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. <br /> � <br /> d�e L•'tirrgreen �9��ST R U CTI O N <br /> CITY OF <br /> everett PERMIT PERMIT NO. OgS64 <br /> . CITY HA�L"259�8745 <br /> rveaeTl.v+n eazo� ❑ COMBINATION ❑ BUILDING �MECHANICAL PLUMBING <br /> ov+r�en r.�ai�nuo�ass arv ziP rNor+e <br /> Dave Mullen 2122 Columbia 98203 347-3151 <br /> ARGHitCCT OR D[SiON[R �aA��ADDRESS Clt; ZIP PHONE <br /> GEN[RAICONiRAC10R MAIIAD�RE55 CITY ZIF PHONE IICENSEI <br /> __� <br /> MECMANICALCON7PACTOR 6V+ILADDRE55 GITv 21P PHJNE LICENSE� <br /> PWMBINGCONTPACIOR AIAILAOOPE55 CITV ZIP PMONE UCENSE� <br /> ClA55OF WORH <br /> ❑NEW ❑ADDITION XX4LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OP VlORK <br /> S <br /> DESCRIBE WCRN <br /> Install wood stove <br /> PROPOSED USE Of BUIL0ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGAL�ESCRIPiIONOFPPOPERTY�SHOW OELOY/ORARACMFOURCOPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> �or e�a�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRP.NTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THF.PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LA\N REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 9GV IUFF OF CONiP^Ll::ll�H AU1H RIZED AGLNI / ^VE <br /> JO���DRF55 � � <br /> 2122 Columbia X �� L�' <br /> PLUMBING MECHA, CAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEi) AIR CON�.UNITS—H P EA. <br /> HEFHIGERATION UNITS—H.P.EA <br /> BATHTUB <br /> LAVATORY�WASH BASIN� [301LEFS—N P.EA. <br /> GAS FlRED A.G UNITS—TONNAGE EA. <br /> SHOWEF <br /> KITCHEN SINK 8 DISF. FORCED AIR SYSTEMS—B T.U. M EA. <br /> WALL HEATERS—0 T.U. M <br /> DISITYlASHER <br /> UNIi NEATERS—BT.U. M <br /> IAUNDRI'TRAY EVAPORATIVE COULEPS <br /> CLOTHES WASNER <br /> CLOfH[S DRYERS <br /> WATER HEATER <br /> VENiILAT10N FAN <br /> URINAL <br /> DRINKING FOUNTNN RANGF HOOD � <br /> AIR MANDLING UNIT— C FM. _ <br /> FIOOR DRAIN _ry0_ <br /> VACUUM BREAKERS 1 STOV[ WOOfl <br /> ROOF DRAINS—RAWLE°�DERS METAL FlflEPLACE 8 CHIMNEY <br /> SINK ISERVIC[—DAR.ET��� <br /> aUBTOTAL SUB70TAL S 7 S <br /> PERMIT S PERMIT S 10 9 <br /> TOTALFEE S TO7ALFEE S <br /> PLnIJ CHECK FEE <br /> SIDE YARD SETBACK 57REEi SETBACF; flEAR YARD SETBACK PIJ�N CHECIC NUMBER RECEIPT NO. <br /> F[E <br /> USE ZONE LOT AREA VACANT SIIE FEES VALUATION FEE _ <br /> uYES ❑NO <br /> IYPE OF CANST. OCCUPANCY GROUP NO.OF DIYELLING UNITS <br /> BUILDING $ <br /> N0.OF STORIES ���%����DA� <br /> 9�E OF BL�G. PLUMBING <br /> FIRE ZONE LASEMENT q O'JIRED KlERS MECHANICAI 1� S O <br /> LIYES ❑NO -- <br /> APPPOVALS <br /> BV �ATE OTHER <br /> 1. ENVIRONMENTAL CIIECK LIST PENALTI' U.B.C. <br /> SEC.303(a) <br /> ?. OUILDING PLANS TOTAL 17 S 0 <br /> � 3. FlRE HYDRANT <br /> PEPMIT VALIDATION <br /> � 4. FIRE PR JTEGTION S�STEM \VHf N F'i:u'rEnLY VALIDATED��N THIS SPACE)Th115 IS YOUR PERAIIT <br /> 5. GRA�ING . . I � ' - . _ � <br /> i , . �. <br /> 6. ORAINAGE G�l <br /> Z ENVIRONMEIJTAL IMPACT STATEMENT Q) <br /> 0. HEAUH DISTRICT � � <br /> APPLICATION ACC.8Y PU1N5 CHECKED BV APPR.FOR 65UANC6 Cl�' . <br /> � <br />