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"1e `"��r`�, ^pNSTRU �TlO�' <br /> everett PERMiT PERMIT NO. �-294� <br /> GTV HALL 259�8745 PLUMBING <br /> EVEF7ETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL C <br /> OYlNER MAI' ADUFE55 CITY ZIP PHONE <br /> VINCE MARDESICH JR. 2031MALOoBARD EVERETT 98201 252ZIP68z pMONE <br /> ARCHItECT OR�ESIGNER <br /> GENERALGONTRACTOF <br /> MAIL ADOPE55 CITY ZIP PMONE LICENSE X <br /> IdEGHANICAL GONTflACTOR <br /> MAIL A�DRE55 CITV 21P PMONE LICENSE N <br /> - MAIL ADOPESS CITY ZIP PHONE LIGENSE x <br /> PLUMBING CONTRACTOR <br /> CLASS OF WORK <br /> C��IEW ❑ ADDITION ❑ ALTERA710tJ ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INS <br /> VALUATION OF WOPK <br /> S 200�. <br /> OESCRIBE WORK <br /> Build masonry chimney <br /> PFOPOSE�USE OF BUILDING I HEREBY CERTIFY THAT I HAVE REAC AND EXAMINED THIS <br /> Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGFL DESGflIPTION OF PROPERTY 15HOW 9ELOW OR ATTALH FOUR COPIES� CORRECT. ALL PROVI310NS OF LAWS AND ORDINANCES <br /> ior�5&1��ocK4z0 oF Everett Di v K GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGUTATING CONSTRUCTIOIJ OR THE <br /> PERFORMANCE OF CONSTRUCTION. oATE <br /> JOB A��RESS SIGN T RE OF CONTR OR AUTHORIZED AGENT 1/31/84 <br /> 2031 Lombard X • `X"� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> FEE <br /> WATERCLOSET�TOILE� AIR COND.UNITS— H.P. EA. <br /> REFRIGERATION UNITS — H.P. EA. <br /> BATHTUB <br /> LAVATORY�WASH BASIN) BOIIERS— H.P. EA. <br /> GAS FINED A.C.UNITS—TONNAGE EA. <br /> SHOWER <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> WALL HEATERS— B.T.U. M <br /> DISHWASHER <br /> UNIT HEATERS— B.T.U. r+1 <br /> LAUNDRVTRAY <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> VJATER HEATER <br /> CLOTHES DRVERS <br /> UFINAL VENTILATION FAN <br /> �FINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN <br /> AIR HANDLING UNI7— G.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF DRAINS -- RAINLEADEFiS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR.ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL a SUBTOTAL 5 <br /> PEflMIT S PENMIT S <br /> TO7AL FEE S 70TAL FEE S <br /> PLAN CMECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YAFD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VAGANT SITE FEES VALUATION FEE <br /> i;YES �. �.NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING $2000. 32 50_ <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD pLUMBING <br /> FIRE ZONE BASEAIENT FIRE SPRItIKLERS MECHANICAL <br /> REOUIRED <br /> .-.YES '. �.NO <br /> BY OATE O7HER <br /> APPROVALS U.P.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV SEC.303(a) <br /> 2.BUILDING PLANS 32 50 <br /> TOTAL <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYS7EM PEflM1T VALIDA710N i <br /> WHEN PROPERLY VALIDATED 11N THI��PSC�E)THIS�SOY��P��11T � <br /> 5.GRADING �� <br /> 6.DflAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT t- N <br /> B.HEALTHDISTRICT , •� �: RLCCIFI � <br /> APPUCATION ACC. BY PLANS CHECKED BV APPR.POF ISSUA�NCE BY <br /> � ,`�,�1i �1`�iU <br /> } � � <br /> ���ar U �� <br /> F.00�r:ss rne <br /> I <br /> I <br />