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crv �� ��.I' Y 'i�.Y li 11�1.iV Y �� eV <br /> everett PERMIT PERMIT NO. 09289 <br /> CITY HALL 259�8745 <br /> eveaerr.v✓n eazo� ❑ COMBINATION ❑ BUILDING � MECHANICAL PLUMBING <br /> 01YNEH MAILAODRE55 CITY ZIP PMOtJE <br /> Patrick Reams 2311 Everett Avenue Everett 98201 <br /> ARCNII[Ci OP OESIGNER MAiL ADDRE55 CITY ZIP PHONE <br /> GENERAL CANTRAGTOR MAIL A�DRE55 GTY ZIP PHONE UCENS[I <br /> MECMANICALCONT(iACTOR MAILAD�RE55 GRV ZIP PMONE UCENSE� <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PIUhIBINGCONTRAGTOR MAILAD�PE55 CITV ZIP PMONE LICENSE� <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERA710N ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF WORK <br /> S <br /> �E6CRIBE WORK <br /> PROi'OSED USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAlOESGRIPTIONOFPROPER!Y�SH0140ELOWOiiARACNFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or s�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAT PE OF CONTRACTOR OR AUTMORRED AGENT OATE <br /> aoo nooRess I � 5/21/81 <br /> 2311 Everett Avenue X t� <br /> PLUMBING MEC ANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.fl EA. <br /> � BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATOFiY(1YASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.G UNI75—TONNAGE EA. <br /> KITCHEN SINH 8 DISP. ], FORCED AIR SYSTEMS—B.T.U. M EA. ( OO <br /> DISMWASHER WALL HEATERS—BT.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> fLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEA�ERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(ScRVICE—BAR,ETC.) <br /> SUB TOTAL SUB TOTAL f 6 00 <br /> PERMIT S PERMIT S 3 00 <br /> TOTAL FEE S TOTAL FEE S 9 00 <br /> SIDE YARD SETBACK STPEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE lOT AREA VACANT SITE VALUATION FEE <br /> ❑YES ❑NO FEES <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT RIEOUIRED KLERS MECHANICAL 9 00 <br /> ❑YES flNO <br /> APPROVALS BY DATE OTHER <br /> t. EN\'IRONMENTALCHECKLIS7 pENALTY U.BC. <br /> SEC.3031a) <br /> 2. BUILDINGPLANS 9 00 <br /> TOTAL <br /> 3. FlREHYDRANT <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADMG � � �� 5 l I,�, � � (! ;'� — �� <br /> 6. DRAINAGE <br /> N <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> 0. NEAL7H DISTRICT , „ „ i�s.'�,. i. �P 1 � <br /> APPLICATION ACC.BY PlANS CHECKED BY APPR.FOR ISSUANCE DY ; � ;,��; 1 `.. . U <br /> 1 <br /> � I ,...1 U I <br /> ADDRESS FILE <br /> • <br />