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� <br /> �hefirer,�reen - CONSTRUCTIO �- <br /> CITYQF � �-' <br /> �verett PERMIT PERMIT NO. 1461� <br /> CITY HALL 259�8745 <br /> EVERETT,WA9820t i] COMBINATION ❑ BUILDING Cx�C MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRESS CITY IIP PHONE <br /> Everett School District No, 2 2302 Everett Avenue Everett 96201 339-4350 <br /> PABCMRECT OR OESIGNEfl MqIL AOORESS GTV ZIP PHONE <br /> GENERAL GONTRAGTOR MAIL ADDRE55 CITY ZIP PMONE LILENSE M <br /> Same <br /> MEGMANILFL CONTRACTOR MAIL AD�RESS dTY ZIP PHONE LICENSE e <br /> PLUMBING CONTFACTOR M41L ADDRE55 CITY Z�p PMONE LILENSE• <br /> �� <br /> CUSS OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREfLACE INSERT <br /> V4LUATION OF WORK <br /> f <br /> DES:RIBE WORK <br /> Replace oil burner with gas burner <br /> PFOPOSEO USE OF BUIL�ING <br /> Maintenance Office I 4EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESGRIYTIDN OF PROPERTY�SMOW BELOW OR ATTACM FOIIR COPIES) APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND OR�JINANCES <br /> lOi_BIOCK__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPEC�FIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES�OT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> -- OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL REGULAT�CONSTRUCTION OR THE <br /> JOBAODPE55 PERFOi3MA CE OF CONSTRU TION. <br /> $IGNATUFE OF O TH C OR AUTH ED AGENT DATE <br /> 2303 Everett Avenue �• - �,. .��,1-��;t_,,-, , 3/21/85 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR lTEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNITS - H.P. EA. <br /> LAVATORY�V'ASH BASIN) BOILERS- H.P. EA. <br /> SHOWER GAS FIfiED A.C. UNITS - TONNAGE:A. <br /> KITCHEN SINK 3 DISP. FORCE�AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALI HEAIERS- E.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS- B.T.II. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WA7ER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN Alq H�NOL�NG UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE -WOOD <br /> ROOF DRAINS- RAINLEAUEHS METALfIREPLACEB CHIMNEY <br /> SIMK�SERVICE- BAR,E7C.) FIREPLACE INSERT <br /> HEAT PUTAP <br /> 1 Surner 2 000 000 BTU 5 <br /> SUB TOTAL S SUB TOTAL 5 37 50 <br /> PERMIT S PEPMIT 5 10 00 <br /> 70TAL FEE S 70TAL FEE S <br /> SIOE VARD Sf:TBACK STREET SETBACK REAfi YARD SETBACK PLAN CHECK Nl1MBER PLAN CHECI: FEE <br /> FEE qECEIPT NO. <br /> USE 20NE I.OT AREA VACANT SITE <br /> : VES , NO FEES VALUATION FEE <br /> TYPE OF CONST. OCWPANCY GROUP NO.OF DWELLING UNITS <br /> BUIL�ING S <br /> SIZE OF BLOG. NO.OF S70RIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIFEZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> REOUIflEO 97 50 <br /> :�.YES ::NO ... <br /> � APPROVALS BY OATE OTMER <br /> 1.ENVIRONMENTAL CMECK LISi PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 9.FIREHYDRANT TOTAL 47 SO <br /> 4.FIFE PROTECTION SVSTEM PEHMI7 VALIDA710N <br /> 5.GRADING WHEN PROPERLY VAIIDATED QN TMIS SPAGE)TNIS IS YOU PERAr1T.-- a <br /> �. .� •1 <br /> G.DRAINAGE � <br /> � 7.ENVIRONMEN7ALIMPACTSTATEMENT � <br /> 8.HEAL7H DISTRICT � � I�'���� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � <br /> 'J <br /> � <br /> ADDRESS FILE <br />