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� <br /> (l!c CYPrArfCr7 <br /> �,7Y°F � CQNSTRUCTIC�� <br /> everett pERMIT PERMIT NO. �-4161 <br /> CITY HALL 7.59�9745 <br /> EVERETT,lYA98201 � COMBINATION ❑ BUILDING C� MECHAR :AL ❑ PLUMBING <br /> OYiNER MAIL AUORESS CITY ZIP PHONE <br /> Elbert HendriJ( 2415 Everett Avenue Ever�tt 98201 <br /> AHCNITECT OR OESIGNER MAIL ADORE55 pTV ZIP PNONE <br /> r <br /> GENERAL CONTRACTOR MAIL AOOFE55 GTY ZIP PMONE LIGENSE� <br /> MEGHANICAI GONTRAGTOR MqIL A�DRESS CITY ZIP PMONE LILENSE N <br /> Natural Gas Equipment 1625 East Marine View Drive 98201 258-2441 <br /> . PLUMBING GONTHACTOF MqIL AO�RE55 CITY ZIP PNONE LILENSE I <br /> w` <br /> i <br /> 'LA55 OF WORK <br /> ❑ NtW ❑ ADDITION ❑ ALTERATION ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WpOD STOVE/FIPEPLACE INSERT <br /> VALUATION OF V '9K <br /> S <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGFl0E5CRlf'TIONOFPROPERTY�SHOWOE�OWORARACHFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOLN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUM E TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL L W REGULATING CONSTRUCTION OR THE <br /> PERFOR CE OF CONSTRUCTION. <br /> JOB ADORESS SIGNAiUF F C Ci R R U�RI2ED AGENT DATE <br /> 2415 Everett Avenue X 11/14/84 <br /> PLUMBING MECMANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS — <br /> H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— M.P. EA. <br /> SHOWER GAS FIRED A.Q UNITS — TONNAGE EA. <br /> KI7CHEN SINK d OISP. FORCED AIR SYSTEMS — B.T.U. M EA. <br /> DISHVJASHER WALI HEA7ERS— B.T.U. M <br /> LAUNDRVTRAY UNI7 MEATERS— B.T.U. �� <br /> C�O7HES WASMER EVAPORAIIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL V[NTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DfiAIN _ AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS S70VE— WOO� <br /> _ ROOF DRAINS — FAINLEADERS METAL FIREPLACEB GHIMNEY <br /> SINK(SERVICE — BAR, ETC.) PIREPLACEINSERT <br /> HEAT PUMP <br /> pY �7p <br /> SUB TOTAL f SU9 TO7AL S 4 50 <br /> PERMIT f PERMIT S 10 00 <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE VARD SETBACK ST(lEET SETBACK REAR 1'ARD SETBACK PLAN CHECK NUMBEP PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE lOT A(7EA VACANT SITE <br /> �:YES CNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING U�ITS <br /> BUILDING s <br /> SIZE OF eL�G. NO. OF STOHIES MA%.OCC. LOAD <br /> ' PLUMBING <br /> FIRE ZONE BASEMENi FIqE SPRINKLERS MECHANICAL <br /> REOUIRED l4 5� <br /> VES NO <br /> APPflOVpLS BY DATE OTHER <br /> 1. ENVIFONMENTAL CHECK LIST PENALTV U.B.C. <br /> 2.BUILDING PLANS SEC.903(a) <br /> 7.FIREHYDRANT TaTA� ,14 SO <br /> 4.1'IRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING 1NMEN PROPERLY VALIDATED pN THIS SPAGE)THIS�YS'V�UR PERMIT __ .r-;{ <br /> 6.DIlAINAGE ' �� <br /> CiJ <br /> L 7.ENVIRONMENTALIMPACTSTATEMENT [--I <br /> 8.HEF.LTH DISTRICT �' <br /> APPLICATION ACC. BY PLANS CHECKED DY APPR. FOR ISSUANCC- BY � � � - I� �i r-i <br /> ' I <br /> ADDRE55 FIL[ <br />