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� <br /> 1hr EccrArcrn - . ,p���������I O�� <br /> ptv c� <br /> everett PE�MI� FERMIT NO. 14«49 <br /> CITY HALL 259�87a5 <br /> EVERETT.WAB8201 � COMBINATION ❑ BUILDING �y MECHANICAL PLIiMBING <br /> OWNEF MAIL ACDRE55 <br /> CITY ZIP PMONE <br /> r Leslie Preguber 2216 Everett Avenue Everett 98201 <br /> ARGMITEGi OR DESIGNEN MPIL ADORE55 <br /> GITY ZIP PNONE <br /> ��T� Z�p PNONE LICENSE� <br /> GENERAL GCNTRPGTOR MAII AOORESS <br /> GITY 21P PHOt:E �ICENSE I <br /> ' MECMANICa��ONTRAGTOR MAllA00"E55 ZSH�ZQ41 <br /> Naturnl Gas Equipment 1625 East �.inrine View DRive Everett 98201 PHONE LICENSE� <br /> PLUMBING CONTRAGTOR MAIL A�DRE55 <br /> �IiY Z�P <br /> CUSS OF WORK <br /> O NEN' ❑ ADDITION ❑ ALTERATION ❑AEPAIR ❑ DEMOLITION L� FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE ItJSE <br /> VplUAT10N OF Y/ORN <br /> S <br /> DESGRIBE W�RK <br /> PROPOSEU USEOF BU�IDING I HEPEBY CERTIFY THAT I HAVE READ AND E>:AMINED THIS <br /> APPLICATION AND KNOW TNE SAME TO BF TRUE AND <br /> LEGALDESGRIPTIONOFPROPERTY�SMOWBELO\YOFATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT___9�OCN__�F WHETHER�'.'ECIFIED HEREIN Ok �OT.THE GRANTWG OF A <br /> PERMIT D�ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> —'— LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. oaTe <br /> SIGN T RE OF LONTPALT R OR AUTHORIZ[D AGENT � I� ,Y. <br /> :�BAOORE55 I -�, � �L <br /> 2216 Everett Avenue X 7 <br /> MECX NICAL <br /> PLUMBING __ — FEE <br /> FEE N0. TYPE OF EOUIPMENT _ <br /> NO. TYPE OF FIXTURE OR ITEM AIR COND.UNITS — H.P. EA. <br /> WATER CLOSET�TOILE� <br /> — REFRIGFRA710N UNI7S— H.P.EA. <br /> BATHTUB <br /> tlUILERS — H.P.EA. <br /> LAVATORY�WASN BASIN) <br /> GAS FIRED A.C.UNITS—T�NNAGF FA. __ . _ <br /> SHO\YER — <br /> FORCED A�R S1'STEMS— B.T.U. �A EA. ,_ <br /> KITCHEN SINK fl DISP. <br /> WALL HEATEFS — B.i.U. M <br /> DISHWASHER <br /> 11NIT MEATERS— B.T.�. M <br /> LAUNDRY'.RAY EVAPORATIVE COOLERS _ <br /> CLOTHESWASHER -- CLOTHESORYERS <br /> WATER HEATER - <br /> VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINI:ING FOUNTAIN C.F.M. <br /> AIR HANDLIN(i UNIT — <br /> FLOOR URAIN — <br /> STOVE —�Y000 <br /> VACl1UM BREAKERS <br /> METAL FIREPLACE 8 CHIMNEV _ <br /> ROOF ORAINS— RAINLEADERS FIREPLACEINSENT <br /> SINK(SERVICE — DAR,ETC.) MEAT PUMP __ <br /> 1 Water Heater_ <br /> SUB iOTAL f 4 SO <br /> SUB TOTAL s PEPMIT S 10 00 <br /> — PERMIT = TOTAL FFF. S 14 50 <br /> TOTALFEE s pLAN CHECK Ftt <br /> ^IDE YARD SETCACK STREET SETBAGK REAR YARD SETBACK PLAN CHECK NUh1BER FFE RECEIPT NO. <br /> USE 20NE LOT AREA VACAN7 SITG FEES VALU�TION FEE <br /> YES NO <br /> i <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UI�ITS — <br /> BUILDING 5 , <br /> SIZE OF BLDG. NO.OF S70RIES MA%.OCC. LOAD pLUMUING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS �,�ECMANICAL 14 SO �� <br /> FEOUIRED <br /> YES NO <br /> OTHEH <br /> APPHOVAlS BY DAlE — - �" <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV SEC.30](e) <br /> 4 50 <br /> 2.BUILDING PLANS TOTAL <br /> 3.fIREHYDRANT . . _ .� � i i <br /> PERMIT VALI�ATION �� <br /> d.FIRE PROTECTION SYSTEM WHEN PROPERU'VALIDAT.D QN THIS SPACE)7HIS IS YOUR PERM/T-- <br /> '�]i <br /> L S.GPADING �. <br /> 6.ORA�NAGE <br /> � . �� <br /> ?.ENVIRONMENTALIMPACTSTATEMENT �� � � <br /> B.HEALTHDISTRIC7 � � <br /> APPLICATION FCC.BY PLANS CHECRED BY APPR.FOR ISSUAKCE 9Y , <br /> ������ � � .. � <br />