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— --I <br /> — i <br /> r,������TY°F � CONSTRUCTIC 'V <br /> everett PERI�lIT PERMIT NO. 12207 <br /> CITY HALL 259�8743 <br /> EVERE77,WA g8201 � COMBINATION ❑ BUiLDING X`�X MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOOFESS CITV ZIP PHONE <br /> I Ff1NARft ANf1FRSf1N 7747 i �arrl Fvaratt <br /> , AHGHITECT OR OESIGNER MAIL ADOPE55 dTV ZIP PHONE <br /> GENERALCONTflFCTOR MFiLAD�RESS LITV 21P PMONE LICENSEq <br /> MECMANICAL GONTRACTOR MFI�ApDHE55 CITV ZIP PHONE IICENSF M <br /> Natural fac Fmiinmant lfill F r' �i F�aratt 75R 7d41 <br /> PLUM9ING CONTFACTOR MAIL AOOPE55 QTV ZIP PMONE LILENSE Y -; <br /> CLa55 OF�YOPK <br /> XQ NEW O ADDI710N ❑ ALTERATION ❑REPAIR � DEM�LITION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORN <br /> Y <br /> DESGRIBE WORK <br /> Install hot water heater <br /> PROPOSED USE OF BUILOING <br /> I HER[BY CERTIfY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL OESCflIPiION OF PROPERTY(SHOW BELOLV OR ATTACH FOUR CGPIFS) APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> CORRECT. ALL PROVISIONS OF i AWS AND ORDINANCES <br /> �or_s�ocK_oF _ GOVERNING THIS TYPE OF WORK 6;ILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CP.NCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORESS SIGNATURE OF CON R CTOR OR AUT F¢ED PGENT DATE <br /> 1731 Lombard X � 7/13/83 <br /> , � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS— H.P. EA. <br /> BATMTUB REFRIGERA710N UNI7S — H.P. EA. <br /> IAVATORY(WASH BASIN� BOILERS— H.P. E�. <br /> SHOWER GAS FIFED A.C. UNITS— 70NNAGE EA. <br /> HIT(:HEN SINK 8 DISP. FORCED AIR SYSTEMS — B.T.U. M EA. <br /> . DISHWASHER WALL HeATERS— B.T.U. M <br /> � LAUNDRYTRAV UNIT HEATERS — B.T.U. M <br /> CLO7HES WASHER EVAPORA7IVE COOLERS <br /> WA7ER HEA7ER CLOTHES DRVERS <br /> URINAL VENTI�ATION FAN <br /> DRINKING FOUDITAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS— RAINLEADEHS ME7AL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICc — BAR, ETC.) FIREPL4CEINSERT <br /> HEAT PUMP <br /> Hot water heater 4 50 <br /> SUB TOTAL 5 SUB TOTAL 5 Q 50 <br /> PERMIT 5 PERMIT S �O OO <br /> TOTAL FEE 5 TOTAL FEE 5 �G 5O <br /> SIDE YARD SETBACK STREE7 tiETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N'J. <br /> 11SE ZONE LOT AREA VACANT SITE <br /> .�.YES ,1.J FEES VALUATION FEF <br /> TYPE O�CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> Bl11LDING S <br /> SIZE OF BLOG. NO. OF STORIES MA%.OCQ LOAD <br /> PlUM61NG <br /> FIREZONE BASEMEN7 FIRE SPFINKLERS MECHANICAL ' � <br /> REOUIRED 14 50 � <br /> I .YES ._NO <br /> - APPROVALS BY DATE OTHEF <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIRE HYDRANT TOTAL �4 5� <br /> 4.FIRE PROTECTION SYSTEM PEflM1T VALIDA710N <br /> 6.DRAINAGE WHEN PROPERLY VALIDATED(IN THI5�52 9 E�THIS I$yO�R�PEBA�T—� <br /> sU 7u <br /> 7.ENVIRONMEN7ALIMPAC7S7ATEMENT N � <br /> 8.HEALTH DISTRICT N <br /> APPLIGAI ION ACC. eV PLANS CHECKED BY APPR. FOR ISSUANCF BY Y�..�U P, REC E I PT� <br /> TH,4��K YOU <br /> �,;,. .;t ; �,,: <br /> I 3 �'�- g 3 <br />