <br /> KITCHEN SINNB DISP. FORCED AIR SYSTEAIS— B TL. M EA. <br /> DISHWASHER WALL HEATERS— BT.U. M <br /> UUNDRY TRAV UNIT MEAiEflS — B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES�RVERS <br /> URINAL VENTILATION FAN <br /> ORINKINQ FOUNTAIN RqNGE HOOD <br /> FLOOR URA.:: AIR HANDLING UNI7 — GF.M. <br /> VACUUM BFEANERS STOVE —WO00 <br /> ROOF ORRINS— RAINLEADERS METAI FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE— EAR,ETG� FIREPLACE INSEflT <br /> HEAT PUMP <br /> _ 1 Water Heater 4 50 <br /> BUB TOTAL 1 SUR TOTAL f 0 <br /> _ VERMIT f PERMI7 1 <br /> TOTA�FEE ► TOTAL FEE i <br /> SIOE YARD SETBACN STREET SETBACK REAR YARD 9ETBACN PLAN CMECN NUMBEF PLAN CMECN FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITf <br /> YES NO FEES VALUIITION FEE <br /> iYPE OF CON57. OCCUPANCY GROUP NO. OF DWELLING UNITS — —_ � <br /> AUROING { <br /> SIZE OF BLDG. NO.OF STORIES MA% OCC. LUAD — <br /> PLUMBING <br /> FIRF :ONE BASEMENT FIRE SPRINK�ERS MECHANICAL <br /> REOUIREU <br /> YES NO � <br /> • APPROVALB BY DATE �TMER <br /> 1.ENVIRONMENTAL CHECK LIST PENA�T� ll B C <br /> 4.BUILDING PLANS _____ SEC.JO]�e� <br /> J.FIREHVDRANT TOTAL 1Q SO <br /> �.FIRE PROIECTION SYSTEM PEPMIT VAIID�TION <br /> 5.GFADIN9 WMEN PROPERLY VALIDATED pN THI�BPAOE�iM15�15 VOUp PEP)AIL.. <br /> L B.ORAINAGE — 1 � (t � i � <br /> 7.ENVIHONMENTAL IMPACT STATEMENT N <br /> B.HEALTM DISTRICT � ; ' ; � <br /> RPPLICATION ACC. BY PLANS CHECKEO BY APPR. FOqISSUANCE BY � � <br /> L— 11DURC:S I il L <br />� ' <br />