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�heEve�green ^ONSTRUCTION " � <br /> CI7Y OF <br /> everett PERMIT PERMIT N0. 10100 <br /> qTY HALL 259�8745 <br /> EVERETf,WA 90201 ❑ COMBINATION ❑ BUIL9ING C��NIECHANICAL ❑ PLUMBING <br /> OCiNER IdAIIADOflESS CRY LIP PMOtlE <br /> Ivan Walkley 1918 Lombard Everett 9820] <br /> ARGHITECTORDESIGNER MAILADDRE55 CILY ZIP P110NE <br /> GENE9AL CONTRACTOP MRiLqD�PE55 C�iY ZIP PHONE LiCENSE X <br /> MECHANICAICANTRACiOR MAILA��RE55 CIiY ZIP PNONE LICENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PLUMBiNGLONTRALtOP MAILAODRESS CITY LP PNOHE UCENSE� <br /> CLA55 OF WOPK -- <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAQE <br /> VAWATiON OP WONK <br /> E <br /> DESCRIBE WOBK <br /> °FOPOSED USE OF BUiLDRlG <br /> I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oeccaianoruo�aaovearv�sNawee�owoan.rncNFouacocies� PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAN'S AND ORDINANCFS GOVERNING THIS <br /> ior o�oc�oc TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PtPMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PflO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RE55 SIGNAT R[OF CONTRPLTOfl OP AUT��OR¢ED ACENT �ATE <br /> 1918 Lombard X - 12 16 8 <br /> PLUMBING MEC ANICA � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E4UIPMENT FEE <br /> WATER CiOSET(TOILET) AIR COND.UNITS—H.R EA. <br /> BATFITUB P9FRIGERATION UNITS—H.R EA <br /> LAVATORV(WASH BASIN) 601LER5—H.P.EA. <br /> SH0IVER GAS PIRED A.G UNITS—TONNAGE EA. <br /> KI7CNEN SINK 8 DISP. FORCEf1 AIR SYSTEMS—B.T.U. M EA. <br /> DISHWAoHE'i \VALL HEATERS—0 i.U. M <br /> LAUNL`RVTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WAShER EVAPOfiATIVE COOL@RS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINHING POUNTAIN PANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.EM. <br /> �O VACUUM BREAKERS _ STOVE <br /> ROOF ORAINS—RAWL[ADERS � _ METAL FIREPLACE 8 CHIMNEY <br /> �(� SINK�SERVICE—BAR,EiQ) 1 Nj3�2Z� H2atPr <br /> �I I — _ �___ _' — —_ <br /> . � <br /> '�:I <br /> �� _ SUB TOTAL SUB TOTAL <br /> PERMIf S PERMIT 5 <br /> TOTA�.FEE f TOTAL FEE 5 O O <br /> SIDE YARD SElBACK STR[ET SFTBACK REAR YAHD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT ARE4 VA'zNT SITE <br /> �1'LS ❑NO FEES VALUATION FEE <br /> TYPE OF fANST. OCCUPANCV GROUP hC OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NC.OF ST071ES MA%.OCC.LOAD _ _ <br /> � PLUMBING <br /> � FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> RE�UIRF.D MECHANICAL S OO <br /> I ❑VES ❑NO _ <br /> APPflOVALS BY OATE OTIIER <br /> 1. ENVIR�_VMENTAL CHECK LIST pENALTY U.B.0 <br /> �� P. 9UILDING PLANS SEC.303(a) <br /> 3. FIRE HV�RANT TOTAL S OO <br /> 4. FIRE PROT[CTION SYSTEM PEflM1T l'ALIDATION <br /> ,NHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMI <br /> 5. GRADING . a � - <br /> - "'_ � <br /> 6. DRAINAGE Q <br /> Z ENVIRONMENTAL IMPACT STATEMENT c—I <br /> 8. HEALTH�ISTpICT ' � � <br /> , � � � <br /> APPLICATION ACC.BY PLANS CHEU�'u G'� APPR.FOR ISSUANCE BY . <br />� . .__.._ d., _ � - . <br /> ADDRGSS �ILF <br />