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thr Errrxrrrn <br /> everett �ONSTRUCTIO � ' <br /> PERMIT P�Rnnir No. 15836 <br /> pTV HRLL 259�fi745 <br /> eveaEn.wneazo+ ❑ �pMBINATION ❑ BUILDING xX MECHANICAL ❑ PLUMBING <br /> OWNF4 kML RODRE55 GiTY IiP PMONE <br /> MELVIN RAY FIELDS 1118 Colby Avenue Ever.�ett WA 98201 252-3218 <br /> ApGHITECT ON OESIGNER MAIL APOPE55 GTY 21G PNONE <br /> GENERALCONTRPGiOR MAILADDRE55 C�iV ZIP PHONE UCENSE� <br /> $3IIIC <br /> MEGHI�HICRL WNTqApTOR MAIL FODRE55 pTY ZIP PHONE UGENSE� <br /> PLUMEING CONifiqGTOR MAII ADOFESS CI'Y zlP CHOrvE LIGENSE� <br /> GLASf OF WORK <br /> ❑ NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOUTION ❑ FENCE ❑ SIGN C� WOOD STOVE/FIREPLACE INSERT I <br /> VAWI.TION OF WORN <br /> 1 <br /> DESGtiIBE WOFN <br /> Wood sto�.e <br /> PHOWJSEO USE OF BUILOiNG `Z <br /> I HEREBY CERTIFY THAT I HAVE READ AND EX.4MINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGR.OESCNIPTIONOFPROPERTY�6HOWBELOWOflATTRCNFOURCOPIE51 CORRECT. ALL PROVISIONS OF lAWS AND ORDINANCES m <br /> LGT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH " <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOflITY TO YIOLATE =�i <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR ,,,, ,� <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE �+m <br /> PERFORMANCE OF CONSTRUCTION. v <br /> JOB AO�RESS SIGNATURE OF C06'TRALiOR OR AUTHORIZED AGENi DPiE C O <br /> 1118 Colby Avenue X a 12/18/85 �� <br /> PLUMSING MECHANICAL �m <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE m "'� <br /> WATERCLOSET(TO�LET) AIR COND.UNITS- H.P. FA. Q = <br /> BATHTUB HEFRIGERATION UNITS - HP. EA. C <br /> � � <br /> LAVATORV(WASH BASIN) BOILERS- H.P. EA. �� <br /> SMOWER GAS FIRED A.C. UNITS-TONNAGE EA. �� <br /> < <br /> KITCHEN SINK&DISP. FORCE�AIR SYSTEMS - B.T.U. M EA. � <br /> O F <br /> DISMWASHER WALL HEATERS- B.T.U. M �� <br /> LAUNDRY TRAV UNIT HEATERS- B.T.U. M � <br /> 2 <br /> CLOTHES WASNER FVAPORATIVE COOLERS m N <br /> WATER HEAtEq CLOTMES ORVERS � <br /> URINAL VENTILATION FAN �m <br /> DRINKING FOUN7AIN RANGE HOOD 3 N <br /> m <br /> FLOOR DRAIN Alfl MANDLING UNIT- C.P.M. �r <br /> VACUUM BREANERS 1 STOVE -WOOD � y <br /> ROOF DRAINS- RAINLEADERS METAL FIflEPLACE 8 CHIMNEY p <br /> SINK ISFRVIGE- BAR.ETG) FIREPLACE INSERi � <br /> S <br /> NEAT PUMP s <br /> 2 <br /> � <br /> 2 <br /> N <br /> SU9TOTAL i SUBiOTAL f � S o <br /> GENMIT S PERMI7 f 10 00 � <br /> TOTAL FEE f TOTAL FEE f n <br /> m <br /> SIDE YARD SE7BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NC. <br /> USE ZONE LOT AREA VACANT SITE <br /> '.YES '�. �NO fEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANGY GHOUP NO.OF DWELIING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%. OCG LOAO <br /> PLUMBINO <br /> FIREZONE BASEMENT PIRE SPRINKLEPS MECHANICAL <br /> REOUIflEO j'J SQ <br /> YES NO <br /> RPPROVRLS BY OATE OTHEP <br /> 1. ENVIRONMENTAL CHECK UST PENALTY U B.C. <br /> SEG 303 Ial <br /> 2.BUILOING PLANS 17 50 <br /> 3.FIRENYDRANT TOTAL <br />' 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> I 5.GRADING — WHEN PROPERLV VALIDATED�IN iHl$�qC�EI THISeS�qU11 PEApIT_ � <br /> 6.DRAINAGE 6 75 7 ,p I / .� V <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.MEAI.THDISTflICT ' � �� ' � i',. � ' � II I �-� <br /> APPLICATION ACC.BV PLANS CHECKED B� APPR.FOR ISSUANLE BY � '� <br /> � ' 1.. I � � <br />► .J <br /> � �', .�,_t; c 7 <br /> ADDRESS FILE <br /> I <br />