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� �, '.:'m, ".'2^£o��;+?� <br /> �',eE,.�g�oF rONSTRUCTION � � <br /> everett PERMIT PERMIT N0. Qg71O <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> 01YNER MRILADDRE55 CITY ZIP PMONE <br /> Carl Alichaelson 6326 Elliot Way Everett 98203 353-1483 <br /> ARCNITECi OR OESIGtlER MAIL ADDRE55 CITY 21P PMONE <br /> GENERALGONTPACTOR MAILAODRE55 CITY 21P PNONE L�fENSE/ <br /> Same <br /> MECNANICAL CONTRACTON MAIL A�OPE55 CITV 21P PHONE LICENSE♦ <br /> PIUMBING GONiRA:iOR MAIL ADDFE55 CITY ZIP PHONE LIGENSE I <br /> CLASS OF WOPN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE OSIGN ❑GARAGE <br /> VAWATION OF WORH <br /> f <br /> DESCRIDE WORK <br /> install wood stove <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEWLDESCRIPTIOkJfPBOPERTY�SMCW BELOWORATTACNiOURfAPIES� PLICATION AND KNOW THE SAME TO BE TRU[ AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLOCI�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDFESS SIGN URE 0 CON RA TOR OF TIIORII. GENT OATE <br /> 6326 Elliott Way X ~ 8/2�/81 <br /> PLUMBING MECHANICAL , <br /> N0. TYPE OF FIXTURE Ofl ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NIR COND.UNITS—H.P.EA. <br /> BATHiUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWcR GAS FIRED AD.UNIiS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS—flT.U. M EA. <br /> DISHlYASHER WALLHEATLRS—BT.U. M <br /> U+UNDRY TRAY UNIT HEATERS—BT.U. M <br /> CLOTHES WASNEP [VAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR,ETC.) <br /> SUB TOTAL SUBTOTAL S 4 O <br /> PENMIT S PERMIT S <br /> TOTAL FEE f TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK fiEAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF fANST. OCCUPANCY GROUP NO.Of DWELLING UNITS <br /> BUIL�ING S <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> f EOUIRED MECHANICAL 14 S 0 <br /> [IYES ❑NO <br /> APPHOVAIS BY DATE O7HER <br /> 1. ENVIRONMENTAI.CHECK LIST PENALTV U.B.C. <br /> SEC.303(a) <br /> 2. BUILUINGPLANS <br /> 3. FIRE HYDRANT T�TA� 19 S O <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIOATION <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING , ' I ' ' I �' � � --O� <br /> 6. Dfi�INAGE � <br /> L ENVIHONMENTAL IMPACT STATEMENT � <br /> B. HEALiH DISTRICT � �� I O <br /> APPLICATION ACC.BY PLANS CHEC!ED BY APPR.FOR ISSUANCE BY . . <br />