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c a x +.r�..�n� <br /> ' ..�i��.... <br /> � <br /> ar <br /> , . . . `;ixt.r 'r,x�'a-��'.+>.. , . ..:_� <br /> 1/tcE�rrgrecn f� r�NSTRUC�ION � '�' <br /> CITY OF <br /> everett PERMIT PERMIT N0. O9HO2 <br /> CITV HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING Ix7cMECHANICAL ❑ PLUMBING <br /> 01YNER MAILADORE55 CITY ZiV PHONE <br /> Martin Wampler 2802 Everett Avenue Everett <br /> ARGHRECTOROISiGNER MAILADD9E55 C17Y 21P PHONE <br /> G[NERA�CANT��CTOB � MAIL ADDRESS CITV 21P PHONE IICENSE I <br /> MECMPNICALCANTRACTOP MAILADDRE55 piV ZIP PHONE LICENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PW MBING CANTRALTOR MAII AUDRE55 CITY 21P PNONE LILENSE 1 <br /> GLASS OF WOPH <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUApON OF WOPK <br /> b <br /> DESCFIBE WORK <br /> PPOPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEGALOESCRIPTIONOFPROPERiY(SHOWBEIOWORATTACHFOURLOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IA\NS AND ORDINANCES GOVERNING THIS <br /> ior o�a�_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. Tli[ GRANTING OF A PERUIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE ON CANCEI THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB A�DflE55 SIGNPT PE fOF CONTRACTOR OB/.UiHOR12E0 AGENT DATE <br /> 2802 Everett Avenue X ��t� L• � � Ck �� ✓� �� <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(iOILET) AIR COND.UNITS—N.P.EA, <br /> BATHT'U� REFf71GERATION UNIiS—H.R EA <br /> LAVATORY ryJASH BASIN) �OILERS—M.P.EA. <br /> SHOWER GAS FIReD AC.UNITS—TONNAGE EA. <br /> KI7CHEN SINK&DISP. FORCED AIR SYSTEMS—B.T.LL M EA. <br /> DISH\YASHER WALL HEATEI75—D.T.U. M <br /> U+UNDRY TRAY UNIT HEAT[RS—�.T.U. M <br /> CLOTHESIYASHER EVAPORATIVE COOLERS <br /> WATER HEATEF CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRIIJKING FOUNTAIIJ RANGE HOOD <br /> FLOOR D�7AIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM UREANERS STOVE <br /> ROOF ORAINS—RAINLFAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR.ETC! Water Heater 4 5� <br /> SUBTOTAL SUBTOTAL S <br /> PEflM1T f PENMIT S 3 0 <br /> TOTAL FEE 5 TO7ALFEE S 5 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SEiBACK PLA�!CNECK NUMBER PLAN CHECK FEE <br /> FEE �ECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES YALUATION FEE <br /> ❑VES GNO <br /> TYPE OF CONST. OCCUI'ANCY GROUP NO.OF DWELIING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STOFIES MAX.OCC.IOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT qEpUIRED KLERS MECHANICAL �] S O <br /> IIYES flNO <br /> APPqOVALS BV OATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST PENA�TY U B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 7 5 O <br /> 3. FIRE HVDRANT <br /> d. FIRL PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPLRLY VALIDATED(IN THIS SPACE)THI515 YOUR P7ERMIT <br /> 5. GRADINu - '. I I � ''' O !. � �� -- � <br /> 6. DRAINAGE � <br /> � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT _ � <br /> 9. HEALTH UISTRICT � � � � � � O <br /> !.PPLICATION ACC.BV PLANS CHECKED BY APPfi.FOR ISSUANCE BY � � � i <br />