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� <br /> """ L'�TY`oF �'ONSTRUCTiON <br /> ��~i•��x " ��� I� PERMIT NO. 1�730 <br /> cin� Hn��2es�e�ns <br /> Eveaerr, wn eezoi ❑ COMBINATION ❑ BUILDING �tMECHANICAL ❑ PLUMBMG <br /> XX'Y�7.`-7C COritY�:ct�uT �Aa�noor��ss urr ziv r��ou� <br /> Natural Gas iquipment 1611 East Grand Everett 98201 258-2441 <br /> r QNN23�.A oaCO[scx�oX rani�no�nEss cirv iir F�i�or+E I <br /> Colleen Huffman 1815 Lombard Everett <br /> GLNERaL CONiBACiOR MlIL ADDRE55 Crtv ZIP P��ONE L�C[NSC• <br /> 6�EGHANICALGONiRACtOR M41LApORE55 CIiY $IP PH011E LIGENSEt <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PWMpIHGGONTRaGiOR AIAILApORE55 CIiY ZIP PHONE LICB15'_A <br /> C�R55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEIdOLiTION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF Y/ORK <br /> 5 <br /> �[SCRIBE NORK <br /> PFOPOSED USE OF 9UIlUING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE� THIS AP� <br /> �ecn�oescaianoNovaaoaearv�snowoe�owoaFTTnc�iFouacerrs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT e�ce�oF TYPE OF l^/ORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOFS NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOpA0DRE55 SiGN tU9EOFCONi�aCiIORORFUii�ORiZ[DHGENi DATE <br /> 1815 Lombard X Q� �+,tf' l_ ' �17��� , <br /> PLUMBING MECH NICAL � <br /> NO. TYP[OF FIXTURE OR ITEM FEE NO. Tl"PE OF E�UIPMENT FEE A � A <br /> , WATER CLOSET ROILET) AIR CON�. UNITS—H.P.EA. <br /> BATHTUB R[FRIGERATION UNRS—H.P. EA <br /> LAVt,TORY IWASH BASIN) �OILERS—H.P.EA. <br /> SHOWER GAS FIRED AC. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER _ I. WALL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT H[ATERS—B.T.U. bl <br /> CLOiHE5VJA5HER EVAPORATNECOOLERS <br /> V✓ATER HEATER CLOTHES DRYERS <br /> _ URINAL VENTILATION FAN <br /> DfiINKING FOUNTAIN RANGE HOOD <br /> FLOOP�f7AIN AIR HANDLING UNIT— C.F.hf. <br /> VACUUM BREAKEFS STOVL <br /> ROOF DRAINS—RAWLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—�BAR,ETC.) <br /> SUB TOTAL SI78 TOTAL S <br /> PEHMIT S PERMIT 5 <br /> - 70TAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACR STREET SF.TBACK REAR YARD SETBACh PLAN CHECK NUMBER PLAIJ CHECK FEE <br /> F[E RECEIPT NO. <br /> USE ZONE LpT qREA VACANT SITE <br /> IJYES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCLUPANCY GROUP N0.OF DWELLING UNITS <br /> BUI�DING 5 S�X SC�X <br /> SIZ[OF BLDG. N0.OF STOPoES MA%.OCC.LOAD <br /> PLUM�ING <br /> RR[ZONE dASEMENT FIRE SPRINKLERS <br /> R[OUIRED MECHANICAL <br /> I IVES i7N0 �X $� <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONIdENTAL CHECK LIST <br /> PENA�TV U.B.C. <br /> 7.. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL <br /> � 50 <br /> 4. FIR[PROTECTION SYSTEM PEflM1T VALIDATION <br /> 5. GRADING <br /> N'HEN PROPE(iLY VALIDA7ED pN THIS SPACE)TNIS IS YOUR PERMIT <br /> 6. DRAIIJAGE O <br /> 7. ENVIFONMENTALIMPACTSTATEMENT 4 5 1 4 d V O J. J O �'�4 <br /> F1. HEALTH DISTRICT � ..I <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY �"� <br /> YOUR RECEIPT <br /> THA�IK YOU <br /> „n�R�ss Fi�r_ <br /> . ._ �., <br />