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, <br /> fh¢El'C�YOF � �ONSTRUCTIC�N -� "-�� <br /> everett PERMIT pERMIT NO. OH687 <br /> CITY MALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING L� MECHANICAL ❑ PLUMBING <br /> OWNER MAILADOPESS CITY ZIP PNONE <br /> Reginald Guinn 4944 Elm Street, Everett 98203 252-9679 <br /> ARCHIiEGT Ofl DESIGNER MAIL AD�RESS QTV 21P PMONE <br /> iENERALCONTRACTON MAILAOORE55 CITY ZIP PHONE �ICENSEI <br /> �IELHANICALCANTflACTOR FIAILA�DRE55 GITY IIP PNONE UCENSEI - <br /> PWMOINGWNTNRCTOR MAILADOPESS CITY ZIP PHONE LICENSEI <br /> CLASS OF 1YORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FEIJCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f <br /> DESCRIBE WORK <br /> Installation fo wood stove <br /> PROPOSED USE Oi BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> lEG4�DESCRIPTIONOFPROPERTY�SMOWBELOWORATTACNFOURWPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�oc�_oF TYPE OF WORK WIIL 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 ApORESS SIGNA -OP CONiRAC10R OR AUTNOR12E0 AGENT OATE <br /> 4944 Elm Street, Everett X � � 12/15/80 <br /> PLUMBINO MECH ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(iOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB qEFRIGERATION UNITS—H.P. EA <br /> LAVATORY(WASH BASIN) BOILERS—H.R EA. <br /> SHUWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCLD AIR SVSTEMS—8 T.U. M EA. <br /> DISHWASHER WALL HEATERS—(3.T.U. M <br /> LAUNDRY TRAY UNIT HEATEPS—6.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLER: <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL V[NTILATION FAN <br /> � DRINKING FOUNTAIN RANGE HOOD <br /> ' FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BFEFK'eRS STOVE <br /> FOOF DRAINS—RAINLEAOERS METAL FIREPIACE 8 CHIMNEY <br /> SINK(5[G�'ICE—BAR.ETCJ <br /> SUBTOTAL SUBTOTAL S <br /> PEHMIT S PEpM1T S <br /> TOTALFEE S TOTALFEE t <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS —. <br /> �UILDING g <br /> SIZE OF BLDG. NO.OF S70RIE5 MAX.�OCC.LOAD <br /> �IUMBINCa <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> ❑V�ESR[]NO MECMANICAL �] SO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PEN`�n, U.B.C. <br /> 2. BUILDWG PLANS SEC.303(a) <br /> 3. FIREf{yDRANT TOTAL �I SO <br /> 4. FIRE PROTECTION SVSTEM PEHMIT VALIDATION <br /> 5. GRADING WHEN PROPERLY VALIDATEO(IN THIS SPACE)THIS IS VOUR PERMI7 <br /> 6. DRAINAGE � 6 s � Q � O 7. [ O —� A <br /> � � W <br /> 7. ENVIRONMENTAL 167PACT STATEMENT � <br /> 8. IIEALTH DISTRICT � <br /> r. 1� <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY � �� �. R l. E I f T � <br /> VC ' , i .�•�,� �l �. U <br />