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� <br /> `J'� ``�T�e�� � �ONSTRUCTION <br /> everett PERMI� PERMIT NO. 13$67 <br /> CITV HALL 259�8745 <br /> EVERETT,WA98207 � COMBINATION ❑ BUILDING � MECHANICAL ❑ ^LUMBING <br /> OWNER MAILAO�RESS GTV 21P PNONE <br /> r MEB MANUFACTURING �F� rt Acrni a F r fr wa 9A�(11 <br /> ARGHRECT OR DESIGNEB MAIL AODRESS CITY ZIP PMONE <br /> GENERnL CONTRACTOR MAIL AD�RESS CITY ZIP PHONE LICENSE M <br /> MECHANICAI CONTRA6fOR MAIL AODPE55 CRV ZIP PHONE ULENSE N <br /> NATURAL GAS EQUIPMENT 1625 E Mnrine View Drive Everett WA 9820� �58-7447 — <br /> PLUMBING CONTHACTOR .MAIL POORESS dTY ZIP PNONE LIGENSE� <br /> CLA55 OF WORK � <br /> �VEW ❑ ADDIT1�N ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WO00 STOVE/FItiEPLACE INSERT <br /> VAWATION OF WORK <br /> S <br /> DESCRIBE WOPN <br /> Water heater <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCRIPTIONOFPROFERTY�SMO\YBELOWOPARAGMFOURCOPIES) CORRECT. ALL PROVISIONS OF I_AWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OF CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO ANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNAT . E F ACTOR 0 FUTMORIiED AGENT DATE <br /> 3416 Everett Avenue X 9 5 84 <br /> PLUMBING MECHANiCAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSE7(TOILEn AIR COND.UNITS– M.P. EA. <br /> BATHTUB FEFF'GERA710N UIJITS– H.P. EA. <br /> LAVATORY�VJASH BASIN) BOILERS– H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS–70NNAGE EA. <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYSTEMS– B.T.U. M EA. <br /> DISHWASHER WALL HEATERS– BS.U. M <br /> LAUNDRV TRAY UNIT HEATERS– 6.7.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNiAIN RANGE HOOD <br /> FLOOR URAIN AIR HANDLING UNIT– C.F.M. <br /> VACUUM BREAKEfiS STOVE–WOOD <br /> ROOF DRAINS– RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE– BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 Water heater <br /> SUB TOTAL f SUB TOTAL 5 Q SO <br /> PERMIT S PERMIi S 10 O <br /> TOTAL FEE S 70TAL FEE S 5 <br /> SIDE YARO SETBACH STREET SE,BACK REAR 1'ARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE l0T AREA VACA�T SITE <br /> �:YEL i-:NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCV GROUP NO.OF�WELUNG UNITS <br /> 6UIL�ING S <br /> SIZE OF 6LDG. NO.OF STORIES MAX.OCG�OAD <br /> PLUMBING <br /> FIREZONE BASEMENT REOUIREO KLERS MECHANICAL 14 SO . <br /> YES . .NO <br /> APPROVALS BY DATE OTHER r <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303 lal <br /> 2.BUILDINGPLANS TOTAL 14 SO <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROtEC710N SYSiEM PEFMIT VALIDATION <br /> WHEN PROPERLY VALIOATED(IN THIS SPACE�THIS�IS Y U P�1�11T r- <br /> � 5.GRADING (. � '�I 3 : �i� �!. , i,l — (�� <br /> 6.ORAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT (17 <br /> 8.HEALTH DISTRICT � - � <br /> APPLICATION ACC. �Y PLANS CHECKED BY APPR. FOR ISSUANGE BY ' '� � � '�� � <br /> �� . �� <br /> - �� i� V � <br /> `� ADDRC°.S FILE. <br />