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� <br /> /!te Ererxreen <br /> ��T�°° `� CONSTRUCTIO ' ' <br /> everett PERMIT PERMIT NO. 13575 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O1N`�even R. Hoffman 6232 Cortmiercial °1V Z1P PHONE <br /> Everett 98203 347-1789 <br /> � AflGMITELT OR GESIGNEq I D S G ZIP PHONE <br /> GENEg IL LONTRACiJR MAIL ADOflESS <br /> �y�e C�TY ZIP P40NE LICENSE N <br /> MECMANIGA�WNTRACTOF MAIL ADORE55 CITY ZIP PHONE LICENSE A' <br /> PLUMBING CONTflAGTOR MAIL ADOflESS CIiY ZIP PMONE LICENSE� � <br /> • <br /> ClASS OF WORN <br /> ❑NEW ❑ qDDITION �ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD S70VEIFIREPLACE INSERT <br /> VALUATION OF WOflK <br /> 8�000.00 <br /> OESrqIBE\YORK <br /> Remodel :,athroom, install wood stove <br /> PRO S:'tOSEOFOWLDING <br /> s�ngle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL�ESCRIPTIOHOFPROPERTY�SNOWBELO\YORATTACHFOURCOPIES� APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK_oF _ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER 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 STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> JOB ADDRESS PERFORMANCE OF CONSTRUCTION. <br /> 6232 Commercial Avenue SIGI�qT RE OF CONiPP�TOR OR AUjM�RIZEO AGENT OATE <br /> x ' �-z -8�/ <br /> PLUMBING MECHANIC <br /> N0. TYPE OF FIXTURE OR I1�tM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATERCLOSET(TOILEn 2 0 AIR COND. UNITS- H.P. EA. <br /> 1 BATMTUB REFRIGERATION UNITS— HP. EA. <br /> 1 LAVATORV�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS —TONNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER Z 00 CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR �RAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS 1 S70VE —WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK(SERVICE — BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S 8 00 SUB TO7AL S 7 SO <br /> _ PERMIT S PERMIT S <br /> TOTAL FEE S $ 00 TOTAL FEE S 7 SO <br /> SIDE YARD SETBACK STREET SETBACK RL-�R YARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �iYliS .:NO FEES VALUATION FEE <br /> TY�^E OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING a 3,000. 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUh101NG 8 00 <br /> F:AE ZONE BASEMENT FIFE SPRINKLERS <br /> RE�UIRED AtECHANICAL 7 SO <br /> -VES i.:NO '�- <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECK-LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS ` SEC.303�a) <br /> 3.FIRE HYORANT TOTAI 54 0 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> -� 3.GRAOING WHEN PROPERLY VALIDATED(IN THI$SPAC�)THIS�S�1'�1$PE-�i�lT— � <br /> L "b.DRAINAGE � _ � <br /> ,'--7.ENVIRONMENTALIMPAQL*9TATEMENT LC) <br /> 8.HEAL7H DISTRICT � � � � i , �� 0 �� � ;'I F�I r„+ <br /> ��.�APPUCATION ACC. BY •� �PLANS CHEC!(ED BV APPR. FOR ISSUANCE BY � '-�� `� ��� "' �_j � �� / <br /> � ` � !': ', � U <br /> " IP1' <br /> � - � �� <br /> . `� �, �'_,� u 9 <br /> ADDRESS FIIE ,� <br /> L <br />