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the El'er¢rcen <br /> �V�1'��� �� CdI�ST� �CT'��' �'I <br /> PERQiIIIT PERMIT NO. �-564 �) <br /> CITY HALL 255-8745 <br /> I' EVERETT.N'A 98201 � COMBINATION ❑ BUILDING G3C MECHANICAL ❑ PLUMBING <br /> Wa}�or RnA C+nra <br /> 01YNER IAAIL AO�RE55 CITY ZiP PMONE <br /> Aarr.ion & Associates 9725 3rd A��enue N. E. Suite 8 500 Seattle 98115 527-2Cd5 <br /> ARGMITEGT OR DESIGNER IEqIL ADOPE55 CI;Y 2�P PNONE <br /> GENERNL CONTRAGiOR MAtL ADDRE55 CITY IIP PNONE LICENSE M <br /> MEGHANICRL CONTAqCTOR MAIL AC�RE55 CITV ZIP PHONE LICENSE M <br /> Evergreen State Sheet Metal, Inc. `r,f�: Sox 1508 Everett 98206 252-3114 <br /> PLUMBING CONTflACtOR MAIL l+DDRESL _ CITY ZIP PHONE LILENSE N <br /> LLA55OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN LJ WlivC`.'OV_FjFIREPLACE INSERT <br /> VALUATION OF WOPK �— . <br /> S <br /> DESCRIBE WORK <br /> Heating, Ventilation and Air Conditioning <br /> PROPOSEO USE OF BUIl.OING <br /> I HERcBY CERT!FY THAT I HAVE READ A�D tXAMINEQ THIS <br /> APPLICATION AND KNOW THE SAME TU BE TRUE AND Z <br /> 0 <br /> LEGFLOESCPIPTIONOFPROPERTY�SHOWBELOWOFATTACMF09RC04'IES� CORRECT. NLL PROVISIJNS OF LAVCS AND ORDINANCES � <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A m <br /> PERMIT DOES NOT PRESUME'TO 31VE AUTHORITY TO VIULATE <br /> OR CANCEL THE PROVISIO!4S OF ANY OTHcR STATE OR � � <br /> �G � LOCAL LAVJ REGULATING �:ONSTRUCTION OR THE <br /> PERFOFM NCE QF CONST UCiION. "" � <br /> JOB ApORE55 SIGNATURE OF ONiR TOR OR AUTM IZEO AGENT OATE y fTl <br /> ��32r S. E. Everett Mall Wa Bld 3 11/1/85 � v <br /> Y 4 X L�,F � I��"� <br /> PLUMBIN3 MECHANI AL �� <br /> NO. TYPE OF FIXTURE OR ITEA7 �— FEE N0. TYPE OF EOUIPMENT FEE � m <br /> WATERCLOSET�TOILEn AIR COND. UNITS- H.P. EA. _ � <br /> m <br /> BATNTUB REFRIGERATION UNITS - H.P. EA. '-� <br /> LAVATORV(WASH BASIN) 901LERS- H.P. EA. C � <br /> a -+ <br /> SHOW[R GAS FIREO A.C. UNI?S-TONNAGE EA. r = <br /> — — .. .-i <br /> KITCHEN SINK� DISP. 3 FORCED AIR SYSTEMS- B.T.U. M EA. -i (/� <br /> DISHWASHER � <br /> WALL HEATERS- B.T.U. M �i <br /> LAUNDRYTRAY � � <br /> UNIT HEATERS- B.T.U. M 'T> > <br /> CLOTHES WASHER EVAPORATIVE COOLERS � m <br /> —_ _ <br /> WATER HEATER CLOTHES DRYERS m �• <br /> URINAL 2 VENTILATION FAN ( On 0 y <br /> or <br /> DRINKING FOUNTAII: RANGE HOOD n m <br /> C b> <br /> FLOOR DRAIfJ AIR IIANDLING UNIT- C.F.M. 3 N <br /> m <br /> VACUUM BREAKERS STOVE-WOOD � � <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY • m <br /> SINK�SERVICE - BAR, ETC.) FIREPLACEINSERT � <br /> HEAT PUMP = <br /> a <br /> z <br /> _� <br /> i <br /> SUB TOTAL S SIIB TOTAL S 19 SO �'�' <br /> PEFMIT 5 PERMI7 5 10 00 �j <br /> TOTAL FEE S TOTAL FEE S —� <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK`�UMBER PLAN CHECK PEE n <br /> m <br /> FEE RECEIi`T NO. <br /> USE ZOM1E LOT AREA VACANT SITE <br /> :_!VES �_�.NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLUG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHA111CAL <br /> REOUIRED z9 SO <br /> :;YES .:NO — <br /> APPflOVALS B� DATE �THER <br /> 1. EN\'IRONMENTAL CH[.K U5T U.B.C. <br /> PENAL7V SEC.303(a) <br /> 2.BUILDINfi PLANS <br /> 3.FIqEHYDRANT TOTAL ZJ 5� <br /> 4.FIRE PROTECTION SYSTEM PEflMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIOATED pN THl6�Pp.�E)THI9�"IUYDIIH flEF7�Al1 . �^ <br /> 6.DRAINAGE L / J U �� <br /> 7.ENVIRONMENTAUMPACTSTATEMENT � - <br /> � . . <br /> B.t;EALTH DISTRICT . , �> r_ i-. C I r i <br /> � I <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR.FOR ISSUANCE BY � �'- � ' <br /> . . . ... �i !. . ;.1 <br /> „ � <br /> - � i�J� 6 ) <br /> ,-1DC"F.c:S ('''.. <br />