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. . ,;,�. �� hiS�- ��► - o r ` <br /> everett PERMIT PERMIT N0. �nO37 <br /> CIiY MALL 259�67a5 <br /> EVERETT.V1A98201 � COMBINATION ❑ BUILDING CX MECHANICAL ❑ PLUMBING <br /> ON'NER MAR ADDRE55 CI�T ZiP PMONE <br /> nnr oimn�c 4478 COLBY _ FVERFTT WA 98203 2F2-4�+�2 <br /> FFGnITELT OR DES�GNER MAR AOORE55 GIIY 2iP PMONE <br /> GENER�LCONTPnCTOR MAILAODRE55 LITY ZIP PHONE LIGENSE♦ <br /> MELN4NICALCANTFAGTOR MAILAODRE55 GTV ZIF PMONE UG:HSEY <br /> VWMBiNGGONTRACTOH MAILAD�RESS LITY ZiP �'MONE UCENSE� <br /> ClA55OF WORK <br /> ❑NEW ❑A:7DIT�ON ❑ AITERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN WOOD SiOYFJFIREPLAGE INSERT <br /> VRLUATION OF WORK <br /> S <br /> DESG9iBE WOPK <br /> Wood stove <br /> PROVOSEO USEOF BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence qppLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAl0E5CRiPiIONOFPROPERTYISHOWBELOWORAT7ACHFOURCAPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BIOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT UOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR Z <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> PERFORMANCE OF CONSTRUCTION. .-. <br /> OB RE55 SiGNn E O ON � AGTOR Of AUT ORIZED AGLNT 2/4 QAT� m <br /> ' 4��8 Colby X ' ` �25 —. " <br /> PLUMBINO MECNANICAL � T <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � ,� <br /> Alq CONL.UNITS - HP.EA. y = <br /> WA?ER CLOSET�TOILEiI m <br /> — REFRIGERATION 11NITS- H.P.EA. � <br /> BATHTUB C O <br /> LAVATORV(WASHBASIN) <br /> BOILERS- H.P.EA. m n <br /> SHOWER GAS FIRED AA.UNITS -TONNAGE EA. p m <br /> KITCMEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> WALL HEATERS- B.T.U. M = � <br /> GISMWASHER m <br /> LAUNDRY TRAV UNIT HEATERS- B.T.U. M p Z <br /> C <br /> CLO7HESWASHER EVAPORATIVECOOLERS � _ <br /> WATER MEATER CLOTNES DRVERS .+ .. <br /> -� N <br /> URINAL VENTILATION FAN < T <br /> �RINKING FOUNTAIN RANGE HOOD <br /> AIR NANDLING UNIT- C.F.M. O 3 <br /> FLOOR DRAIN � m <br /> VACUUM BREAKERS STOVE -WOOD S <br /> METAL FIREPLACE &CHIMNEY m � <br /> ROOF DRAINS- RAINIEADERS N <br /> O <br /> SINK�SERVICE- BAR.ETC.) FIREPLACE INSERT O f <br /> t� m <br /> HEAT PUMP 3 � <br /> m <br /> z c� <br /> —i r <br /> • m <br /> a <br /> — SUBTO7AL S O � <br /> SUB TOiAL f � <br /> PERMIT f PERMIt S O OO = <br /> TOTAL FEE f O 3' <br /> TOTALFEE f 2 <br /> SIDE YARD SETBACK STREET SET6ACft REAP VARD SETBACK PLAN CMECK NUMBEF PLAN CMECK FEE y <br /> FEE RECEIPT NO. � <br /> N <br /> USE ZONE LOT AREA VAGANT SITE FEES VALUATION FEE <br /> Z <br /> :�:YES IINO o <br /> 1 <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS � <br /> c') <br /> BUILDING S m <br /> SIZE OF BLDG. NO.OF STORIES MA%.OGC.LOAD <br /> PLUMBING <br /> FIRE20NE BASEMENT RIEOUSRE� KLERS MECHANICAL �� 5O <br /> YES '. NO <br /> BY DATE OTHEF <br /> pPPROVAIS U.B.C. <br /> 1.ENVIRONMENiAI GHECK LIST PENALTV SEC.303(a) <br /> 2.BWLDING PLANS TOTAL <br /> 3.FIPE MYDRAN7 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATE�(IN THIS SPACE)THIS�S YQU�PERMIT__ �^ <br /> 5.GRAOING u �j � �� ll I � `i <Y�1 <br /> 8.DRAINAGE U <br /> 7.ENVIRONMENTAL IMPACTSTATEMENi �� <br /> B.HEALTHDISTflICT . . . i_ .. i I •..� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPP.FOR ISSUANCE BY � <br /> _ ,J <br /> - �i FE� u ;, <br /> ADDRE55 FILE <br /> ,� ' :r _:_�..;..._ • <br /> „e, _._..�..._..�... -"a`�•+.t�t+a�..i�'8PC1Si� <br />