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,�``,�"r`Gn � CONSTRUCTIO' 1 , <br /> everett PERMIT PERM�T No. 12370 <br /> GTY MALL 259�8745 ' <br /> EVEREiT.WA 98201 ❑ COMBINATION ❑ BUILDING Cy �MECHANICAL ❑ PLUMBING <br /> OWNEP MRILADOFE55 UTY 2iP GHONE <br /> ItYt!![7I8![8 Richard Kummer 1112 Colby Avenue Everett 98201 <br /> RRGHITEGT OR DESIGNER MAIL ADDRE55 CRY ZIP PMO�IE <br /> GENCRnL GONiRPCTOR MAIL RODRE55 QTY 21V PMONE LICENSE M <br /> MEGMRNICAL CONTRAGTOR MAIL ADDRE55 GITY ZIP PHONE LiLENSE� <br /> Accurate Service Inc. 13235A Nurthrup Bellevue 98005 <br /> PLUMBING CONTRACTON MAIL ApDRE55 GITY 21P PHONE UCEIISE/ ; <br /> accnri217S9 <br /> GLPSS OF WOHN <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE O SIGN O WOOD STOYEIFIREPLAC�INSERT <br /> VALUATION OF WORN <br /> f � <br /> DESCPIBE WORK <br /> PROPOSED USE OF BNLDING <br /> I HEREBY CEATIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNO�N THE SAME TO BE TRUE ANO ' <br /> LEGALDESGRIPf10NOFPPOPERTYISNOWBELOWOflRTTACHFOIIRCOPIE51 CORRECT. ALL PROV�SICiJS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERM IT 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 /> PERFO ANCE OF CONSTRUCTION. <br /> JOB AODRE55 y SiGN F GpNiRA _�OF`]ED AG Ni / / DATE <br /> 1112 Colb Avenue � <br /> `{.•LYJ rt .n.: 8 25 83 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEn /+IR COND.UNITS— M.P. EA. <br /> BATNiUB REFRIGERATION UIJI75— H.P. EA. <br /> LAVATOFV(WASHBASIN) BOILERS — M.P. EA. <br /> SMOWER Gn5 FIF[D A.C. UNI75—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. L FORCED AIR SVSTEMS— B T.U. M EA. G OO <br /> I DISHWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRHV UNIT MEATEflS— 8.T.0. M <br /> I CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLO7HE5 DRYERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNiAIN RANGE HOOD <br /> FLOOR DRAIN AIP MANDLING UNIT— G.F.M. <br /> VACUUM BREAKERS STOVE— WOOD <br /> ROOF DRAINS— RFINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK ISERVICE— BA1l, ETC.I PIREPLACE INSERT <br /> HEAT PUMP <br /> 1 Wa - <br /> SUB TOTAI : SUB TOTAL S 1 SQ <br /> PERMIT S PERMIT S 10 00 <br /> TOTALFEE f TOTAIFEE S 20 50 <br /> SIDE YARD SETBACK STREET SEIOACK REAP.VARD SETBAG( PLAIJ CHECN IJUMBER PLAN CHECK FEE <br /> FEE REGEIPT NO, <br /> USE ZONE LO7 AFEA VAGANT SITE FEES VALUATION FEE <br /> VES NO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING S ZO SO <br /> SIZE OF BLDG. NO.OF STORIES MAx.OCC. LOAD <br /> PlUM81NG <br /> FIRE ZONE BASEMENI FIRE SPFINKLEFS MECHANICAL � <br /> REOUIRED <br /> ' VES NO <br /> APPRJVALS BY DATE �THER <br /> 1.ENVIRONMENTAL CHECK L15T PENALTY U B C. <br /> SEC.J03 lal <br /> 2.BUILDING PLANS TOTAI Z O S O <br /> 3.FIRE HYDRANI' <br /> 4.FIFE PROTECTION SVSTEM PERMIT VALIDA i ION <br /> ; S.GRADING WMENPROPERLVVALIDATEDIINTMISISPt�C,TH1S��(Qyf�PF�I}�T_� � <br /> ULS ULU 7 � <br /> 6.DRAINAGE M <br /> 7.ENVIPONMENTALIMPACTSiATEMENT (V <br /> APPL CATION ACC?BY PLANS CHECKED BY APPR.POR ISSUANCE BV � �� i) R R�C E i PT'-+ <br /> ' �-��'����v�� Y�U <br /> — 2 � ;,�, s 3 <br /> ..���,�« < uf <br />