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rheL�crrri�en .- �ONSTRUCTIOt ` <br /> everett PERMIT PERMIT NO. 1� � .�7 <br /> CITY HALL 259�b745 <br /> eoeRerr.wnsazoi � COMBINATION ❑ BUILDING C%J MECHANICAL ❑ PLUMBING <br /> OWNER N�ILAODRESS CITY .'�� PMOHE <br /> Cindy Richard 1620 Colby Avenue Everett 98201 339-3638 <br /> ARGHITEGT OR DESIGNER MRIL aU0RE55 GITY ZIP PHONE <br /> G[NERAL GONiR�GTOR MAIL ADDFE55 GRY 21P PMONE UGENSE� <br /> MECMANIG�LCONTqqLTOR MNILAODRE55 CiTY ZiP PMONE L1GEN5[� <br /> Valley Natural Gas 11323 Highway 99 Everett 98209 355-7730 <br /> PLUld61NG CONiRACiOR II44 ADDFE55 CiTV zIP PMOHE LIGENSE� <br /> CLA55 OF WORN <br /> ❑NEW ❑ADDITION ❑ ALTEPATION O REPAIR O DEMOLITION ❑ FENCE O SIGN O WDOD S70VE1FIREPLACE INSERt <br /> V�LUATION OF WORI( <br /> f <br /> DESCRIBE WOPI( <br /> PAOPOSED USE OF BUI�OINO <br /> I HFREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUk AND Z <br /> LEGRl0E5CRIPTIONOFPFOPENTY�SHOWBEIOWORATiRCNFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES O <br /> �or_e�ocrc_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPE-CIFIED HEREIN OR NOT.THE GRANTING OF A !^ <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLAiE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING COtJSTRUCTION OR THE � '� <br /> PERFORMANCE OF CONSTRUCTION. � � <br /> JOB ADDR[55 SiGNA E OF CONi . OR OR AU1HORi].E�AGENT DAit N = <br /> m <br /> 1620 Colby Avenue X � 6 c o <br /> m O <br /> PLUMDING MECHANICAL ,� � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � m <br /> WATERCLOSET�TOILEn Alq COND. UIl1T5 - H.P. EA. S -1 <br /> m <br /> BATHTUB REFRIGERATION UNITS- H.P.EA. <br /> O Z <br /> LAVATORY�WASH BASIN� BOILEfiS- N.P. EA. Cb � <br /> SHOWER GAS FIRED A C.UNIiS - TONNAGE EA. r x <br /> r� .r <br /> KITCMEN S�NK 8�ISP. FORCED AIR SYSTEMS- B.T.U. M EA. � Vf <br /> _ K <br /> DISHWASHER WALL HEA7EFS- B.T.U. M �7 <br /> LAUNDRV TRAV UNIT NEATERS- B.T.U. M � y <br /> 3 <br /> CLOiHE51MA5HER EVAPDRATIVE COOLERS -i t�1 <br /> 2 <br /> WATEti HEATER CLOTMES DRVERS f*1 � <br /> � <br /> URINAL VENTILATION FAN O r <br /> �RINKING FOUNTAIN RANGE MOOD C') f*1 <br /> C cn <br /> FIOOR DRAIN AIR MAN[1LING UNIT - GF.M. 3 N <br /> m <br /> VACUUTA BHEAKERS STOVE - WOOD Z C") <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 6 CHIMNEV . � I'n <br /> n <br /> SINK(SERYICE- BAR,ETC.) FIREPLAC[ INSERT A <br /> HEATPUMP -1 <br /> _ <br /> 1 Water heater > <br /> _ z <br /> _ --� <br /> x <br /> .. <br /> SUB TOTAL S SUB TOTAL S V� <br /> PERMIT S PEFMIT f - - o <br /> TOTAL FEE f TOTAL FEE f 4 50 --� <br /> .� <br /> SIDE YAFD SETBACK STREET SETBACK REAq YARD SETBACK PLAN CHECK NUMBER PLAN GHECK FEE c") �. <br /> FEE HECEIPT NO. m <br /> USE ZONE LOT `qEA VACANT SITE I <br /> I.YES �. NO FEES VALUATION FEE I <br /> TYPE OF CONST. OGGUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING S ' <br /> SIZE OF BLDG. N0. OF STORIES MAX.OCG LOAD <br /> PLUMBINO X� X <br /> FlRE"LONE BASEMENT FiRE SPRINNLERS MECHANICAL <br /> FEOUIRED Q $Q <br /> VES NO <br /> APPROVALS 6Y DATE OTHER <br /> 1. ENViHONMENTAL CHECK LIST PENALTY U.8 C. <br /> SEC.3031a1 <br /> e.�UIL�ING PLANS <br /> 3.FIRE MYORANT TOTAL 4 <br /> 4.PIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5.GR��ING WHEN PROPERLY VALIDATE�pN TMIS 7SPACE�THIS IS(�V U PEFMIT � <br /> G.DHAINAGE This is in addition to�Mechanic�l� ����i� <br /> t_�? J <br /> 7.ENVIRONMENTALIMPACTSTATEMENi Number ].S�SS. � <br /> B.MEALTHDISTRICT , . � _ � <br /> APPLICHTION ACC.BY PLANS CMECKEO BY APPR. FOR ISSUANCE BY � � . �� �- �� � � � <br /> � .. �,l ,'. .. � <br /> �� `�..{ '� ; . <br /> ADL`6ESi iILC <br /> �J <br />