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Uie Eve�gmen ' � ^�/��'^�C���/'�T I o� �._ <br /> CITY OP V` � ��/ I ' <br /> everett ���'Y'I� PERMIT NQ. OH671 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 58201 ❑ COMBINATIOM ❑ BUIL.DING � MECHANICAL ❑ PLUMBING <br /> OWNER MFILADDRE55 GIiY ZIP PNONE <br /> Thomas bfoffat 1502 Lombard Everett <br /> ARCNITECTOR�ESIGNEF MAI�ADDRESS CITY ZIP PMONE <br /> G[NEBAL CANTRAGiOR I,IAIL AOORE55 CRV ZIP PMONE UCENSE I <br /> MECIIANICPLCONTRACTOP MAILADDPES$ CITV ZIP PH01lE LICENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 9B201 258-2441 <br /> PLUMBING WNTRACiOR MAIL AD�RESS CIiY LIP ?MONE LICENSE I <br /> CUSS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION i]REPAIR ❑DEMOLITI04 C]FENCE ❑SIGN CiARAGE <br /> VALl1ATI0N OF WORK <br /> S <br /> DESCRIEE WORK <br /> PROI'OSED USE OF�UILUING <br /> I HEREBY CERTIFY THAT I HAVE READ ANC EXAMINED THIS AP- <br /> L[GAl DESCPIPTION Of PqOPERTY�SHOW BELOW OR ATiACH F0'JRCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> .4LL PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS <br /> �or__nioc�_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 REGULATING <br /> CONSTRUCT�ON OF THE PERFORMANCc OF CONSTRUCTION. <br /> JO�ADDRESS SIGN T' RE O CONiPACTOR AUTHURIZED NGEHT OATE <br /> 1502 Lombard X .� � L��(�U 11/20/80 <br /> PLUMBING MEC ANICA <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIF COND.UNIiS—H.P.EA. <br /> BATHTUB qEr'RIGERATION UNITS—H.P.EA <br /> , LAVATORY(WASY BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FINED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINn 8 DISP. - FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WAIL HEATERS—6.T.U. Id <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPOFATNC COOLERS <br /> WATER HEATE7 CLOTHES DRYERS <br /> URINAL VENIILATION FAN <br /> DRINKIiJG Fp�1NTAIN RANGE HOOD <br /> FLOOR DR�IN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS S70VE <br /> ROOF DRFINS—RAINLEADFRS METAL FIREPLACE 8 CHIMNEY ' <br /> SINK�SERVICE—BAR,EfCJ 1 Circulatin He t <br /> SUB TOTAL SUB 70TAL S 4 5 O <br /> PERMIT S PEHMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEF PIAN CHECK FEE <br /> FEE REGEI?T NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF UWELLING UNITS <br /> BUILDING g <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT flflE SPRINKLERS <br /> RFOUIRED MECHANIC,AL 7 S O <br /> ❑YE£ ❑NO <br /> APPNOVALS BY DATE OTHE(i <br /> 1. ENVIRONMEN7ALCHECKLIST PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL 7 S O ^' <br /> 4. FI(7E PROTEGTION SYSTEM PEflMIT VALIDATION <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)THIS IS QYO(�Uq P7EFMIT <br /> 5. GRADING � 9 � E �7'`I O !. J O -- � <br /> 6. DRAINAGE <br /> Z ENVIRONMENTALIMPACTSTATEMENT � <br /> 8. HEAL7H DISTRICT ' . . . ; ,� n.':^ , � <br /> APPLICATION ACC.BY PLANS CH[CHED BY APPR.FOfl ISSUANCE BY �� l��I�� � <br /> i; .',,�` �'C�, � <br /> i' � i;uV � � <br /> ADDRESS FILE <br />