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d�eEv�RYOF � � ^,ONSTRUCTION � - � <br /> everett PERMIT PERMIT NO. 11OG7 <br /> CITY HALL 259�97a5 <br /> EVERETT,WA 9J201 ❑ COMBIi�HTION ❑ BUILpING X� MECHANICAL ❑ PLU111BING <br /> OWNER 61qIlADpRE55 CItY ZIP PNONL <br /> JOHN D1ALTSBERGGR 1615 Fulton Everett 98201 252-2605 <br /> /�CNRECTORDESIGNER MAILADDRESS CIiY 21P PHONE � <br /> GENERAL CONiPAGTOR A�pIL qD�RE55 CIiY 21P PHONE LIGENSE I <br /> MECHANICFL WNiRAC10R MAII A�DRESS CIiY ZIP PNONE IICENSE I <br /> Oivn e r <br /> PlUA1BWGCONTRPCTOR MAILA�CRE55 �ITY 21P PMONE LICENSE� � <br /> CLnSS OF WORK <br /> �JEW ❑ADDITION ❑ALTEFATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUATION OF WOFH , <br /> S <br /> DESCRIBE\VORK <br /> Wood stove <br /> PROPOSED USE OF BWLDiNG <br /> Res idence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oEseaianor+oFPaoaen.v�s�oweeiowonnnnerirovacories PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or o�ocK_oF TYPE OF VJORK �VIL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN UR NOT. '{E GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CTION OR�CT�1E P RFORMANCE OF CONSTRUCTION. <br /> JOOAOpPE55 SiGNATUPF FC tRACiOl�UR�FUI ORIZ6DpbE11i DAi <br /> 1615 Fulton � � 27/82 <br /> PLUM8ING ME ANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE 0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AIR COND UNITS—HP.EA. <br /> BAIHTUB REPRIGERATION UNITS—HP.EA <br /> LAVATOPY ryJASH BASIN) BOILERS—H.P.LA. <br /> SHOWER GAS PIRED A C.UNITS—TONNAGE EA. <br /> NITCHEN SINK F DISR FORCED AIR SYSTEMS—�S.U. M EA. <br /> UISMWASHER WALIHEATEflS—�T.U. M <br /> IAUNDi7Y TRAY UNIT HEATERS—�.T.U. M <br /> CLOTHES WASHEFi EVAPORATNECGOIERS <br /> VlPTER HEATER CIOTHES DRVERS <br /> URINAL VEN7ILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HAIJDLING UNR— C F.M. <br /> VACUUM BREAKERS STOVL <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.) ��� � <br /> SUBTOTAL SUB 70TAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTAL FEE ' S TO7ALFEE S <br /> SIDE YARD SET�ACK STREET SETUACK REAR YARD SETBACK PLAN CHFCF NUh1BER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> !]YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING $ <br /> SIZE OF OLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FlRESPRINKLERS <br /> REOUIflED MECHANICAI 1� SO <br /> f7YES I1N0 � <br /> APPROVALS BY UATE �THER <br /> 1. ENVIRONAIENTAL CHECK LIST PENALTV U B C. <br /> 2. BUIIDING PLANS SEC.3091a) <br /> 3. FIRE HYDRANT TOTAL 1� S O <br /> a. FIRE PROTECTION SVSTEM PERMIT VALIUATION <br /> l'JHEN PROPERLY VALIDATED(IN TI115 SPACE)THIS IS YOUR PERMIT <br /> 5 GRADING /� <br /> �_ G. DRAINAGE 8 O J 7 �7 O I �•S O ,(,(J� <br /> 7. ENVIRONMENTALIMPACTSTA7EMENT Q <br /> B HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CH[CKED BY APPR.FOF ISSUANCE BY YO U R REC E�PT� <br /> TN�1NK YOU <br /> ADDRESS FILE . � � �P 82 <br />