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. <br /> �he£�'ergreen `" C NS� 'Ru�jTI�� ' <br /> CITY OF <br /> everett PERMIT pERMIT N0. OH764 <br /> CIiY HALL 259�87�5 � COMBINATION ❑ BUILOING �MECHANICAL ❑ PLUMBING <br /> EVERETr.WA 98201 <br /> MAIL ALpPE$5 <br /> GiiY ZIP FlIONE <br /> pWNFR <br /> Donna Hearnes 1421 Colby �Ty Z�P rHor+e <br /> ARCNItECi OH DESiGNEA MAIL A�DRE55 <br /> MAIL AODRE55 <br /> dTY ZIP PMONE LIGENSE t <br /> GENEPAL CAHTRAGTOfI <br /> I <br /> MECHANICAL CANIRACTDA MAIL AODRE55 <br /> C17Y ZIP PHON[ UCENSE� <br /> Natural Gas Equipment 161i East Grand E�verett 982�1 2 v oH?441 ��ceNser <br /> PLUMBiNGCONTflACTOR l.1Ai:ADDRE55 <br />� CLASS OF WORN <br />` �NEW OADDITIDN ❑A�TERATION ❑iiEPA�R ❑DEMOLITION ❑FENCE ❑SIGN CaAMGE <br />, YALUATION Oi WORK <br /> i S <br /> D[SGRIBEY/ORK � <br /> PROPOSED USE OP BUItD�N; <br />� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> PLICATION AND KhOW THE SAME TO BE TRUE AND CORRECT. <br />� :�,a�oescniorior+oFVF�-Pea*r�sHoweeiowoanrrncHFounwr�es� q�LPROVISIONSOFLAW5ANDORDINANCESGOVERNINGTHIS <br /> ioi aiocK_oF — TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMII DOES NOT <br />� PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> 1 VISIONS OF ANY OTHEF STATE OR LOCAL LAW REGUTATING <br />` CONSTRUCTION OR THE PERFORMANCE OF CONSTR�U ETION. <br />� SIGNn1UPF �,CCNiFACtOB FAU'H I ' �ENT� <br /> JOB/DDAESS X /�. ]./15/81 <br /> 147.1 Colby <br /> CAL <br /> PLUMBIN6 FEE <br /> FEE N0. TYPE F EOUIPMENT <br /> N0. TYPE UF F!%TURE OR ITEM nia couo ur+iis—H P.Ea. <br /> WATER CLOSET QOILET) <br /> REFRIGERATION UNITS—H.P.EA _ <br /> gATHTUB — pO1LER5—N P.EA. <br /> LAVATORY M'ASH BASIN) GAS FIF[D AC UNIT$—TONNAGE EA. <br /> Sf10WER F0�7CL�AIR 1YSTF:MS—DT U. M EA. <br /> KITCHEN SINK 8 DISP. M <br /> - WALL HEATENS—8 T.U. <br /> GISHWASHER UIJIT HE�TERS—0 T U. N` <br /> ;AUNORYTRAV __ EWPORATIVECOOLERS <br /> CLOTHES WASMEF CLOTHES DRYERS <br /> WATER HEATER y[N1ILATION FAN <br /> URINAL RANG[HOOD <br /> DRINKING FOUNTAIN q�q�iqryDLlNli UNIT— CF.M. <br /> FLOOR DFAIN �TOVE — <br /> \'ACUUId�REAKERS METAL FlREPLACE 8 CHIMNEY <br /> ROOFDRAINS—RAINLFADERC 1 Water Heater Z �� <br /> SINK(SERVICE—BAR.ETC� <br /> SUBTOTAL f Z OO <br /> SUBTOTAI pERMIT S 3 00 <br /> PERMI7 s TOTAL FEE _ <br /> fOTAL FEE s pLAN CHECK FEE <br /> SIDE VARD SETUACK S�REET 5[T�ACK REPR YARD SETqACK PLAN CHECK IJUMBER FEE RECEIPT IJO. <br /> USL ZONE LO7 AF7EA VACANT SITE FEES VALUA}�ION FEE <br /> LIVES ❑NO <br /> TYPE OF CANSi. OCCUPPNCV GROUP NO.OF DWELLING UNITS ` <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF S�ORIES MA%.OCC.LOAD <br /> PWMBING <br /> FIREZONE �ASEMENT FIRESPRINKLERS MECHANICAL S OO <br /> REOUIRED <br /> flYES ❑NO <br /> APPNOVALS <br /> BY DATE O7NER _ <br /> PENALTY UBC. <br /> L ENVIRONMENTAL CHECK LIST SEC.303(a) <br /> 2. UUILDINGPLANS TOTAL S 00 � <br /> 3. FIfiE HYDRANT <br /> PEPMIT VALIDIITION <br /> d. FIRE PROiLCT10N SYSTEM WHLN PROP6RLY VALIDATED(W TMIS SPACE)THI515 YOUFi PERMIT(� <br /> 5. GRAOWG 2 S � � � O O ". O `1 �—� <br /> G. DRAINAGE � <br /> LENVIRONMENT6LIMPACTSTATEMENT � �j �(_C�IITU '' <br /> e. HEALiN DISTRICI <br /> qpPR.FOR ISSUAWCF.BY - ' �'� � U <br /> APPLICATION 4�C.BY PLANS CHECKED BY � � . ��� � �� I <br />