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�hrE�rrerrrn , �ONSTRUCTIOP , <br /> everett PERMIT PERMIT N0. 1Jd��� <br /> CITV MALL 259E7E5 <br /> eveaeTr,wa eazoi U COMBINATION ❑ BUILDING Cnt MECHANICAL ❑ PLUMBING <br /> OWNER MFR ADDRE55 LiTY liv PNONE <br /> R. STANLEY GELLERSON 1902 COLSY AVENUE EVEREIT WA 98201 252-G139 <br /> ARG!irtECT OR p[9GNEF M411 PD"JRE55 GTY Z�P PMONE <br /> GENERAL GONTRACTOR MRII ADORE55 GITV 2�F PHONE 4LENSE� <br /> VALLEY NATURAL GAS 11323 Hwy 99 Everett WA 98204 355-7730 VALLENG153LI <br /> MECMANIGL CONTR/.GiOR MAI�PODNE55 dTV Z1P PNONE 1.�CENSE� <br /> PLUMBING fANTRAGiOP MAIL AD�RE55 CITY ZIV PHONE UGENS[Y <br /> CU55 OF WpRN <br /> Q NEW O ADDITtON O ALTERATION O REPAIR O DEMOLITION O FENCE ❑ SIGN O WOOD SLOVFIFIREPLACE INSEAT <br /> VFLUATION OF WORK <br /> i <br /> DESGRIBE WORK <br /> Install hot water heater, ran e and furnace with i in <br /> vaoroseo us[nF uuaoiNa <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATIOIJ AND KNOW THE SAME TO BE TRUE AND = <br /> 0 <br /> �ec;n�oescnirr�oeoFanoremris«owoe�owonanaeNvounwwesi CORRECT. AlL PROV�SIONS OF LAWS AND ORDINANCES � <br /> 1.�T_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH n <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 STPT£ OR .-. .-. <br /> LOC�L LAW REGULATING CGNSTRUCTION OR THE "i '� <br /> PERFORMANCE OF CONSTFUCTION. """i <br /> l08 ADOR[SS SIGNRIUPE Of CUHTRFLTOR OR nUTNORIZEO AGENI U4TE N (_+� <br /> 7.402 Colbp X m o <br /> PLUMBIN6 ME ANICAL n <br /> N�. TYPE OF FIXTURE OR ITEM FEE NO. 7YPE OF EQUIPMENT FEE � m <br /> WA'�ERCLOSET�TOILET) AIR CONO. UNITS - H.P.EA. m '-'� <br /> BAT'1TU8 REFRIGERATIGN UNITS- H.P. EA. "" <br /> Q 2 <br /> LAV'�TORV(WASH BASIN� BOILEHS- H.P.EA. <br /> a -� <br /> uHOWER GAS FIRED A.C.UNITS-TONNAGE CA. r = <br /> _�TCHEN SINK 8 DISP. POFCEO AIR SVSTEMS- BT.U. M EA. � N <br /> ��DISMWOSNER WALL HE4TE75- B.T.U. M u p <br /> LAl1NDRY TRAY UNIT HEATEHS-� B.T.U. M T 3 <br /> CLO7ME5 WASHER EVAPORATIVE COOLERS � m <br /> 2 <br /> WATER HEATER CLOTHES DRVERS m ""' <br /> N <br /> URINAL VENTILaTION FAN <br /> DFINKING FOUNTAIN RANGF HOO� O m <br /> C Vf <br /> PLOOR �RAIN AIR HANDUNG UNIT- C.F.M. m N <br /> VACUUM BFlEAKEFS STOVE - WOOD = n <br /> — � r <br /> ROOF DRAINS- RAINLEA�ERS METAL FIREPLAGE 8 CMIMNEY • a <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT _ A <br /> HEAT PUMP ""{ <br /> 2 <br /> 1 hot water i <br /> 1 ran e .� <br /> 1 as i i 0— _ <br /> SUB TOiAL 3 SUBTO7AL S �, � <br /> PERMIT f PERMIT f Z <br /> O <br /> TOTAL FEE ! TOTAL FEE S � <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CMECK fEE m <br /> FEE RECEIPT WO. <br /> I1SE ZONE LOT AREA YACANT SITE — <br /> . VES NO FEES VALUATION FEE <br /> TVPE OF GONST. OCCUPANCY GflOUP NO.OF DWELLING UNITS <br /> BUILDIN� � <br /> S¢E OF BLDG. NO.OF STORIES MR%.OGG LOnD <br /> PlUM81NG <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL ZS SO <br /> PEOUIRED <br /> VES NO <br /> APPROVALS BY DATE OTHER <br /> 1.FNVIPONMENTAL f.NECK LIST FENAI TY U.8 C. <br /> _ 5EC.JOJ(e) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL ZS SO <br /> d.PIRE PROTECTION SVSTEM PEHMIT VALIDATION <br /> 5.GRADIN� W MEN PROPERLY VAUDATED pN THIS SPACE)TMIS 1S yQ�i�.PF�i�1T— � <br /> G794 � uL7 5 <br /> 6.DRAINAGE � <br /> 7.ENVIRON MENTAL IMPACT STATEMFt.^. � <br /> B.HEALTNDISTRICT . . ' : <br /> APPLICA710N ACQ B1' PLANS CHECKED B'/ APPR.POR ISSUANCE BV � i}. R L��_ . I I I ` <br /> �.I :�� �I� ' I� <br /> (1 L_„ c 7 <br /> P.DDF.FSS 19LL� <br />