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dic f?rcr�rcen � - �;p �ST R U CT I O I�� <br /> Uiv OF <br /> everett PERMIT PERMIT NO. �56g6 <br /> CITV HALL 259�8745 <br /> EVERE7T,WA98207 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> ON'NER MnIL AOORE55 GTY ZIP PNONE <br /> Lsrry Galli 1201 Everett Avenue Unit #3 Everett 98201 <br /> ARGHITEGT OP DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br /> GEAcdAL CONTRPCTOF MAIL AD�RE55 CITY 21P PMONE LICENSE� <br /> MEGMANICAL CONTRACTOR MAIL ADDRE55 GITY ZIP PMONE UCENSE� <br /> Natural Gas E ui ment 1625 East Marine View Drive c T Everett 98201 258P 2�441 �ICENSE I <br /> PIUMBING CONTRAGTOR MAIL A��RE55 <br /> ClA$S OF WORK <br /> ❑ NEYI ❑ AOOITION ❑ ALTERATION ❑fiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOO�STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORN <br /> Install kitchen stove <br /> z <br /> PqOPOSEDUSEOFBUIl01NG 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND m <br /> LEGAL UESGRIPTION OF PROPERTY�SHOW BELOW OR ATfACM FOUR GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES „ <br /> �or_e�ocK_oF GOVERIJING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A �� <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR � � <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE o m <br /> PERF CE OF CONSTRUCTION, c o <br /> JOB AODRE55 SIGNA URE O RACTO R AUTHORIZED AGENT 11�14�85 m n <br /> 1201 Everett Avenue X o s <br /> m <br /> PLUMBING MECHANICAL s � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE m � <br /> WATERCLOSET�TOILEn AIR CON�.UNITS- H.P. EA. '� z <br /> C <br /> REFRIGERAiION UNITS - H.P.EA. D � <br /> BATHTUB � _ <br /> LAVATORY(WASH BPSIN) BOILEF7S- H.P.EA. � {�j� <br /> SHOWER <br /> GAS FIRED A.C.UNITS - TONNAGE EA. _ j T <br /> KITCHEN SINK 8 DISP. FORCED AIF SYSTEM$- B.T.U. M EA. � A <br /> T <br /> DISHWASHER WALL HEATERS- B.T.U. M ,_.{ �r7 <br /> UNIT MEATERS�- B.T.U. M = <br /> LAUNDHYTRAY m � <br /> EVAPORATIVE GOOLERS N <br /> CLOTHES WASHER — � <br /> CLOTHES DRVERS � � <br /> WA7ER HEATER - n m <br /> URIN4L VENTILATION FAN _ 3 N <br /> RANGEHOOD m <br /> DRINKING FOUNTAIN n <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.AI. ;i m <br /> VACUUM BREAKERS STOVE - 4 SO a <br /> A <br /> ROOF ORAINS- RAINLEADERS METAL FIREPLACE&CHIMNEY ._.� <br /> r FIREPLACEINSERT = <br /> SINK(5[RVICE- BAR, .:TC.) n <br /> z <br /> - HEAT PUMP <br /> S�Q_ 2 <br /> � <br /> z <br /> SUB TOTAL S � 6 SO � <br /> SUB TOTAL + � <br /> PERMIT S PEHMIT = 10 00 n <br /> TOTAL FEE S <br /> TOTALFEE 5 16 50 m <br /> SIDE YARD SETBAGK STFEET SETBACK REAR YARD SETBACK PLAI!CHECK NUMBEF PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> � �.YES �. .NO - <br /> TYPE OF CONST. OGCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL lFi SO <br /> REOUIRED <br /> YES NO <br /> APPROVALS tlY DA7E OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENA�TY U.B.C. <br /> SEC.303(a� <br /> 2.BUILDINGPLANS TOTAL 16 SO <br /> 3.FIqE HVDRANT <br /> 4.FIRE PRO7ECTION SYSTEM PERMI7 VALIDATION �� �� �� � � �� — � <br /> WHEN PROPERLV VALIDA7ED�IN TH P E17HI V U P I7 <br /> 5.GRADING <br /> 6.DPAINAGE C.rJ <br /> ZENVIRONMENTALIAIPACTSTATEMENT �'��' <br /> B.HEALTHDISTRICT , � . .,, �. ._ . L I I I ` ' <br /> AHPLICATION ACC. BY PLANS CHECKED BV APPR. FOR ISSUANCE BY . <br /> . ;I: 1'�? ;1 <br /> I . `' <br /> '� I;GV o'� <br /> ADDRCSS i'ILf_ <br />