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"�eL��"TY°f� ; CONSTRlJCTIO � ' <br /> everett PERMIT PERMIT NO. 1555 � <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98207 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYJNER fdAIL ADOREuS CITY ZIP PHONE <br /> Doug Torrence 1615 Lombard Everett 98201 259-3024 <br /> APGHITECT OR OESiGNEfl MNL AOOFE55 CITY ZIP PMONE <br /> GENERAL CONTRAGTOP MFIL qODRE55 GITY ZIP PHONE UGENSE Y <br /> MECHANICAL CONTqqC70P MAIL ADDflE55 dTV ZIP PMONE LICENSE X <br /> Same <br /> PLUMBING CONTRACTOR MAIL AODRE55 GTY ZIP PMONE LICENSE X <br /> CLA55 OF WORN <br /> ❑ NEW O A�DITION ❑ ALTEFATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WOPK <br /> S <br /> OESCFIBE wORK <br /> Install woodburning stove <br /> PROPOSED USE OF BUIl01NG � <br /> I HEREBY CERTIFY THAT I HAVE READ A�ID EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME l'O BE TP.UE AND H <br /> LEGAL DESCRIPTION Of PROPERTY(SHOW BELOW Ofl ATTACM FOUR LOPIES� CORRECT. ALL PROVISIONS OF LAWS 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 <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF RMANC F CONSTRUCTION. y � <br /> JOB ADDRESS SIGNAT FE OF CO DR OF AUTHORIZED AGENT OAiE <br /> 1615 Lombard X �� 10/9/85 � � <br /> PLUMBING MECHANI � � <br /> N0. TYPE OF FIXTURE QR ITEM FEE N0. TYPE OF EOUIPMENT FEE y <br /> WATERCLOSET�TOILEn AIR COND.UNITS -- H.P. EA. 6 � <br /> BATHTUB REFflIGERATION UNITS- H.P. EA. � <br /> LAVATORY�WASH BASIN) BOILERS - H.P. EA. <br /> H <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. IQ z <br /> u <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. b � <br /> t'� <br /> DISHWASHER WALL HEATERS— B.T.U. M H � <br /> �-y <br /> LAUNDRYTRAY UNIT HEATERS- B.T.U. M K <br /> CLOTHES WASHER EVAPORATIVE COOLERS O � <br /> WATER HEAIER CLOTHES�RYERS — � <br /> URINAL VENTILATION FAN <br /> H <br /> DRINKING FOUNTAIN RANGE HOOD � U1 <br /> FLOOfI DRAIN AIR HANOLING UNIT- C.F.M. � <br /> VAf:UUM BflEAKERS 1 STOVE-WOOD � <br /> RUOF DflAINS- RAINLEADERS METAL FIflEPLACE 8 CHIMNEY _ n <br /> SINK(SERVICE- BAR, ETCJ FIREPLACE INSERT — � <br /> HEAT PUMP <br /> _. — Z <br /> _ SUB TOTAL E SUB TO7AL f 7 ��p '-� <br /> _ PERMI7 S PERMIT S 10 0� � <br /> TOTAL FEE 5 TOTAI FEE S ],� � � <br /> SIDE VAFlD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. � <br /> USE ZONE LOT AREA VACANT SITE — <br /> :.,VES f-NO FEES VALUATION FEE _ <br /> TYPE OF CONST. OCCUPANCY GflOUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD — <br /> PLUMBING <br /> RREZONE BASEMENT PIRESPRINKLERS MECHANICAL 1� SO <br /> REOUIflED <br /> :�.VES -:NO <br /> APPflOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY �.B.C. <br /> SEC.303(a) <br /> 2.BUILOING PLANS - <br /> 3.FIFEHVDRANT TOTAL 1� SO <br /> 4.FIRE PRnTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED pN TH�975RAFE)THIQ�g�qR eEaM1T �� <br /> ,D U / J <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPACTS7ATEMENT <br /> e.HEALTH DISTRICT ��'�.� �� \ �:�L [;I i T � ' <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR. FORISSUANCE BY <br /> , ; , '; 1'c_, U <br /> I Q n�i 35 <br /> ADDRESS FlLE <br />