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�hr Ercrxme�� <br /> �",�� - � �,orusTRucTior� <br /> e�erett p�� � �T PERMIT NO. 14� � 1 <br /> CITY HALL 259�8745 <br /> � EVERETT:WA 90201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ F�l1MBING <br /> L' _ , . <br /> OWNER � MAIL ACLRESS GITY 21P PHONE <br /> UON B. STOCKTON PO BOX 7594 �verett IVA 98201 339-2293 <br /> ARGHII[CT OR OESIGhER MAIL AOURE55 GITY 21P PMONE <br /> GENERAL CONTRACTOR MAIL AD�RESS CITY ZIP PMONE LICENSE N <br /> Same <br /> MEGMANICAL COt1TPAGTOR ldAIL AOORESS GITY ZIV oMONE LICENSE/ <br /> PLUMBING CONTRACTOR MAIL AODRESS CITY ZIP PMONE LICENSE X <br /> GLAoS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERA710N �REPAIR ❑ DEMOLITION ❑ FENCE � SIGN O WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF\YORR <br /> 526����.�� <br /> DESCRIBE K'ORK <br /> Chip Rehab <br /> PROPOSEO USE OF BUILDING <br /> Ap2Ttn0rit5 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL�ESCRIPiION OF PROPEfl?V�SHOYJ BELOW Of�ATTACH FOUF COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or19F2Q�ocn421 oF Everett Div "F" GOVERNING THISTYPE OF WGRK WILI_ BE COMPUED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES P!OT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE Ofi <br /> LOCAL LAW REGULATING CONSTRUCIION GR THE <br /> _ PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDflE55 SIGNATURE OF GONTFAGiOR OR A H RIZEO AGENt OATE <br /> 2 26 1,ombard X�� � � 3 26 85 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> 3 WATERCLOSET�TOILEn 6 OO AIR COND. UNITS – h.P. EA. <br /> 3 BATHTUB () OO REFRIGERATION UNITS – H.P. EA. <br /> 3 LAVATORV�WASH BASIN) G OO BOILEFS– N.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS –70NNAGE EA. <br /> KITCHEN SINK S DISP. fORCEO AIR SYSTEMS– 9.T.U. M EA. <br /> DISHWASHER WALL HEATERS– B.T.U. M <br /> LAUN�RY TRAY UNIT HEATERS– B.T.U. A1 <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYF.RS <br /> llRINAL Z VENTIIATION FAN <br /> DRINKING FOUNTAIN FANGE HOOD <br /> FLOOR DRAIN AIP HANDLING UNIT – C.F.M. <br /> VACUUM 6FEAKERS STOVE – WOOD <br /> ROOF DRAINS– RAINLEADERS MFTAL FIREPLAGE 8 CHIMNEY <br /> SINK(SERVICE – BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB 707AL 5 ZH OO SUB 70TA1 S 9 OO <br /> PERMIT S PEHIAIT S <br /> 70TAL FEE S ZH OO TCTAL FEE S 9 OO <br /> SIDC YARD SE7BACK STREET SLTBACK REAR YARD SETBACK PLAN CHECK Nl1MBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E <br /> � -.YES : �.NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD — <br /> PLUMBING LH OO <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED � OO <br /> �. :YES �.NO <br /> APPflOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(a! <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL ZO6 SO <br /> 4.FIRE�RO7ECTION SYSTEM� PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIUATED(IN THIS SPACE)7HI515 YOUR PERMIT 4–; <br /> 6.ORAINAGE � . . '-� �"�� <br /> (A7 <br /> ' 7.ENVIRONMEN7ALIMPACTSTA7EMEN7 <br /> � <br /> '�B.HEALTHDISTRICT -- �_y <br /> "APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � <br /> � stg <br /> i <br /> ACDRESS Fll[ <br />