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theE��ergrcen C` NSTRUCTIOI, <br /> CITY OF <br /> everett PERMIT PERMIT NO. 07453 <br /> CITY HALL 259�87a5 <br /> EVERETf,Ve�n 9ezoi ❑ COMBINATION ❑ BUILDING ]� MECHANICAL ❑ PLUMBING <br /> OWNER MAILAUORE55 CIIY ZIP PHONE <br /> Harold McNeil 5008 Crest Lane Everett 98203 252-5695 <br /> APCNIiEGiORDC5IGNEN MAILADDRESS CIiY 21P PHONE <br /> GEN[RAL CANiRACTOR AIAIL A�DRES$ CITY 21P PMONE LICENLE� <br /> .Same <br /> MECHl.NICAL CONTRACTOR MAIL AOORE55 CIN ZIP PMONE LIGENSE! <br /> PIUMBING CONTRACTOP MRIL A�DPESS CITY 21P PHONE LICENSE I <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAAAGE <br /> VALUATION OF WORK <br /> E <br /> OESCRIBE WORK <br /> Install metal fireplace <br /> PROPoSEO USE OF BU'LOING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESCRIPTIONOFPROPERiY�S110W BEIOWORATTACHFOUNLOFiES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior aiocK._cr _ TYPE OF WORK\NILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NCiT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO G'VE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISION F A�IY OTHER STATE 0 LOCAL LAW REGULATING <br /> CONS CTION OR THE RFOR CE OF CONSTRUCTION. <br /> JOB AOORESS SIG OF CONiRAC P OR D G T DAiE <br /> 5008 Crest Lane 4/10/80 <br /> PLUMBING MECHANICAL <br /> N0. TYPE UF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WAiER ClOSE7(TOILET) AIR COND.UNIiS—M.P.EA. <br /> BATHTUB REFflIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASINI BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A C.UNI7S—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS7EM5—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TflAV UNIT HEATERS--B.T.I.I. M <br /> CLOTHES WASHER EVAPORATIVECOOLERS <br /> WATER HEATER CLOTHE:i ORYERS _ <br /> UFINAL VENTILAiION F�N _ <br /> ORINKING FOUNTAIN RANGE I{OOD <br /> FLOOR DHAIN AIR HANDLING UNI7— C.F.M. _ <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIRf.PIA�, S CHIMNEY _ <br /> SINK(SERVICE—BAR.EfC.) <br /> SUB TqTAL SUBTOTAL S <br /> PEflMIf f PERMIT f 3 00 <br /> TO'tALFEE S TOTALFEE f 7 00 <br /> SIDE VARD SETBACK STREET SLTBACN REAR YARD SETBACK PLAN CHECK NUMOER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAN i SI7E <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CAN57. OCGUPANCY GROUP N0.OF DWEI.LING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STORIES MAX.OC�..LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT qEpUIRED KLERS MECHANICAL � 00 <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIFONMENTALCHECKLIST PENp�n. U.B.C. <br /> SEC.303(a) .� <br /> 2. BUILDING PLANS <br /> TOTAL 7 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THI515 YOUR PERMIT <br /> 5. GRADING O ' 9 C , � O 0 7. n O � M <br /> 6. DRAINAGE � � � �� Tl7 <br /> 7. ENVIRONMENTAL IMPACT STATEMENT , � ' � <br /> e. MEALTH DISTRICT YU U R REC E I PT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � <br /> x.c. ��-(ANK YOU <br /> ADDRESS FILE ;_�r I � gO <br />