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',". `"�`A`eC„ ; �OIVSTRUCTIO �'' <br /> U�YGr' <br /> everett p�ERMIT PERMIT NO. 134�G <br /> CITY HALL 259-8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL I� PLUMBING <br /> OWNER MAILADDNESS QTY 21P PHONE <br /> KEN COLLINS PO BOX 5045 Everett WA 98206 _ 252-7693 <br /> ARGMITECT OR OESIGNEfl MnIL ADDFE55 CITY 21P PHONE � <br /> GENERAL CONTRPCTOR MAIL ADDRESS CITY 21P PMONE LICENSE X <br /> Same <br /> MEGMRNILAL CONTRACTOR MAIL AUOFESS qTY ZIP PHONE LICENSE N <br /> . - PLUMBING GONTPALTOR MAIL ADDRE55� GITV ZIP PMONE LICENSE N <br /> CLASS OF WORR <br /> ❑NEW ❑ ADDITION O ALTERATION X�iI REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORN <br /> Replace old plumbing <br /> PROPOSED USE OF 9UILOING <br /> Resi dence 1 HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROVERTY�SHOW BELOW OR ATTACH FOIIR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING TIi1S TYP�OF WORK WILL BE COMPLIED VJITH <br /> �or_aiocn_oF WHETH�R SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONST UCTION. <br /> JO�ADDRE55 51 OFCONTRALT AU E T DATE <br /> 2720 Fulton . 5/25/84 <br /> PLUMBING MECHA CAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILE� AIR COND.UNI7S— H.P. EA. <br /> � BATHTUB REFRIGERATION UNITS— H.P.CA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIREO A.C.UNITS—TONNAGE EA. <br /> KITCHENSINK8015P. 2 FORCED AIR SVSTEMS— B.T.U. M EA. <br /> OISHWASHER WALL HEATERS— B.7.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> � CLOTHESWASHER Z OO EVAPORATIVECOOLERS <br /> � WATER HEATER Z OO CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIFEPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETQ) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB 70TAL ; �Z OO SUB TOTAL S <br /> PERMIT = 3 OO PERMIT S <br /> TOTAL FEE S �5 OO TOTAL FEE S <br /> SIDE YARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK Nl1MdER PLAN CHECK�EE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> "�YES :.'.NO <br /> TVPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING 5 <br /> � SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD <br /> PLUMBING � 5 OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ;.�.YES :.NO <br /> APPROVALS BY DATE �THER <br /> t. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.909(3) <br /> 2.BUILDING PLANS TOTAL �5 OO <br /> �.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPQCE)THIS�,SN�A1H PERUdIL_. � �� <br /> 7 U 1 J � <br /> 6.DRAINAGE -, � <br /> 7,ENVIRONMENTALIMPACTSTATEMENT • ; <br /> B.HEALTH�ISTRICT ' . . ��...�!. I�Ty�. � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY , . . , li <br /> i <br /> � I ��': <br /> ADDRE55 FIL'e <br /> ! . <br />