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Ihi� ErerCre'e'ri � <br /> everett � �ONSTRUCTIO �' <br /> PERMIT PERMIT NO. �- 302 � � <br /> CITY HALL 259�8745 I' <br /> EVERETT,WA98201 ❑ COMBINATION ❑ BUILDING � MECkANICAL ❑ PLUMBING ; <br /> i <br /> OWNER MAIL AODRE55 CITY ZIP PMONE � <br /> Herman S. Olson 712 Colby Everett 98204 <br /> i <br /> ARCHITEGT OR OESIGNER MAIL AODRESS GITY ZIP PHONE 1 <br /> GENERAL COHTPALTGd MAIL ADDRESS GITY ZIP PHONE UCENSE� <br /> MECHANICAL CONTRACiOR MAIL ADDRESS LITV 21P PMONE IICENSE� � <br /> Same ' <br /> PLUMBING CONTRACTOR MAIL AO�RESS CITY ZIP PNONE LICENSE+ � <br /> i <br /> GLA55 OF WORK , <br /> ❑NEW ❑ ADDITION O ALTERATION ❑REPAIR ❑ OEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT �� <br /> VALUATION OF WOflK <br /> 1 � <br /> OESCRIBE WORK <br /> 1 <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVF. READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALUESGFIPTIONOFPROPERTY�SHOWBELOWORARAGNPOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDIWANCES <br /> �oT_s�ocrc_oF_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTiNG OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO V�OLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION QR THE <br /> PERFORMANCEOFCO TRUCTION. <br /> JOB ADDRESS SIG OF CONTRACTOR O D AGENT DATE <br /> 1201 Everett Avenue �� 2/24/84 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TURE OR ITEM FEE N0. TYPF OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR CONL�. UNITS-� H.P. EA. <br /> BATHTUB REPR13Ef1ATION GNITS — H.P. EA. <br /> LAVATORY�WASHBASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS — TONNAGF EA. <br /> KITCHEN SINK 8 DISP. 1 FORCED AIR SYSTEMS— B.T.U.lOQ1 EA. � SO <br /> DISHWASHER WALL HEA7ER5— B.T.U. M <br /> LAUNDRYTRAY UNI7 HEATERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVc COOLERS <br /> WATER HEA7ER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIi— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> fi00F DFAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEV <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 7 Gas Ran es 31 50 <br /> 1 Water Heater 4 50 <br /> Gas Line 4 <br /> SUB TOTAL f SUB TOTAL S <br /> PEqM1T S PENMIT S ],0 00 <br /> TOTAL FEE S TOTAL FEE 5 <br /> SIDE YARD SETBACK STREET SETBACK REAR YAPD SE7BAGK 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 CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD — <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SP{;INKLERS MECHANICAL SB 00 <br /> REO�IRE D <br /> !�-�YES :NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMEN7AL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHVORANT T�TA� SB 00 <br /> 4.FIRE PRO7ECTION SYSTEM PERMI7 VALIDATION � <br /> 5.GRADIIJG \4HEN PROPERLY VALIDATED(IN THE 2 O 9E)THI�IS�YP�PEF�I1.AIT Q7 <br /> 6.DRAINAGE U � U U �y <br /> 7.ENVIRONMENTALIMPACTSTA7EMENT � <br /> M <br /> 8.HEALTM DISTRICT � ,.� �•, �- .�F_ p <br /> APPLICA7101J ACC. BY PLANS CHECKED BV APPR. FOR ISSUANCE BY � �.'• il:_•...�I I � � <br /> ;;; .',f: YC U <br /> � li ;Ea 8!a <br /> ADDRESS FILE <br />