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�`��E,�.�,«„ �ONSTRUCTIO�' <br /> CITY OF <br /> �V�1 �1.� PERMIT PERMIT NO. 11204 <br /> GTY HALL 259��7A5 <br /> E\'eRETT. WA 98201 ❑ COMBIN/�TION ❑ BUILDING ❑XxMECHANICAL ❑ PLUMBING <br /> ����N�R MAILADDRE55 CIiY ZIF FMONE <br /> Bill Overman 1719 Lombard Avenue Everett 259-3574 <br /> ARCHRECTORDESIGNER IAqILApDRFSS CIiY ZIP PHONE <br /> GENEP/LGONTRACiOR MA4qODRE55 CIiV ZIP � PMONE LIGENSEI <br /> Gas Appliance Service , Inc. 1103 North 36th Street Seattle 98103 632-5000 <br /> MECHANIGAL WNTPAGiOP MAIL AD�RF55 CITY ZIP PHONE UCENS[I <br /> _ GA SA PI *371NT <br /> PLUM9INGCONTRACTOR ldAILADDRE55 CITY 2iP PHONE LIGENSEt <br /> CA55 OF YlORK ' <br /> ❑NEW GP.DDITION GALTERATION ❑REPAIR GDEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION Of\YORK <br /> 4 <br /> �ESC�IBL WOFk <br /> Install gas conversion burner <br /> PROPOSED USE OP Bl1ILDING <br /> I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS AP� <br /> iecn�oescaianoNOFPaoaeatvlsnowee�ov�oannncNFouncoaiesi PLICATION AND KNOW THE SAME TJ BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS <br /> �or e�oc�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 LPW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF COWSTRUCTION. <br /> JOB 4D�RESS SIGI�A'UR[OF GCNTRAGiOR OR AUiNOf11ZCD AGB�i D41E <br /> 1719 Lombard �t X Check No. 5059 11/4/82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILETI AIP COND U�ITS—H P.EA <br /> �ATHTUB REFRIGERATION UNITS—H.P.EA <br /> L4VATORY(VJASH�ASIN� BOILERS—Hp,EA. <br /> St10WER GAS FIRED A.C. UNI1S—WNNAGE 6�. <br /> KITCHEN SIVK&DISP. ]. FORCED AIR SYSTtIdS—B.T.U.].00 Id EA. C OO <br /> DISH1'/ASHER WALL HEATERS—B.T.U. Id <br /> LAUNDRV TRAY UNIT HEATERS --�T.U. �d <br /> CLOTHES YlASHER [VAPORATIVE COGLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRPIN AIR HANDLING UNIT— C F.M. <br /> VACWM1I PNEAKERS STOVE <br /> ROOF 7RAINS—RAINLEADERS META;FIREPLACE&CHIM1INEV <br /> SINK(SERVIGE—BAR.E7CJ <br /> SUB 70TAL - SUB TO7AL E <br /> PERNI7 S PEPMIT 5 <br /> TO7AL FEE S TOTAL FEE S <br /> SIDE VARD SETBACY. STRG[T SE7'EIACK PEAR YARD SETBACK PLAN CHECK NUM1IE3ER PLAN CH[CK FEE <br /> FLE RECEIPT NO. <br /> USE ZONE LOT F 9EA VACANT SITE <br /> :iYES i]NO FEES VALUATION FEE <br /> TYPE OF CONS'. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDMG 5 <br /> SIZE OF BLDG. NO.OF STOFIES h9A%.OCG LOAO <br /> PLUM�ING <br /> FIRE ZONE BASEMENi Fit7E SPRtNKLERS <br /> HEQUIRED MECHANICAL ].( OO <br /> f;YES i !NO <br /> APPHOVALS BY DATE OTHER � <br /> L LNVIRONMENTAL CHECK LIST U.O.C. <br /> PENALTV <br /> :. 6UILDING PLANS � SEC.303(a) <br /> ?. FlREHYDRAN7 TOTAL ],6 00 <br /> . FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> GRADING WHEN PROPEf7LY VALIDATED IIN THIS SPACE)THIS IS�Q O IEbMIO O �� <br /> 96iG � <br /> fi. DRAINAGE . � <br /> 7 f.HVIRONA7ENTAL IMPAC7�STATEMENT ' ' N <br /> s N.eniTFi oisraicr YO iJ;R Rf C E i PT`� <br /> ,iPPLIGITION ACC.BY PLANS CHECHED BV APPR FOR ISSUANCE�Y T��3 AN K YQ�U � <br /> ' :, = 9 t,�u 82 <br /> ,���u�.e�s =it_� <br />