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r "') <br /> "'c£'�T�`�° r �ONSTRUCTIO� ! <br /> everett PERMIT PERMIT N0. 1�927 <br /> qTY HALL 259-8745 <br /> EVERETT.WA9B201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNER MAILAOOFE55 CITY ZIP PMONE <br /> T�F RFIS 4721 COiiF . AVF Everett <br /> ARLHITECi OR OESIGNEN MNIL ADORE55 CITV ZIP PNONE <br /> GENERAL WNTPFQOfl MAIL AOORE55 CITY ZIP PNONE LIGENSE I <br /> MEGHANICAL LONTRACTOR MAIL AODRESS CITY 21P PHONE LICENSE� <br /> / <br /> PWMBING CONTflACTOR MFIL AUURESS CITY 21P PNONE LICENSE� <br /> � ROBINSON PLUb1BING 607 SE EVERETT MALL WAY EVERETT 98204 355-6171 <br /> cuss oF woaK ROB�P 2 7 2 6 2 <br /> ❑ NEW ❑ ADDIiION � ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN WO00 STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> 5 <br /> DESCRIBE WORN <br /> REMODEL PLUMBING <br /> PROPOS[D USE OF BUILDING <br /> RESIDENCE I HEREBY CERTIFY TI1AT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPERTY�SMOW BELOW OR ATfACM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BL000._OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRP.NTING OF A <br /> PERMIT DOES NOT PRESUME TO�IVE 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 ADDRESS SIGNFTUR OF GONT OF OR A THOFIZEO AGENT ATE <br /> 4721 COLLEGE AVENUE X � 4/2 /83 <br /> PLUMBING MECHANIC L <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNI7S— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORY(WASH BASINI BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KITCHEN SINK 8�ISP. FORCED AIR SYS7EMS— B.T.U. M EA. <br /> OISHWASHER WALL HEATERS— e.T.U. M <br /> LAUNDRY 7RAV UNIT HEATERS— B.7.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATERHEATER �yateT line 2 CLOTHESORYERS <br /> URINAL VEN7ILATION FAN <br /> ORINKING FOUNTAIN tiANGE HO00 <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACl1UM BREAKERS STOVE —WOOD <br /> ROOF�RAINS— RAINLEADERS ME7AL FIREPLAGE 8 GHIMNEV <br /> SINK�SERVICE— BAF,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL S 10 Q� SUB T0TI1L f <br /> ~ PERMIT S 3 OO PEP,MI7 S <br /> TO7AL FEE t . 13 OO TOTAL FEE f <br /> SIOE VARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANL SITE <br /> .:YES �.:NO PEES VALUATION FEE <br /> TYPE OF WNST. OCCUPANCY GROUP NO. OF DWELIING UNIiS <br /> BUILDING 5 <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> � <br /> L FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> VES , NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.B.C. 13 OO <br /> SEC.903(al <br /> 2.BUILDING PLANS <br /> 3.FIRE HYDRANT TOTAL <br /> /.FIRE PRO?ECTION SVSTEM PERMIT VALIDATION <br /> C� S.GRADING _ WNENPROPERIYVALIDATED(INTHISI54THISjS�O�F�PF�i1�lT--� <br /> a s uu <br /> 6.DRAINAGE <br /> � <br /> 7.ENVIRONMENTA�IMPACTSTATEMENT � <br /> 8.HEALTH DISTFICT <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY YO U R R EC E I PT <br /> ��i-�ar�K You <br /> 2 7 � 83 <br /> ADDRESS FIIE <br /> � � <br />