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rheE��CI�T�YeOF "� CC`"�'STRUCTION <br /> everett PERMIT PERMIT N0. OS36O <br /> CITY HALL 259�8745 <br /> EVENEIT.WA sezoi ❑ COBABINpTI�JN ❑ B�JILDING �XMECHANICAL ❑ PLUMBING <br /> OWNEfl AIAILADDRL55 GIIY ZIP PHONE <br /> Clarence Potters 3635 Everett Avenue Everett 98201 <br /> APGHrtEGTORDE5IGNER MAILADDRE55 CIiY ZIP PMONE <br /> GENERAL CONiRALTOR MAIL AO�RESS QTY ZIP PMON[ LICENSE� <br /> MECNFNIGAL CANTRACTOR MAIL AD�RE55 CITY 21P PHONE LICENSE I <br /> Natural Gas Equipment 1611 East Grand 258-2441 <br /> PWMBINGCANiRACiOR MAILADDRE55 QTY ZIP PHONE LIClNSEI <br /> ClASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION Oi WORH <br /> 5 <br /> DESCRIpE WORN <br /> PROPOSEO USE Of UUILDINC+ ' <br /> I HEREBY CERTIFY THAT I HAVE READ A�D EXAMINED THIS AP� <br /> LEGALDESGRIPTIONOFPROPERTY(SMOWBELOWORATTACHFOUPCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BtOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW RFGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> J08 ADDRE55 SIG AT RE1O1F�CONTRAICTOR'O�R Al1,i.N_O1R,I,ZED AGENT p4iE <br /> 363� Everett Avenue X C1YlA/� 1,�. 1�1�1,1U 9/30/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN� BOILERS—N.P. EA. <br /> SHOWER GAS FIRED A C.UNI75—TONNAGE EA. <br /> RITCHEN SINK 8 DISR FORCED AIR SYSTEMS—O.T.U. M EA. <br /> DISHWASHER WALL HEATLRS—�S.U. M <br /> LAUNDFY 7RAY � UNIT H[ATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNF COOLERS <br /> WATEI7 HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAM AIR HANDLING UNIi— QEM. <br /> VACUUM BREAKERS STOVE <br /> ROOF�RAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNE'I <br /> SINK�SEflVICE—BAR,ETC.) e e <br /> i <br /> SUB TOTAL SUB TOTAL S 2 00 <br /> PERMIT S PERMIT S 00 <br /> TOTAL FEE S TOTALFEE S <br /> S,JE YARD SETBACK S7REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E <br /> C:1VE5 ❑NO FEES VAIUATION FEE <br /> NPE OF CANST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING $ <br /> 512E OF BLOG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> - REOUIRED MECHANICAL �S 00 <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.BC. <br /> 2. BUILDING PLANS SEC.3031a) <br /> 3. FIREHYDRANT TOTAL �S 00 <br /> 4. FI9E PROTECTION SYS�EM PEPMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING 8460 � 005. 00 `� <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENT M <br /> B. HEALTH DISTRICT � , ,� p �O <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.POR ISSUANCE BV • ' " `\ R-�I'�r�� <br /> �APdK 1'C� U <br /> i:DDRESS FILE <br /> :� o �� so <br />