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�I:r Ererc�r�cn � <br /> evere�tt ���' ���R U CTIO� N <br /> CITYHALL?59�97a5 PERMIT PERMIT NO. 1�064 <br /> evea�r,vaaeeza� ❑ COMBINATION ❑ BUILDING �XI MECHANICAL ❑ PLUMBING <br />, OWNEN MAIL AODRE55 dTY <br /> JOHN A. DIAMOND 1820 Colby Avenue Everett WA 98201 z258-6859 P"oNE <br /> ARGNITEGT OR�ESIGNER MALL AODRE55 CITY 21P PHONE <br /> GENERAL CONTflAGTON MAIL ADDRESS CITY ZIP PMONE �ICENSE I <br /> r <br /> MECMANIGAL CONTR��TOR MAIL ADORE55 CITY ZIP PHONE UGENSE I <br /> Gas Appliance Service, Inc. 1103 N. 36th 5T Seattle WA 98103 632-5000 <br /> �LUMBING CONTRAGTOP MAIL ADDN455 ��i� Z�P GASAPL*37'I'N'F �IGENSE M <br /> cuss oF woaK <br /> �I NEW O ADDIT104 ❑ ALTERATION ❑REPAIR O DEMOLI�ION O FENCE ❑ SIGN O WO00 STOVFJFIREPLACE INSERT � <br /> VALU�TION OF WOPK <br /> t <br /> DESGNIBE WORI( <br /> Install new gas furnace <br /> PROPoSE�USE OF BUIIDING <br /> I HEP:EBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> l[GAlOESCRIPfIONOFPROPERTY(SHOWBELOWOHATTACHFpURCpPIES) APPLICATION AND KNOW THE SAME TO BE TqUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORD�NANCES <br /> LOT_BLOCK_OF GOV[RNING THIS TYPE OF VJORK WILL BE COMPLIED W�TH <br /> WHE'iHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE ROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LA 9RE UL TING CONSTRUCTION OR THE <br /> PERFORM C O CO� STRUCTION. <br /> JOB ADDRESS SIGNAIURE � 0 NORIZED AG T DAiE <br /> 1820 Colby X ,` � 10/18/84 <br /> PLUNiBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�iOIL[T) AIR COND. UNITS— M.P.EA. <br /> BATH7U6 R[FRIGERATION UNITS— H.P.EA. <br /> LAVATOHY(WASH BASIN) 901LER5 — H.P.EA. <br /> SMOWEq GAS FIRED A.C.UNITS— TONNAGE EA. <br /> NITCHEN SINK 8 DISP. � FORCED AIR SYSTflMS— B.T.U.�QQtA . Q SO <br /> DISHWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT HEATEflS— B.T.U. M <br /> _ CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATE7 CIOTMES DRVERS <br /> URINAL VENTILATION PAN <br /> ORINKING FOUNiAIN RANGE HOOU <br /> FLOOR DRAIN AIR HANDLING UNIT— <br /> :,.F.M. <br /> VACUUM BflEAKERS STOVE— WOOD <br /> ROOF DRAMS— RAR�LEADERS METAL FIflEPLACE A CHIMNEY <br /> SINK�SERVICE — BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 water heater 4 50 <br /> SUB 10TAL i SUB TOTAL S 9 OO <br /> PEflMIT f PERMIi S �O OO <br /> TOTqL FEE f TOTAL FEE f �9 OO <br /> SIDE YARD SETBACK STpEET SETBACK REAR VARD SETgACK PLAIJ CNEGK NUMOER PLAN CHECR FE[ <br /> FEG qECEIPi NO. <br /> USE ZONE L07 AREA VACANT SITE <br /> ;.YES I:NO fEES VALUATION FEE <br /> IYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUIL�ING s <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAO <br /> PLUMBING <br /> FIFE ZONE BASEMENT FIRE SPRINKLEflS <br /> REOUIRED MECHANICAL �9 OO <br /> VES NO <br /> APPROVALS BY DATE OTHER , <br /> 1. LNVIRONMENTAL CHECK LIST _ _ _ _ pF:NALTY U BC. .- <br /> 2.BUILDING PLANS SEC.J0�la) <br /> 3.FIRE HYC,qpNT TOTAL �9 OO <br /> � FlRE PFOTECTION SVSTEM PERMIT VALIOATION <br /> 5.GRADING LNHEN PqOPERLY VAU�ATED�IN TNIS SPACE)THIS IS YOUR PERMIi <br /> Fi.DRAINAGE . . ` . . I �. ' ,. —__ � <br /> LENV!RONMENTALIMF';TSTATEIAENT O � <br /> B.HEALTH DISTflICT �Y <br /> APPLICATION ACC. BY P:ANS CHECNED BV APPR. FOR ISSUANCE BY " ; I'�� � <br /> L <br /> ��'�' U <br /> ,_T „ ,, <br /> ,1i�r,.-iE5`�� ;l;Il . u4 <br />