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- -� <br /> thr E��erAreeri <br /> eV�i���t � �� ySTRUC�'IOf�' <br /> CITYHALL259�8745 PERMIT' PERMITNO. 1��� ��� �? <br /> EVERET7,Wqg0201 � COMBINATlON ❑ BU!LDING � MECHAMICAL ❑ PLUMBING <br /> ownea — " Mni�nooaess <br /> Robert Wohl ��T� Z�P P�oNE <br /> 1325 I,ombard Everett 98201 <br /> ARGHITEC'OR pE51GNER MqIL ADDRESS ����y <br /> 21P PHONE <br /> GENERAL GONiRACTOR MAIL ADDRE55 CITY <br /> . Z�P PHONE LICENSE N <br /> MECMANICAL CONTRFCiOR !.!AIL AODRF.SS CITY - <br /> Natural Ga.^, E ui ment Z'P PNONe ueENse. <br /> 4 P 1625 East Marine View Drive F,verett 98201 258-2441 <br /> PLUMBING CONTNACTOq MAIL AD�FESS CITY <br /> Z�P PHONE LIGENSE p <br /> CL dS OF WOFK <br /> O NEW ❑ A�DITION ❑ ALTERATION ❑qEPAIR ❑ DEMOLI710N ❑ FENCC ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF VlORK <br /> 8 <br /> D'SCRIBE YlORK <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPiION OF PROPEflTY�SMOL4 BELOW OR ATfACM FOUP COPIES) APPLICATION AND I<NOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS ,aND OR�)INANCES <br /> ior_s�ocK_oF __ GOVERNING THIS TYPE OF WORK WILL BE COMPLI[D WITH o <br /> WHETHER SPECIFIED HEREIN OFl NOT. THE GRANTING OF A � <br /> PERMiT DOES NOT PRESUME TO GIVE AU7HOFITY TO VIOLATE � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR m <br /> LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> JOBADOqESS PERFOHM4NCE OF CONSTRUCTION. <br /> 1325 I,ombard SIGN T RE OF CONTRAC70R OR AUTHORRED AGEN; DATE � T <br /> X � _ F�4 - �L. <�,-13-b�� .. -.� <br /> PLUMBING MECH NICAL N m <br /> NO. -- -'�- o <br /> � _ TYPE OF FIXTUR:� JR I7EM FEE NO. TYPE OF EOUIPMENT fEE m o <br /> WP.7ERCLOSET(TOILEn ' � qIP COND. UNITS - H.P. Eq. n <br /> � ' -i C <br /> BATHTUB 1 REFRIGERATION UNITS - H.P. EA. � � <br /> _ LAVATORI (WASH BASiN) BOILERS- H.P. EA. � z <br /> i SHOWER GAS FIRCD A.C. UNITS -7pNNAGE EA. m � <br /> 1, KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. '� � <br /> n <br /> i DISHWASHER C <br /> WALL HEATERS- B.7.U. M r = <br /> LAUNDRYTRAY UNIT HEATERS- B.T.U. M '"'� "' <br /> 1 N <br /> _ CLOTHES WFSHER EVAPORATIVE COOLERS K <br /> — T <br /> WATER11EA7ER CLOTHES DRVERS <br /> URINAL � n <br /> VENTILATION FAN ,� m <br /> DRINI(ING FOUNTAIN 'r'ANGE HOOD m � <br /> FLOOR �RAIY AIR HANOLING UNIT- � y <br /> F.M. p <br /> VACUUM BREAKERS STOVE - WOOD o r- <br /> c- m <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE d CHIMNEY � N <br /> - N <br /> _ SINK�SERVICE - BAR, ETC.) FlREPLACEINSERT — m <br /> Z (") <br /> HEAT PUMP � � <br /> • m <br /> 1 faater Heater � <br /> -i <br /> — x <br /> — - n <br /> _ SUB TOiAL i SUB TOTAL 5 4 SO z <br /> PERMI7 <br /> TO7AL FEE S P`RMIT S � <br /> 5 Tr�TAL FEE S 1Q SO (n <br /> SI�E YARD SETBACK ISTqEET SETBACK REAR VAqD SETBACK PL4N CHECK NUMBER � <br /> PLAN CHECK FEE � <br /> USE ZONE FEE RECEIPT NQ � <br /> LOT AqEA VACANT SITE ti <br /> _:YES �,. NO FEES VALUATION FEE m <br /> TVPE OF CONST. OC�UPAM1CY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. p10.OF S70RIES MA%, OCC. LOAD BUII�ING $ <br /> i <br /> PLUMBING <br /> FIRE ZONE BA5EMENT FIRE SPRINKLERS <br /> REOUIRED MECHAIdICAL <br /> � YES . NO — SQ SO <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONMENTAL CHECK USi U.B.C. <br /> 2.BUILDIt:G PLANS PFNALTV SEC.303(a) <br /> 3.FIFiE HYDRAN7 TOTAL 14 0 <br /> 4.FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT � <br /> 6.ORP.INAGE .. � i, � „ �. <br /> __-' n. <br /> ' 7.ENVIRONMENTALI�IPACTSTATEMENT <br /> 9.H[ALTH DISTRICT - ti� . <br /> APPLICATION ACC. 6Y PLpNS CHECKED BV APPR. FORISSUANCE BY � . . <br /> , �..�_�:cr: I�I�L . , . <br /> ! <br />