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,�,�. � ,�,�,���,� �'ON$TRUCTIO�i - <br /> GTY OF <br /> everett PERMIT <br /> CITY HALL 259�8745 PERMIT NO. O H 6 H 7 <br /> EVERE77,WA 98201 ❑ COMBINATION ❑ BUILDING L� MECHANICAL ❑ PLUMBING <br /> OIVNFR MAI�AUDFE55 <br /> Re inald Guinn Gi1Y Z�P PMONE <br /> g 4944 Elm Street, Everett 98203 252-9679 <br /> qqC11R[CT OR DESIGNER AIFIL ADDfl[SS <br /> CITY ZIP PMONE <br /> GEIIERAL WNTRACIOR MAIL AODRESS �in. <br /> ZIP PHONE �ICENSE I <br /> MECHANICAL CANTRACIOR MAIL ADDRESS <br /> CI7Y Zlp PHONE �IGENSE I <br /> PWMBING GONTpqC70R MAIL AD�FE55 <br /> CITY $IP PMONE �ICENSE 1 <br /> LLA55 OF\VORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAlUAT10N OF WORK <br /> f <br /> �ESCRI9E lYORK <br /> Installation fo wood stove <br /> PROPOSED USE OF 9UILDING <br /> LEGALDESCRIPTIONOFPROPERTY�SHOWBEL0140RATfACHFOURCOPIES� PLICATION AND' KNOW THE SAME TO BE�TR E AND�CORRECL � <br /> ior e�a�oc ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH VJHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PER�AIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTFiUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNA OF fqNipACTOR OR Al1iHOF12ED AGENT DATE <br /> 4944 Elm Street, Everett X' � � " 12/15/80 <br /> PLUMBING MECH ICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET(TOILEn AIR COND.UNITS—H.P. EA. <br /> BATHTUB REfRIGERATION UNITS—H.P.EA <br /> LAVATORY�WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER <br /> LAUNDRV TRAY �vA��HEATERS—B.T.U. M <br /> UNIT HEATERS—B.7.U. M <br /> CLO'HES WASHER EVAFpRATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> LiflINAL <br /> VENTIL4TIpN FAN <br /> I _ ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLIIJG UNIT— <br /> C.F.M. <br /> VACUUM BREAKERS <br /> Sl OVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPL4CE 8 CHIIdNEY <br /> SINK(SERVICE—BAR,FTC.) <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT S PEHMIT S <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARO SE7BACK STREE7 SE78ACK REAR VARD SETBACK PLAN CHECK NUMBER <br /> PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> SIZE OF BLDG. NO.OF STORIES BUILDItJG g <br /> MN(:OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO 7 50 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST <br /> 2. BUILDING PLANS PENALTY U.B.C. <br /> SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL 7 S O <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION ' <br /> 5. GRADING K'HEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE � �+ 3 � $ 0 01. 5 0 �' � <br /> 7. ENVIRONMEN7ALIMPACTSTATEMEN7 <br /> B. HEALTH DISTRICT � <br /> p pT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � -� � I'�::C�I I 1 � <br /> VC ; �,. ,,�� 1,C U <br /> ADDRESS FILE I 5 CEC o°O <br />