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F- �t <br /> die£vcTveoF r . � VOIVV��V� 1 �\ � <br /> r��rc `. e�erett <br /> -� PERN{ 11' PERMIT N0. �.3049 <br /> CITY HALL 259�9745 <br /> x ` ' EVEFiETT,WA98201 ❑ COMBINATION ❑ BUILDING �j MECHANICAL ❑ PLUM8ING <br /> a ; <br /> � OWNER MAILAOORE55 GTY ZIP PMONE � <br /> � . ' Sarris Angelo 8825 Evergreen Way Everett 98203 <br /> ARCMIIECT OR�ESIGNER MAIL AOORESS dTY 21P PHONE <br /> GENERAL CONTRACTOR MAIL ADDRE55 CITY 21P PHONE UCENSE N <br /> MECHANICAL CONTRAGTOfl MAIL A�OPESS CITY ZIP PMONE UCENSE N <br /> Natural Gas Equipment 1G25 West Marine View Drive Everett 98201 258-2441 <br /> PLUMBING CONTHACTOF MAIL A��RE55 QTY 21P PHONE LICEKSE N , <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ AL7ERATION ❑REPAIq ❑ DEMOL�TION ❑ FENCE ❑ SIGN O WOOD STOVFIFIREPLACE INSERT <br /> VALUATION OF WORK � <br /> f <br /> �1j, ; DESCflIBE WORK <br /> k�?' _ <br /> {�Y�� yr PROPOSED USEOF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �r`� „PPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �`��`i��r�'�' � LEGAL OESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br /> ��,,._ CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> rn;,;;.: GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �� LOT_BLOCK_OF WHETHER SPEGFIED HEREIP! OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> � � '� JOB AD�flE55 SIGN R�j F CONTR'ALTO�OR_A��YT�40RIZE0 AGENT OATE <br /> 8825 Evergreen Way X Q� L�I�F'tl, 2�29�84 <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS — H.P. EA. <br /> BF7HTU8 REFRIGERATION 11NITS— H.P. EA. <br /> LAVA70RY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.7.U. M EA. <br /> DISNWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNI7 HEA7ERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEF CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPI.AGE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACEINSERT <br /> HFAT PUMP <br /> SUB TOTAL 5 SUB 70TAL S <br /> PERMIT 5 PEHMIT E �� <br /> 70TAL FEE S TOTAL FEE S <br /> SIDEVARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK Nl1MBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> iJYES GNO <br /> FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF B�!1G. NO.Of STORIES MAX.OCC. LOA� <br /> PLUMBING <br /> . FIRE ZONE BASEMc".NT FIRE SPRINKLERS MECHANICAL 14 SO <br /> �� REOUIRED <br /> ❑yE5 GNO <br /> APPHOVALS BY DATE OTHER <br /> 1.ENVIFONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS TOTAL 14 SO <br /> 3.FIRE HYDRANT <br /> 4.FIREPROTECTION SYSTEM PEHMIT VALIDATION ��A� � �� � �� � � <br /> � 5.GRAOING WHC-N PROPERLY VALIDATED(IN THI � �THIS S U P IT-- <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT f� <br /> B.HEAITHDISTRICT ��(_' j� �� l�::CCIPT� <br /> APPLICATION ACC.BY PLANS CHECKE�BY APPR.FOR ISSUANCE BY , � ^ . �.� .,�--, `J <br /> , rri;����.n I '_ <br /> � , ii� U� <br /> ADDRESS FIL[ <br /> } '— — i- <br />