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I <br /> U��° LcererPen , .l� YlV� ■ ■� V • •� �� <br /> � �; C; <br /> �VI�I�l��� P �RIY'II� PERMIT NO. �_� �� .�% �•' <br /> CITV HALL 259�8745 <br /> FVERETI,WA 9d201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> 01'INER IAAIL AD�RESS GTY ZIP PHONE <br /> Jerry Walker 2218 Lombnrd #1 Everett 92801 _ <br /> ARCNRECT OR OESIGNEB MAIL ApORESS GTY 21P FMONE <br /> GENERAL GONiRAGTOR IdA1L A�DRE55 GITY ZIP PHONE LIGERSE� <br /> MECNAHILFL CONTRACTOR MAIL ADDqE55 CITY ZIP PHONE LICENSE F <br /> Natural Gas Equipment Co. Inc. 1625 East Marine View Drive 98201 258-2441 <br /> FLUIdBItW GONTRACTOR MAIL hppflESS CITY ZIP PHUNE LICENSE Y <br /> C1A55 OP lYORK <br /> ❑ NEW � AD�ITIOPI ❑ ALTERA710N O FEPAIR ❑ DEMOLITIOfi ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIFEPLACE INSEFT <br /> VAIUAT!ON OF WORK <br /> S <br /> pESCRIpE WORN <br /> PFOPOSEDUSEOF BUILDING I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> APPUCATION AND KNOW THE SAIdE TO BE TRU� AND <br /> LEGALDESCRIPTIONOFPfiOPEATYI5HOW8ELOYlORATTAGHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Vr'ITH <br /> �or_a�ocK—oF_ 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 REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGI UR OF WNTRACiOR OR AUTHORIZEO FGF.NT 12/30/83 <br /> 2218 Lombard #1 X (� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OP f:�UIPMENT FEE <br /> WATERCLOSET(TOILE� AIR COND. UNITS-� H.P. EA � <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASHBASM) BOILERS— H.P. EA. <br /> i <br /> SHOl4ER GAS FIRED A.Q IINITS —T�NNNGE EA. <br /> KITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WAiL HEATERS— B.T.U. _ M �� <br /> LAUNDRVIRAY UNIT HEATERS— B.T.U. �+1 <br /> CLOTHES WASHEfl EVAPORHTIVE COOLERS <br /> WATEfl HEATER CLOTHEG DRVERS <br /> URINFL VENTII_ATION FAN � <br /> ORINKING FOUNTAIN RANGE HOC: <br /> ( <br /> FLOOR DRAIN AIR HANCLL't. �-r. . C.F.M. �': <br /> VACUUM BREAKERS STUVE� WO�:��� <br /> ROOF DRAINS— I7AINLEADERS MET6L' �EPLACE 8 CHIMNEY <br /> SINK�SERVICE— BAR, ETC.) FIREP�ACE INSERT <br /> HEAT PUIdP <br /> _ _�- 4 ' ~ ~ <br /> 1 S9ater Heater <br /> �� . <br /> — — [n :. <br /> _ o , <br /> SUB TOTAL i SUU TOTAL S 4 SQ C C <br /> —'-- � PERMIT 5 � " <br /> PERMIT ` � <br /> TOTAL FEE 5 TOTALfEE S � '_ <br /> SIDE YARD SETBAGK STREeT SETBACK � REAR VARD SETBAJK PLAN:NECK NU�dBER PLAN �HECK FEE y � <br /> FEE RECEIPT NO. � � <br /> USE ZONE LOT AREA '✓ACANT SITE FEES VALUATION FEE � � <br /> ���.YES �.-NO <br /> TVFE OF CONST. OCCUPAIJCY GAOUP NO.OF DWELLING UNITS "' ' <br /> BUILDING S K , <br /> SIZE OF BLDG. NO. OF S'ORIES MAX.OCQ LC4D � <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEP.S MECHANICAL � � <br /> REOUIRED 14 SO C-; � �� <br /> ../ES ._NO R ��� <br /> ^.THER � <br /> APPROVALS BY �ATE (� � <br /> U.B.Q c <br /> 1. ENVIRONMhNTAL CH`_CK LISi pE'�'�LTY SEC.303(a) � ' <br /> 2.BUILDINGPLANS TOTAL 14 SO <br /> 3.FIRE HYDRANT ' <br /> a.FIFE PRO'.ECTIONSYST d --- . PEH NITPROPIERL OVALIDATE�pN THI$��g)THISQS�'Ol1f�P€f71�IT— [1(.i <br /> 5.GRADING _. ))) �,r'j <br /> 6.DRAINAGE � _.. _� �� <br /> Z ENVIRONMENTAUMP0.CTSTATEMENT - �C�i <br /> 8.HEALTH DISTRICT ' r ^,� I�� "'� <br /> k <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR153UANC.: - ; - � I <br /> l <br />