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r .� <br /> thc £��erArcrr� _. <br /> everett r �ONSTRUCTIO � � <br /> CITVHALL259�9745 PERMIT PERMIT N0. 12620 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING �C MECHANICAL ❑ PLUMBItJG <br /> OWNER MAIL AOORE55 CITY ZIP PMONE <br /> RICNARD NEl4BILL 7727 Easv S r F.v�rett 98203 35�-4813 <br /> AHCMITECT OR OESIGNER MAIL AD�RESS CITY 21P PMONE <br /> GENERAI CONiqA�TOR MAIL AOORESS pITY 21P PHONE UGENSE� <br /> Same <br /> MECHANICAL CONTPACTOR MAI�AODRESS CITY ZIP PMONE LIGENSE M ^ <br /> l <br /> � PLUMBING CONTRACTOR MAIL AOORESS dTY ZIP PMONE IIGENSE M <br /> CLA55 OF WORK <br /> GI NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> A <br /> VALUATION OF WORN <br /> f <br /> DESCRIBE WORK <br /> Install ivood stove, hearth and cliimne � <br /> PROPCSEO USE OF BUILDING <br /> Res idence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL UESLRIPTION OF PROPERTV�SHOW BELOW OR ATTACH FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND OADINANCES <br /> L0T_BIOGK__OF GOVERNIN� THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUNE TO GIVE AUTIIORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AOOBESS SIGNATURE OF CONTRACTOR OR AUTHONI2ED AGENT DATE <br /> 7727 Eas Street 10 28 83 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�701LEn AIR COND. UNI75— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORV(WASH BASIN) BOILEHS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS— 70NNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYS7EM5— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUI7T41N RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METALFINEPLACE 8 CHIMNEY <br /> SI�:K(SERVICE— BAR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> • <br /> SUB TOTAL i SUB TO7AL S � S O <br /> PERMIT S PERMIT S LO OO <br /> TOTAL FEE 5 TOTAL FEE S 1� S O <br /> SIDE YARD SETBACK STRE[T SETBACK REAR YARD SE78ACK PLON CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> :=YES :�NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMDING �r <br /> � FIREZONE BASEMENT FIRESPflINKLERS <br /> REOUIRED MECNANICAL 1� SO <br /> YES NO <br /> APPROVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST U.B.C. <br /> PENALTV SEC.3031a) <br /> 2.BUILG.NG PLANS <br /> 3.FIRE HYDRANT TOTAL 1� S O <br /> (� 4.FIRF PROTECTION SYSTEM pEHMIT VALIOATION <br /> 5.GRADING WMEN PROPERLV VALIDATED(IN THI?�PEC�E)THIS j5���P�MIT�� Q <br /> 6.DIiAINAGE � o � � J � CV <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.MEALTM DISTRICT N <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY Y V U R REC E I Pt r-+ <br /> T��ANK YOU <br /> 78ocr 83 <br /> ADDRESS FIL[ <br /> • � <br />