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,,. <br /> �hr Ll'rr.ercrn ^p�ST R U CT l 01�'-� � <br /> �:,� o� ; <br /> everett PERMIT PERMIT NO. 1`�� � g <br /> CITY NALL 259�8745 <br /> EVERETT,\'JA 98201 ❑ COMBINATION � BUILDING C�MECHANICAL ❑ PLUM8ING <br /> O\YNER MAIL A��HE55 CITY 21P PMONE <br /> Ron P. Marks 2320 Everett Avenue Everett 96201 <br /> ARCMO°CT OB�ESIGNER MAIL AD�NE55 CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAII q0�RE55 qTY ZIP PMONE LICENSE• <br /> MECMANICAL CONTRACTOR NAIL ADORESS pTV 21P PMONE LICENSE/ <br /> Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br /> PLVMBING CONTRACTOP MAIL ADDRESS CITY ZIP PMONE LICENSE M <br /> CLA55 nF WORK <br /> ❑ NEW O ADOITION ❑ ALTERATION ❑fiEPAIR � DEMO;IfION O FFNCE O SIGN L� WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORI( <br /> f <br /> DE.^.CRIBE WORK <br /> PROPOSED USEOF Bl11LDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPERTY�SHOWBELOWORATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVFRNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT__BLOCN__OF 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 ��THER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANC OF CONSTRUCTION. <br /> JOB ADORE55 SIGNATURc OF CO RA T IITNORI2ED AGENT OATE <br /> 2320 Everett Avenue X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEn AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS �— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOLYER GP.S FIRED A.C.UNITS —70NNAGE EA. <br /> KI7CMEN SINK 8 DISP. FORCED AIR SYSTEMS— B.7.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.?.U. M <br /> CLOiHES WASHER EVAPOHATIVE COOLERS <br /> WATER HEATER CLOTHES DliYERS <br /> URINAL VENTI�A710N fAN <br /> ORINK�NG FOUN7AIN RANGE HOOD <br /> FLOOR DRAIN AIF HANDLING UNIT — C.F.M. <br /> VACUUM BREAKERS S70VE—WOOD <br /> ROOF DRAINS— RP.�NLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK;SERVICE— BAR,EiQ) FIPEPLACE INSERT <br /> HEAT PUMP <br /> Piping 2 00 <br /> SUB TOTAL f SUB TOTAL S 14 00 <br /> PEPMIT f PERMIT S <br /> TOTAIFEE S TO7Al FEE f 24 O <br /> SIDE YARD SEiBACK STREE7 SETBACK 9EAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA �ACANT SITE FEES VAIUATION FEE <br /> :.YES �.'NO <br /> iYPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING UNITS <br /> BUIL�ING $ <br /> 512E OF BLDG. NO.OF STORIES MA%.OCC. LOpD <br /> PLUMBING <br /> FIHE ZONE BASEMENT RIEOUSRED KLERS MECHANICAL 2•3 00 <br /> . .YES �. �.NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CMECK LIST PENALTY U.B.C. <br /> SEC.3071a) <br /> 2.BUILDING PLANS TOTAL 24 OO <br /> 3.FIRE MVDRANT <br /> 4.FIRE PRO7ECTION SYSTEM PERMI7 VALIUATION � <br /> WHEN PROPERLY VALIDATED pN 7HIS SPACEI THIS IS YO�/fj P�A�1T � <br /> 5.GRADING . . . .. . � �i . (Y+j: <br /> 6.DRA'NAGE N <br /> 7.ENVI RON MENTAL IMPACT STATEMENT �.'}' <br /> 8.HEALTH DISTRICT � � . ; I I � <br /> APPLICATION ACC. BY PLANS CHEGKED BY 1PPR.FOR ISSUANCE BY ' <br /> � • , � <br /> I I � � i <br /> ADDRESS f-ILE i <br />