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(GeL�'CSYCOF ^ �-^.ONSTRUCTION - � -- <br /> everett PERMIT pERMIT NO. O92H9 <br /> CITV HALL 259�B7a5 <br /> EVERETf.WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ pLUMBING <br /> ON'NEH MNILADpPF.S$ CITY ZIP PHONE <br /> Patrick Reams 2311 Everett Avenue Everett 98201 <br /> PRCMITELT OR OESIGNER MRIL ADDRE55 CITV ZIP PMONE <br /> GENEflAL CONTRACTOR MRIL ADDRE55 CITY ZIP PHONE UCENSE I <br /> MECMANIGALGONiRACiOA MAILADDFESS qTY 21P PMONE UCENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PWMBINGCONiRACTOR MAILAOORESS Cltt 21P PNONE LICENSE/ <br /> GlAS50F WORK <br /> ❑NEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF W09K <br /> f <br /> DESCRIBE WORK <br /> , Pfi0PO5ED USE OF BWIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESGRIPiIONOFPROPERTVISMOWOEIOWORATTOCHfOURCOP�ES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT__s�ceK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HERFIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RE55 SIGNAT RE OF GONTRACTOF OR AUTNORRED AGENT OATE <br /> 2311 Everett Avenue X � - ,v 5/21/81 <br /> PLUMBING MEC ANICA <br /> NO. T1'PE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY hNASH BASM) OOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. 1 FORC[D.41R SYSTEMS—B T.U. M EA. C) OO <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT HEATERS —B T.U. M <br /> CLOTIIES WASHER EVAPoRAiIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN FIR HANDLIN.i UNIT— QF.M. <br /> VACUUM�REAKERS STOVE <br /> ROOF DRAINS--RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK�SERVICE—BAR,ETC.) <br /> SUB TOTAL SUB TOTAL S 6 00 <br /> PERMIT S PERMIT S 3 00 <br /> TOTAL FEE S TOTAL FEE S 9 00 <br /> SIDE YARD SE7BACK SiREET SETBACK REAR YARD SEiBACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> OSE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE GF CONST. OCCUPANCY GROUP NO.OF DWELLING UNI75 <br /> BUILDING S <br /> SIZE OF dLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL 9 00 <br /> IlYES f]NO <br /> APPNOVALS BY DATE OTI1Eti <br /> 1. ENVIRONMENTALCHECKLIST PENALiY U.BC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIRE HYDRANT TOTAL 9 00 <br /> 4. FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> WHEN°ROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING '(y� <br /> 1 � '� '�� ' ,W <br /> G. DRAINAGE � � � ' �, � �' I� <br /> 7. ENVIRONMENTAIIMPACTSTATEMENT N <br /> B. HEAL7H DISTRICT � , � <br /> . �," I � <br /> APPLICATION ACC.BY PLANS CHECKED�Y APPR fOR ISSUANCE BV � <br /> . i <br /> i <br />