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�hc Ever�recn '� <br /> "��°F � ^ONSTRUCTIC�� <br /> everett PERMIT PERMIT N0. 13H �5 <br /> CITY HALL 259�87a5 <br /> EVERF.T7,WqggZp� � COMBINATION ❑ BUILDING ❑ MECHANICAL �j PLUMBING <br /> OWNER MAIL A�DRE55 <br /> Thomas Kinsella "T� Z1P PHONE <br /> 4701 Forest Drive Everett 98203 259-4935 <br /> ARCHITECT OR OESIGNER MqIL ADDRE55 <br /> CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL AODRESS <br /> dTY Z�P <br /> PHONE �ICENSE N <br /> MECHRNICAL CONTRACTOR MqIL ADDRESS CITY <br /> ' S�e Z�7 PMONE UCENSE N <br /> PLUMBING CONTPACTOR MAILADDRESS CRY <br /> Z�P PHONE LICENSE X <br /> GLASS OF WORK � <br /> ❑ NEW O ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORN <br /> f <br /> OESCRIBE WORK <br /> Install wood burning stove <br /> PHOPOSED USE OF BUILDING <br /> I kEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAIDESCHIPTIONOFPqOPERTY�SHOWBELOWORATTACHFOUFCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L0T__BLOCK__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A Z <br /> 0 <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 m <br /> .roe nooRess PERFORMANCE OF CONSTRUCTION. <br /> SIGNqjy OF CONTR R pUTMOR2 D AGENT OATE <br /> 4701 Forest Drive � <br /> PLUMBING ��� 9/l0/64 -'"i � <br /> MECHANICAL �-+ -1 <br /> ym <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT <br /> WATERCLOSET�701LEn FEE C O <br /> AIR COND.UNITS — H.P.EA. m O <br /> BATHTUB n <br /> REFRIGERA710N UNITS — H.P. EA. -� C <br /> LAVA70RY(WqSH BASIN) p g <br /> BOILERS— H.P. EA. <br /> m <br /> SHOWER GAS FIRED A.C. UNITS— <br /> TONNAGE EA. _ "'� <br /> KITCHEN SINK 8�ISP. m <br /> FORCED AIF SYSTEMS— B.T.U. M EA. "� <br /> DISHWASHER ,C Z <br /> ' WALI HEATERS— e.T.U. M n � <br /> LAUNDRY TRAV UNIT HEA7ERS— B.T.U. M r S <br /> CLOTHES WASHER EVAPORATIVE COOLERS -i cn <br /> WAT:�R HEATER CLOTHES DRYERS K T <br /> URINAL p n <br /> VENTILATION FAN ' <br /> DRINKING FOUNTAIN FANGE HOOD --I m <br /> FLOOR ORAIN = <br /> AIR HAN�LING UNIT— QF.M. m '"" <br /> VACUUM BFEAKERS N <br /> STOVE —WOOD O r <br /> ROOF ORAINS— RAINLEADERS 1 METAL FiqEPLqGE 8 CHIMNEV Cl m <br /> SINK(SERV:CE— BAR, ETC.) C9 (n <br /> FIREPLPCE INSERT � (n <br /> HEAT PUMP Z C] <br /> -� r <br /> • m <br /> D <br /> � <br /> � <br /> SUBTOTpL S 2 <br /> SUB TOTAL S 7 SO p <br /> PERMIT S Z <br /> 70TAL FEE S PEHMIT 5 10 0 —� <br /> TOTAL FEE 5 17 50 �_-. <br /> SIDE YARD SETBACK STREETSE7BACK REAR YARD SETBACK PLAN CHECK NUMBER v� <br /> PLAN CHECK FEE <br /> USE ZONE LOT AREA FEE RECEIPT NO. _ <br /> VACANT SI7E � <br /> :;YES :.:NO FEES VAWATION FEE '" <br /> n <br /> TVPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS m <br /> SIZE OF BLDG. NO.OF STORIES BUILDING g <br /> MA%.00C. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEHS <br /> REOUIRED MECHANICAL <br /> ::YES L:NO 17 SO <br /> APPHOVAIS BY DATE OTHER <br /> 1.ENVIRONMEN7AL CHECK LIST <br /> PENALTY U.B.C. <br /> 2.BUIL�ING PLANS SEC.903(a) <br /> 3.FIREHYDRANT TOTAL 17 SO <br /> 4.FIRE PRO7ECTION SYSTEM PENMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPA(9E)7HISIS�Y�UM PERF�tIL__ �(71 <br /> 6.DRAINAGE ) <br /> < � '�f <br /> 7.ENVIRONMENTALIMPACTS7ATEMENT � <br /> 8.HEALTH DISTRIC7 M <br /> APPLICATION ACC, BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � I r� " <br /> .. . � r:-; <br /> . :; <br /> � ; ,, ,, :, <br /> ADDRESS fILE <br /> ! <br />