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_. / <br /> dre Erergreen <br /> ��T°°F � rO �ISTRUCTIO �V ' <br /> everett PERI� �T PERMIT NO. Z412H <br /> CI7Y MALL 259-97a5 <br /> EVERETf,YlA982pt � COMBINATION ❑ BUILDING L�ML=.CHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PMONE <br /> Howard Moore 5201 College Everett 347-0257 <br /> AFLMIiEGT OR pE51GNEfl IdAIL ApORE55 CITY ZIP PHONE <br /> GENEflA�CONTRRCTOR MA l,ADDRESS CITY ZIP PMONE LICENSE� <br /> r <br /> MECNFNICALCONTqACTOR MAIL �DDRESS CITY 21P PHONE �ICENSE� <br /> Valley Natural Gas 514 S,E, Everett Mall Way Everett VALLEPI174L0 <br /> Y�UMBING CONTRACTOR MAI�ADORESS CITY .'.IP PMONE �ICENSE M <br /> CLA55 OF WOpK <br /> ❑ NEW ❑ ADOITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEH'i <br /> VFLl1AT10N OF WOflK � <br /> S <br /> DESCRIBE WORK — <br /> PROPOSEO USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE REALI AND EXAMINED THIS <br /> LEGAL UESCRIPiION OF PqOPERTV�SMOW BELOW OR ATTqCM FOUR COPIES� APPUCATION AND KNOW '�HE SAMc TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND OfiDINANCES <br /> ior_e�ocrc_oF GOVERNING THIS TYPE OF WORK WILL ElE COMPLIEU WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANT�NG OF A <br /> PERMIT DO[S NOT PREuUME TO GIVE AUTHOqITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY Ol'HER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR ANCE OF CONSTRUfdTlq <br /> JOBAODRESS $IGNATU FC C 0 OR � � <br /> 5201 College ��,: 3�Z�GENT ' DATE <br /> X � �✓% / 11/6/84 <br /> PLUMBING M H NIC .-� <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TY O OUIPIAENT FEE <br /> WATERCLOSET�TOILET) AIR COND.'GNI75 — H.P. EA. � <br /> BATHTUB REFRIGERHTION UNITS — H.P. EA. <br /> LAVATORV(WASHBASIN� BOILERS — H.P. EA. <br /> SMOWER GAS FIRED A.C.UNITS — TONIJAGE EA. <br /> KI7CHEN SINK d DISP. FORCED AIR SVSTEMS— B.7.L. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY 7RFY UNIT HEATLRS— D.T.U. M <br /> CLOTHES WASHER EVAPCRATIVE COOLERS <br /> WA7ER HEATER CLOTHES GfiYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HO00 <br /> _ FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SEqVICE— 9AR, E7C.) FIREPLACE INSERT <br /> HEAT PUMP <br /> r—HeBkea 4 ,ri0 <br /> SUB 70TAL 3 SUB TOTAL S 4 SO <br /> PEHMIT S PERMIT S 10 00 <br /> TOTAL FEE 5 TOTAL FEE 5 SO <br /> SIDE YARD SETBACK STREETSETBACK qEAR YARD SETPACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> FEE RECEIPT NO <br /> U�F.ZONE LOT AREA VACAN7 SI7E <br /> ::VES I:NO PEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANGY GROUP NO. OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES M1fA%.OCC. LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS <br /> REQUIRED MECHANICAL ],Q SO <br /> VES ; NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTA�CMECK LIST PENALTY U.B.C. <br /> 7.BUILDING PLANS SEC.307(a) � <br /> 3.FIREHYDRAN7 TOTAL 14 SO <br /> d.FIRE PRO"�ECTION SYSTEM PERMIT VALIDATION <br /> 5.GRAnWG WHEN PROPERLY VALIDATEO pN TMIS SPACE)THIS IS YO�F�PF,RI�IIT_�� <br /> 6.DRAINAGE � � � <br /> N. <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.HEALTM DC:TIIIGT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � �� J <br /> � • <br /> F�DDRESS RLE <br />