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���� ���T���°F � �"'ONSTRUCTIO �' <br /> everett ' <br /> CITVHALL259�8745 PERMIT PERMIT NO. 133g5 <br /> EVEREiT,WA98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL 7� PLUMBING <br /> � OWNER AIAILAD�RESS CITY 21P PHONE y <br /> Athena Doolittle 10312 Evergreen Way Everett 98203 353-4844 <br /> ARCMITECT OR OESIGNER MAIL AO�RESS CITY ZIP PMONE <br /> GENERALCONTRACTOR M.1ILAODRESS CITY ZIP PMONE LICENSEN <br /> "ECHANICAL WNTRACTOfl MqIL AODRESS GITY ZIP PMONE LICENSE M <br /> PWMBING CONTRACTOP MAIL AOOflESS CITY ZIP PHONE LIf.ENSE N • <br /> � Same <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WOPK <br /> S <br /> DESCRIBE WOFK <br /> PPOPOSEO USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICHTION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCflIPT10NOFPPOPERTY�SHOWBELOWOFARACHFOIIRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L0�__BLOCK_OF GOVERNING THIS TYPE OF VJORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br /> OR CANCEL THE PROVISIONS QF ANY OTHER STATE OR <br /> �OCAL LAW REGULAT�NG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONS ON. <br /> JOB ADOPESS SIGNATU F LU AGTOF Ofl A P2ED GEN DATE <br /> 10312 Evergreen Way X /21/84 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSE7�TOILEn qIR COND. UNITS— H.P. EA. <br /> BATH7U8 REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) t301LERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS7EMS— B.T.U. M EA. <br /> DISHWASHER WALL HEA7ERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WA7ER HEATcR CLO7HES ORYERS <br /> URINAL VEN7ILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS S70VE—WOOD <br /> ROOF DRAINS— RAINLEA�ERS METAL FIREPLACE&CHIMNEV <br /> 1 1 SINK(SERVICE— BAR,ETC.) 2 00 FIREPLAGE INSERT <br /> HEAT PUMP <br /> � SUB TOTAL 5 Q QQ SUB TOTAL S <br /> PERMIT 5 3 00 PERMIT f <br /> 7�TAL FEE 5 S 00 TOTAL FEE S <br /> SIDEYARD SE70ACK STREET SETBACK REAR VARD SE78ACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE REGEIPT NO. <br /> USE ZONE LO7 AREA VACANT SI7E <br /> "]YES 'iN0 PEES VALUA710N FEE <br /> i <br /> TYPE OF CONST. OCCUPANCY GROUP NO. Of DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAO <br /> PLUMBING 5 99 <br /> �� FIRE ZONF BASEMENT FIRE SPRINKLEflS MECNrNICAL <br /> FEOUIRED <br /> 'f7YES �.-�NO <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONMENTAL GH[CK�IST PENAL7Y �.B.C. <br /> 2.8UILDING PLANS SEC.303(a) <br /> 3.FIREHYDRANT TOTAL �� X <br /> 4.FIRE PROTECTION SYS7EM PERMIT VALIDA710N <br /> 5.GRADING H'HEN PROPERLY VALIDA7ED(IN 7H�S S E�E)THI9 I�VR�P�F�tIT � � <br /> 6.ORAINAGE •Y � u <br /> 7.ENVIRONMENTALIMPACTSTATEMENT M <br /> 8.HEALTH DISTRICT (; M <br /> r . . ..�I � � <br /> APPUCATION ACG. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � � � � �� �'�� <br /> , '.. , U <br /> � 7 ; �, <br /> � .' ,Y u�, <br /> P,DDRESS FILE <br />