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r -� <br /> U7eEi'CgveOF CONSTRUCTIOI�� � � <br /> everett PERMI 1 PERMIT N0. 11598 <br /> CI7Y HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ pLUMBING <br /> 01YNtR MAILAODRESS CI1Y ZR' PMONE <br /> Tom Rubatino 3512 Everett Avenue Everett 98201 <br /> AqCHITECTORpE51GNER MAILApDRE55 �ITY ZIP FNONE <br /> GENERALCONiRACiOR MAILADURESS CITY 21P VHONE UCENSEI <br /> AIECMANICAL CANiflACTOR MAII ADDRESS GITY 21P PHONE UGENSE I � <br /> _ Natural Gas Equipment 1611 East Marine View Drive 98201 258-2441 <br /> i <br /> PLUMpINGCONTRACTOR IAAILAppRE55 CITV 21P PHONE UCENSEI <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALfERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN CGARAGE <br /> VALUATION OF WOPK -� <br /> E <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILUING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGALOESCRIPTIONOFPROPERiY�SMOWBELOWORATfACHFOURC�PIE51 PLICATION AND KNOW T4E SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVEFNING �HIS <br /> Wi___BLOC1�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERidIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE GN CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCA� LAW REGUTATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOOFDOPESS SIGNATUR[OFWF1RAGi0ROFAUiMCMREDAGENT DATE <br /> 3512 Everett Avenue X h 3/16/83 <br /> PLUMBIN6 M[CH NICAL <br /> � NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—H.P.FA. <br /> BATHTUB REFRIGERATION UNITS—HP.EA <br /> LA\'A70RV(WASH BASIN� BOILERS—H.R EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN$INK 8 DISP. PORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEA7ER5—B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—9.T.U. M <br /> CLOTHES WASHEH EVAFORAiNE COOLERS <br /> WATER HEATER CLOiHES DRYERS <br /> URINAL VENTIlATION FAN <br /> DRINKING FOUNTAIN RANG[HOOD <br /> FLOOP DRAIN AIR HANCLING UNIT— C.F.M. <br /> VACl1UM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL SUBI�OTAL S 4 S <br /> .r PERMIT f PERMIT S 0 O <br /> TOTALFEE Y TOTALFEE S 5 <br /> SIDE VARD SETBACK STREET SET�ACK REAR YAFD SETBACK PLAN CHECK NUMBER PIAN CHECK FEE <br /> FEF RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF OLDG. I:O.OF STORIES MA%.OCC.LOAD <br /> PIUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL ],4 SO � <br /> L �7VES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY UBC. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT T�TA� 14 S 0 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> ' S. GRADING WHEN PROPERLY VALIDATED QN THIS SPACE)THIS IS YOUR PERMIT � ' <br /> 6. DRAINAGE 4 5 4 3 f.0 I 4.5 0 --�4 � <br /> 7. ENVIRONMENTALIMPACTS7ATEMENT � <br /> B. HFALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKEO BY APPR FOR ISSUANCE BY YO U R R E C E I Pf <br /> T►-lANK YOU <br /> ADDRESS FILE I � LIAR $3 <br /> • ,� <br />