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the C:rrrxrren <br /> ���Y�F � "� -;ONSTRI�CTl01"� <br /> �veret� PERMIT PERMIT N0. �.l'�57H <br /> CITV HALL F59�B745 <br /> EVERETT,WA 98201 ❑ COMBINAYION C-Xl dUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOUPE55 CITV ZIP PNCNE <br /> KEGEL & ASSOC <br /> AflCMITELT OR UESIGNER MAIL A�Oi1E55 CITY 21P PHONE <br /> GENERAL CONiriAGTOR MAIL ADORE55 CITV 21P PMONE LIGENSF e <br /> JIM MANNING _i�GNS _ 9003 - 220th SW Fdmonds WA 9R036 774-1964 <br /> MECHANIC�L LONiRFCTOR MAIL AODRE55 CRV ZIP PMONE UCENSE M <br /> CLUMDING CONiPACTOR MAIL ADDRESS GRY ZIP PHONE LICENSE/ <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADUITION ❑ AL7ERA710N O REPAIR ❑ DEMOLITION G FENCE OXSIGN ❑ WOOD STOVEIFIREPLACf INSER7 <br /> VAIUATICN OF WOflK <br /> = U0�.0� <br /> DESCRIpE 1V09K <br /> Install 2'x15' wall mounted si n <br /> PROPOSEO USE OF BUILOIYG <br /> P.0td11 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KIJOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPERTY�SMOW BELOW OH ATfAGH FOIIR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_ELOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HE�EIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> � IOCAL LAW REGULATI {'i CONSTRISCTION OR THE <br /> � � .�- PERFORMANC F CON UCTION. <br /> JOB AOORE55 SIGNATUflE O�C TOF OR RI2ED AGENT DAT <br /> 10121 Evergreen IJaY Soace 1J X <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEn AIR CON0. UNITS- H.P. I°A. <br /> BATHTUB REFRIGERATION UNITS- H.P.EA. <br /> LAVATOPY(WASHBASIN) BOILERS- H.P. EA. <br /> SHOWER GAS FIRED A.C.UNI7S-TONNAGE EA. <br /> KITGHEN SINK 8�ISP. FORGED AIR SYSTEMS- B.7.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNORV TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE:JOLERS <br /> VIATER HEA7ER CLOTHES D(7YER5 <br /> URINAL VENTILAiION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> ROOR DRAIN AIR HANOLING UNI7 - QF.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIPEPLACE 8 CHIMNEY <br /> SINK�SERVICE - BAR,ETC.) FIREPLACEINSEFT <br /> HEAT PUMP <br /> SUB TOTAL ! SUB TOTAL S <br /> PERMIT S PERMI7 5 <br /> TOTALFEE S TOTALFEE 5 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAtJ CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE -- <br /> i.�YES .:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCl1PANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING 5$Q�_�Q !f ��tz�-� pp�..�.� <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD fl�,t8�-- ' � <br /> PLUMBING � <br /> �-- <br /> FIREZONE BASEMENT q�EOUSPED KLERS MECMANICAL ,? <br /> i:YES i�-�.NO ' <br /> APPROVALS BY DATE OTHER I{OOOOSI�Z <br /> 1. ENVIflONMENTAL CHECK LIST PENALTV <br /> 1 <br /> 2.BUIL�ING PLANS 70TAL �� S.00 G QQ <br /> 3.FIRE HYDRANT <br /> 4.FIfiE PROTECTION SYSTEM PEFMIT VALIDA710N ' <br /> 5.GRADING WHEN PROPERLY VALIDATED pN �THIS IS 1'OUR PERMIT ('Jf <br /> 6.DRAINAGE IIOOOI6S� �' <br /> 7.ENVIRONMEiJTALIMPACTSTATEMENT �'� ��� `r <br /> ���J�Q (� : <br /> B.HEALTHDISTFICT �E!`�� �q3f]�� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY GRE� 144 <br /> ADDP.ESS FILE <br />