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dieEeerxreen - ��O ,\� 1 ! l� ��IO�, <br /> CITV OF � <br /> evere�t pER� �� PERh11T N0. 13d9O <br /> CITY HALL 259�8745 <br /> EVERETT.WA98201 ❑ COMBINA710N �[ BUII_DING G MECHANICAL ❑ PLUMBING <br /> OYlNER MAIL ADURESS CITY ZIP PHONE <br /> � A1 Bolser Tire 5530 Evergreen Way Everett 98204 353-2137 I � <br /> ARCHRECT OR OESIGNEfl MAIL FOORESS CITY 21P PHONE <br /> GENERAL CONTRnfTOR MFIL AOOPE55 CIT1 ZIP PMONE LICENSE N <br /> Uu�lllr <br /> Doolittle & Pl�umUing Sign 5838 South Adams Yakima 98401 974-6702 <br /> MECHANIC4L CONTFiACTOfl MAIL ADORESS CITY 21P PHONE LICENSE� . <br /> DOO LIPC180 03 . <br /> PLUMBING GONTRAGTOfl M:QL A��FE55 dTY ZIP PHONE UCENSE N � _ � �7. �---- –�-�' , <br /> GLA55OFWORK � wu"� [ <br /> ❑ NEW ❑ ADDITION ❑ AL7ERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE �SIGN O WOOD S70VEIFIREPLACE INSERT � � �� <br /> e�,D <br /> VALUATION OF W9RK � <br /> s 1900.00 - -- . ._ .._._ <br /> � " � ' - `(�u.ew <br /> OESCFiIBE WOflK <br /> Install illuminated si J � <br /> PROPOSEO lISE OF BUI��ING � 'J• ��1��J�- ^i 1;`;` <br /> I HEREBY CER'iIFY THAT I HAVE READ AND EXAMINED THIS p�.�J ���v i'� � � ��� <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND ' _..._. . _ . ____.. _ _ _ . Iy <br /> LEGALOESCRIPTIONOFPROPERTV(SMOWOEIOWOflATTAGHFOUHCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � � _, ,,,,, - <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � f• '-"`_ '�,- ' .,•- :. ,., ` �q�-�, ' ' <br /> LOT_BLOGN_OF r" "c- � �^ �{c f:� � ' ' <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A I � �• � ,�' ;����� ��; :i r.,.�i,��, k ,*, • <br /> PERMIT ESNOTPRESUMETOGIVEAUTHORI'lYTOVIOLATE ' _ ..�, <br /> OR CA C L THE IONS OF ANY OTHER STPTE OR L_.. '�� �� �� �� <br /> LOCA L W RE UL G S TION OR THE <br /> PERFO NCE O 0 ST UC . <br /> JOB ADDRESS SIGNAT CGNT CTOR n•T E AG DAT <br /> 5530 Evergreen Way X ' <br /> PLUMBING MECH ICAL � ' <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYP F EDUIPMENT FEE i � <br /> WATER CLOSEi(TOILEn _ AIR COND.UNITS- H.P.EA � I <br /> BATHTUB REFRIGERATION UNITS- H.P.EA. --- <br /> LAVATORY(WASH BASIN) BOILERS- H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. ��� G�1falL IRDU �p EQVME <br /> KITCHEN SINK 8 DISP. FORCE�AIR SYSTEMS- B.T.U. �d EA. ; SU�PGQ� OiC PI�'�- � II <br /> DISHWASHER WALLHEATERS- B.T.U. h1 i �FJfL1�SNLU FSY ��1'$TD� <br /> LAUNDRYTFiAY UNIT HEATERS - B.7.U. M � � ELEV�T I 01�1 <br /> CLOTHES WASHER EVAPORATIVE COOI_[nS <br /> WATER HEATER CLOTHES DRYER3 ' �g= I�-d� <br /> URINAL �ENTILATION FAN <br /> DRINKING FOUNTAIN fiANGE HOOD <br /> FLOOR�RAIN AIR HANDLING UNIT- C.F.A!. � <br /> VACUUM BHEAKERS STOVE-WOOD , <br /> ROOF DRAINS- FAINLEADERS METAL FIREPLACE 8 CHIMNEV " -- __ <br /> ' �—�'-- _._ <br /> SINK(SERVICE- 6AR, ETC.) FIREPLACE INSEFiT � <br /> HEATPUMP � �C - D , <br /> u��� <br /> : <br /> � � e�� oETai�s neE. SU��Ly1CD a.��v. DOOUTTLFJPLUMB SIGN COR . <br /> sue rorn� S SUB TOTAL s � D�� loc.e� �aCo a wuana.,e M�,T 5838 S.ADAMS <br /> PEHMIT S PEHMIT S � . � ���tD ��� �u5���T�ou• TACOMA,WA 98409 <br /> TOTAL FEE S 707AL FEE S � <br /> SI�E YARD SETBACK STREET SETBACK REA7 YARD SETBnGK PLAN CHECK NUMBER PLAN CHECK FEF. I � <br /> FEE RECEIPT NO. � : ' <br /> USE ZONE LOT AREA VACANT SITE ' <br /> i�YES uN0 FEES VALUA710N FEE � REYISIONS ' <br /> DUALIT� ►RODUCTS, iNC. - WIIIIANSBUR6, OHIO <br /> TYPE OF CONST. OGCUPANCY GROUP NO.@F DVJELi.ING UNITS _ N O. C M�N i E D A T E <br /> oui�owc s 1900. 9 00 ►lf�A1E6 FOI <br /> SIZE OF BLDG. NO. OF STORIES MAX.OCC. LOAO �- � � �NSTpLIlaTl01!� 01.11.Y <br /> PLUMBING + � M O oEL <br /> FIRE.'.ONE BASEMENT FIRESPRINKLERS MECHANICAL I Q�yO D.� RI�'OF MOU�T D�JNLOP <br /> R�ESIFEDNO � SCALE iOIE�AMCE •�1►` <br /> � APPROVALS Ol' DATE OTHEF � I DS �TE.D <br /> 1.ENVIRONMENTALCHECKLIST PENALTY U.B.C. ! � � . DATE o,_Z,�.�b D�RMN �Y � Irrr�n <br /> SEC.�03(a) i �.7 <br /> 2.BUIL�INGPLANS - Z D��MIMC N0. Z46c, <br /> � iMEET M0: 8 <br /> 3.FIREHVORANT TOTA�� � 9 00 ' <br /> a.FIRE PROTECTION SYSTLM PEGMIT VALIDATION <br /> 5.GRACING WHEN PROPERLY VALIDA7ED(W THJ$,$P,FGE)THI�I$�Yql}�i f�qMlT [7 1 � <br /> 7UUtS UU7 11U s <br /> 8.DRAINAGE V� � .. . <br /> �, 7.ENVIRONMENTALIMPACTSTATEMENT m � � <br /> B.HEALTHDISTRICT �I '..� �Jf� R�CEIPT �� <br /> APPLICATION ACC. BY PLANS GHeCRED BY APPR. FQfI ISSUANCE BY <br /> RF NV . i �f'���`in ��� U <br /> � I _) �ShZ U ij � <br /> I ADDRESS FILE <br />