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� <br /> rdc ere.,��een <br /> ��,�UF � --�o �vsTRu�rior__ _ <br /> e�erett PERMIT PERMIT N0. 154H� <br /> CITY HALL 259�8745 <br /> �l EVERETT.WA 98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILADORES£ CITY 21P PH@�E <br /> Jeff Ghazal 5028 Evergreen Way Everett 98204 258-3G92 <br /> AHCMITEGT OR DESIGNER MAIL A�DRE55 GITY ZIP PHONE <br /> GENERFL LONTPAGTOR MA1L ADDRESS CITY ZIP GMONE LICENSE� <br /> MEGHANICAL CONTRACTOR MAIL ADDRESS QTY ZIP PHONE LICENSE� <br /> Valley P�atural Gas 11323 Highway 99 South Everett 98209 355-7730 <br /> PLUMBING CONTRRCTOR IdAIL ApOflE55 GITY ZIP PMONE LIC.ENSE M <br /> CLASS OF WOFK <br /> O NEW O AD�IiION ❑ ALTEFATION ❑REPAIR ❑ DEMO�ITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S <br /> OESCRIBE VlORN <br /> �pOPOSEO USE OF BUIL�IIJG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS zo <br /> APPLICATION AND KNOW THE �hME TO BE TRUE AND <br /> LEGAL�ESCRIPTION OF PROPEBTV ISHOW BELOW OR ATTACM POOR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH m <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR = T <br /> LOCAL LAW REGULHTING CONSTRUCTION OR THE ,.., ,� <br /> RF MA E 0 CO STR CTION N m <br /> JOBA��PESS I No.T F OF ROR THORI EDAGE DATE � <br /> 5028 Evergreen Way 9/.^.6/85 m o <br /> c� <br /> PLUMBING MECHANICAI o 3 <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE _ � <br /> WATERCLOSET�TOILEn AIR COND. UNITS- H.P. EA. f*t ' <br /> BATHTUB REFRIGERATION 11N1T5- N.P.EA. U Z <br /> C <br /> LAVA70RY(WASH BASIN) BOILERS- H.P. EA. � _ <br /> SHOWER GAS FIRED A.G.UNITS-TONNAGE EA. � N <br /> KITCHEN SINK 8 DISP. FORCEP AIF SVSTEMS- B:f.U. M EA. � � <br /> DISHWASHEF WALL HEATERS- B.T.II. M O z <br /> -n a <br /> LAUNDRYTFIY UNIT HEATERS- B.T.U. M � m <br /> CLOTHES WASHER EVPPORA7IVE COOLERS 1' <br /> m � <br /> WA7Eq HEATER CLOTHES DRYERS O fn <br /> URINAL VENTILATION FAN 0 m <br /> DRINKING FOUNTAIN RANGE HOOD 3 N <br /> FLOOR DRAIN AIR HAN�LING UNIT- QF.M. �Z � <br /> VACUUM BREAKERS S-OVE- � m <br /> ROOF�RAINS- RAINLEAOERS METAL FIREPLACE&CHIMNEY � � <br /> SINK(SERVICE-� BAR, ETC.) FIREPLACE INSEP7 <br /> --i <br /> HEAT PUMP = <br /> a <br /> 1 Grill 4 z <br /> 1 Er er 4 50 '� <br /> x <br /> ... <br /> � <br /> SUe TOTAL S SUB TO7AL f 3 <br /> Z <br /> PERMIT S PERMIT S 10 00 � <br /> TG7AL FEE S TOTAL FEE S 23 SO n <br /> SI�E YARD SETBACK STREE7 SE7BACK FEAR VA(iD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE m <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AFEA VACANT:iITE <br /> :;VES �,-.:NO FEES VALUATION FEE <br /> TYPE CF CONST. OCCUPAN(:Y GROUP NO.OF DWELLING UNITS <br /> OUILDING 3 <br /> SIZE OF BLDG. NO.OF S70RIE5 MA%.OC(:. LOAD <br /> PLUMBING <br /> FIRE ZONE 6ASEMENT FIRE SPRINKLERS MECHANICAL 23 SO <br /> REOUIRED <br /> ::YES �.-.iNO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. , <br /> SEC.303(a) <br /> 2.BUILDING PLANS 23 50 <br /> 3.FIREHYDRANT TOTAL <br /> 4.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> . 5.GRADING WHEN PROPERLY VALIDATED DN TH{S.1_-AFE)THlq�l$iY�I�H f�ERM1T � <br /> J [ b7 .DU .) ) U <br /> 6.DRAINAGE � <br /> 7.ENVIqONMENTALIMPACTSTATEMENT � <br /> B.HEALTH DISTRICT �j l i ;� I�� R�C L I PT �""� <br /> APPLICATION ACC.BY PLANS GHECKED BY APPR.FOR ISSUANCE BY <br /> 'rl !:'�,��!K YOU <br /> 7. G �EP85 <br /> ADDRE55 f-IlE <br />