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rhrEeCrT�ccF r �jONSTRUCTlO! � <br /> ever�ett PERMIT PERMIT NO. �318Z <br /> CITV HALL 259�87C5 <br /> EVEFET7,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PI.UMt31NG <br /> � OWNEN MAILAppRE55 CITY ZIP PMONE <br /> FIRST AMERICAN TITLE CO 3019 COLBY Everett WA98201 <br />' ARCMIiEGT OR OESIGNER MAIL A�OFE55 CITY ZIP PMONE <br /> GENERAL GONTRAGTOR MAIL AODRE55 CITY 21P PHONE IILENSE 11 <br /> Bellinaham CP <br /> t—�-- MECNANICPL CONTFRGTOR MAIL ADDREo$ CI7Y 21P PHONE LIGENSE• <br /> d Puaet Heatinq Box 336 Lake Stevens WA 9P258 334-4111 PUGETH26480 22302 <br /> PLUMBING CANiRAGTOfl MAIL ADORE55 CITY ZIP PMONE LIGENSE I1 <br /> CLA55 OF WORN <br /> ❑1'ENl ❑ ADDITION �I ALTERATION ❑REPAIR ❑ DEM)LITION ❑ FENCE ❑SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />� VALUATION OF WORK � <br /> f <br /> UESCHIBE WORI: <br /> Exhaust fan installed for ventilation <br /> PflOPOSED USE OF BUILDING <br />� Tl t10 Company I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BL TRUE AND <br />` <br /> LEGRLDESCRIPiIONOFPpOPEHTY�SHOWBELOWOflATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> I LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE(;OMPLIED WITH <br /> V�'HETHER SPECIFIED HEREIN OR NOT.1'HE GRANTING OF A <br /> i PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> I OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> IOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUC ON. <br /> JODADORESS SI TUP OFLONTR T ObAUTMO GENT DATE <br /> 3019 Calb Avenue �L�� � � 4 2 84 <br /> PLUMBING ME ANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS—H.P.EA. <br /> BATIiTUB REFRIGERATION UNIfS— H.P.EA. <br /> LAVATORV(WASH BASIN� BOILERS— M.P. EA. <br /> SIIOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> NITCMENSINK8015P. FORCE�AIRSYSTEMS— d.T.U. MEA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTNES WASHER EVAPORATIVE GOOLEflS <br /> WATER HEATER CLO7HE5 ORVEFiS <br /> URINAL VFNTILATIG'. FAN <br /> DRINKING FOUNTAIN RANGE NO00 <br /> FLOOfl DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS SiOVE—N'OOD <br /> ROOF ORAINS— RAINLEADERS MElAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUBTOTAL S SUBTOTAL S <br /> PEHMIT S PERMIT S -0 � <br /> TO7ALFEE f TOTALFEE S <br /> SIDE YARU SETBACK STREET SETBACK REAR YARD SETBACK PLAN GMcCK NUMBER PLAN CHECK FEE <br /> FEG RECF.IPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> CYES :�NO PEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> BUIL�ING S <br /> SIZE OF 9LDG. NO.OF STORIES MA%.OCC.LOA� <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIHE SPRINKLERS MECHANICAL �E OO <br /> REOUIRED <br /> YES ! NO <br /> APPNOVALS BV DATE OTMEP <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.307(a) <br />� 2.OUILDINGPLANS TOTAI �6 OO � <br /> i� , 3.FIREHYDRAIJT <br /> A 4.FINE PROTECTION SYSTEM PERMIT VAUOATION <br /> � 5.GPAOING WMEN PROPERLV VALiDATED(IN THin�P3 ZE)THIS�SOY�UFj P�RI�I7_ � �� <br /> b l� <br /> 6.DRAINAGE <br /> s"1 <br /> 7.ENVIRJNMENTALIMPACTSTATEMENT M <br /> B.MEALTH�ISTRICT ,' ...y� p p r��I p� � <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY ' �� ��` � <br /> . � .�'�.. ��, � <br /> _ j � <br /> ,^,i�� � � <br /> I ADDRESS FILE <br /> I <br />