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i <br /> ,,'�E,.e.�,e�n r''ONSTR�JC�ION ' <br /> CITY OF <br /> everett PE�N��� PERMIT NU. Og5O4 <br /> CITY HALL 259�8745 <br /> EVER�TT,WA 98201 ❑ COMBINATION CJ BUILDING �MECHANICAL ❑ pLUMBIPIG <br /> 0!VNEF MAIL ADpRE55 CIiY ZIP PHONE <br /> Einnar Neilson 1320 Lombard Everett 98201 <br /> AR�HIiEGTORDE5IGNER MA�LADDRE55 CITV 21P PHONE <br /> GEN[RFL CONTflACTOR MHIL AOORESS QTY ZIP PMONE LICENSE I <br /> MECHANICAI CONTRACTOR .'^R pDDRE55 QTY ZIP PHONE LICENSE I <br /> Natural Gas Equipment 1611 �'ast Grand Everett 9&201 258-2441 <br /> PLUMBINGCONiRACTOR MAILADDRESS CITV ZIP PHJNE LICENSEX � <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION OFENCE ❑SIGN ❑GAflAGE <br /> VALUATION OF KORK <br /> E <br /> OESCRIBF N'OFK <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESCRIPTIOf�OFPpOPEFTY�5MOW0ELOWORATfACHFOURCOPIES) FLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRAN�iING OF A PERMIT DOES NOT <br /> _ PPESUME TO G'VE AUTHORITY TO VIOLATE OR CANCEL ThE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PFR�ORMANCE OF CONS�FlUCTION. <br /> JOB FDORESS Sif,NNiUqE OIFI C�ONTRACTOR OR AUTHORIZED AGENT DATE <br /> 1320 Lombard X��(,�,1U�,{/L���I.E?l.l�L �I17/81 <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.R EA. <br /> BATHTUB qEFRIGERATION UNITS—H.P.EA <br /> � LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SFIOWER �,AS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> �� DISFIWASHER WALL HEATERS—B.T.U. M <br /> � LAUNDRY TRAY UNIi HEATEFS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS � <br /> WATER HEATER CLOiHES DRYERS <br /> URINAL VENTILATION FAN � <br /> DRINKING fOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIFi HANDLING UNIT— C.F.ld. <br /> VACUUM BPEAKERS STOVE <br /> ROOF DRFWS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> y SINK�SERVICF—BAR.ETC.) 1 Water Heater <br /> SUB 70TAL SUB TOTAL 5 4 5 O <br /> PERMIT S PEHMIT 5 <br /> 70TAL FEE 5 TOTALFEE S <br /> SIDE YARD SETBACK STREET SET9ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE qECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> LJYES C7N0 FEES VALUATION FEE <br /> TYPE OF CONST, OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZ[OF BLD(;. NO.OF STORIES 41AX.OCG LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL 'J SO <br /> flYES ❑NO <br /> APPHOVALS BY DATE OTHEF <br /> � 1. ENVIRONA1ENTAl CHECK LIST pENALTY U O.C. <br /> � 2. BUILDING PLANS SEC.3�3(a) <br /> 3. 1=1REHVDRANT TOTAL � S O <br /> 4. FIRL PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VAUDATED QN'fHIS SPACE)THIS IS YOUR PER�dIT <br /> 5. GRADING �' i <br /> . � � � �.. ;. � � [: l ___ � <br /> c pRnINAGF . . <br /> (-1 <br />