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r <br /> — '� <br /> dic Ll•rrgrrrrr <br /> — , <br /> evei�ett � CONSTRUCTIO�� <br /> CITYHALL259�Bi45 PERMIT PERMIT NO. �-2GO9 <br /> � EVERETT,WAg8201 ❑ COMBINATION ❑ BUILDING �y MECHANICAL ❑ PLllMBING <br /> OWNER MqILA0�RE55 CITY ZIP PMONE <br /> Romeo J, Mendoza 8005 East Glen Drive Everett 355-9070 �7 <br /> ARCMITECT OR DESIGNEfl MAI�. ADOflESS CITY ZIP PNONE <br /> GENEHAL GONTPACTOR MAIL AOURESS GTY ZIP PMONE UCENSE I <br /> Same <br /> MECHANICAL CpNTRACTOR MAIL ADDRE55 dTY 21P PHONE LIC[NSE� <br /> i PLUMBING CONTRACTOR MAIL ADDflESS CITY ZIP PHONE LICENSE R !� <br /> CLA55 OF WORK <br /> ❑ NEW ❑ qDDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN � WOOD STOVEIFIREPIACE INSERT <br /> VALUATION OF WORK <br /> S <br /> OESCRIBE WORK <br /> install fireplace insert <br /> PHOPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE REAU AND EXAMINED THIS <br /> LEGAL DESCRIPTION OF PROPERTV�SMOW BELOW OR ATTACH FOUR COPIES) APPLICATION AND KNOW THE SAME TO BE TRUE ANU <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L0T__BLOCK__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> VJHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES iVOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOGA�.�W REGULATING CONSTRUCTION OR 7HE <br /> PEPFOR NCE OF CON$THUCTION. <br /> JOB AD�RESS SIGNAT F CONTHRCTOR 0 p�IT R D AGENT OATE <br /> 8005 East Glen Drive X. � ,.�„�t � <br /> �"��d 10/25/83 <br /> PLUMBING MEC ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS — H.P. EA. <br /> LAVALORV�WASHBASIN) BOILERS— H.P.EA. ( <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. 1 <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— C.T.U. M EA. I <br /> DISHWASHER WALL HEA7ERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEqS <br /> WATER HEATER GLOTHES DRYERS <br /> URINAI. VENTILATION FAN <br /> DRINKING FOUNTAIN RANG[HCOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—N.'OOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> . SUB TOTAL f SUB TOTAL S 7 SO <br /> PEHMIT S PENMIi S 10 00 � <br /> 70TAL FEE S TOTAL FEE S i <br /> SIDE VARD SETBACK STREETSETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> � FEE RECEIPT IJO. <br /> , USE ZONE LOT AREA VACANT SITE <br /> ;-:YES ::NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GHOUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OP BLDG. N0.OF STORIES MA%.OCC. LOAD _ <br /> PlUM01NG <br /> � FIRE ZONE BASEMENT FIRESPRINKLERS MECh1ANICAL .r <br /> REOUIRED 1� SO <br /> �. -.VES :.�,NO <br /> APPNOVALS BY DATE OTHER <br /> I.ENVIRONMENTAL Ci1ECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.fIRE HVDRANT TOTAL 17 SG <br /> A.FIRE PRO7ECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WMEN PROPERLY VAIIDATED pN TH��(�iC�E�iHI�I�Y411� fEf7NIL_ �zj � <br /> 6.DRAINAGE � � V �f <br /> 7.ENVIRONMENTAL IMPACT STATEMENT �-�_� <br /> B.HEALTHDISTRICT 1'OUR RECEIPT l- ' <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br /> i ' 'r",NK YOU <br /> 260CT b� <br /> ACDRE55 FILE <br /> � <br />