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�,��� ����r����e,� - CONSTRUCTI4 ' ° <br /> everett r PERM �T �ERMIT N0. 1460� <br /> CITY HALL 259�8745 <br /> EVFRETT,lVA98:01 � COMBINATION ❑ BUILDING � MECHANIrpL ❑ PLUMBING <br /> OYlN[R MAtL ADORE55 CITY ZIP PMONE <br /> Ken Harvey 2923 Lombard Everett 98201 <br /> ARCNRELT OR pE51GNER MAIL ADDRE55 CITV ZIP PHONE <br /> GENSRAL CONiRACTOR NAIL AD�RESS CITY ZIF PHONE LICENSE x <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY 21P PMONE LIGENSE I <br /> Natural Gas Equipment 1625 East Marine View Drive 98201 258-2941 <br /> PLUMOING LONTRAGTOR MAIL ADDFESS CITV ZIP PMONE UCENSE N <br /> CLA55 OF YlORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIF ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WOflK <br /> S <br /> DESCRIBE WOPN <br /> PROPOSED IlSE OF BUILOING � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND ~ <br /> LEGAL DESCRIPTION OF PROPERTY(SMOW BELOW ORAiTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH �� <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOEa NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE i..� �..� <br /> PERFORM CE OF CONSTRUCTION. '� 'T� <br /> JOB ADDRE55 SIGNFTURE O C ' F OR AUTMOFIZED AGENT �ATE Fy � <br /> 2423 Lombard X 3/20/85 � <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE � <br /> WATERCLOSET�TOILEn AIR COND.UNITS- H.P.EA. � <br /> BATHTUB REFRIGERATIUN UNITS- H.P. EA. <br /> LAVATORY(WASHBASIN) BOILERS -� H.P. EA. � z <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. y <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS- B.T.U. M 'cA. H � <br /> OISHWASHER WALL MEA7ERS- �.T.U. A1 �'�' � <br /> LAUNDRY TRAY UNIT HEATERS- li.T.U. M � � <br /> CLOTHES WASHER E\'APORATIVE COOLERS � <br /> WATER HEATER CLOTHES DRYERS � <br /> URINAL VENTILATION FAN ~ <br /> �- U1 <br /> DFlINKING FOl1NTAIN RANGE HODD � <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE- WOOD � <br /> ROOF DRAINS- RAINLEADERS METALFIREP�ACE 8 CHIMNEY . � <br /> SINK(SERVICE - BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP y <br /> Z <br /> SUB TOTAL > SUB TOTAL f 6 � H <br /> PEflM1T 5 PEFMIT S lO Q� N <br /> TOTALFEE 5 TOTAL FEE S fj �f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE H <br /> FEE RECEIPT N0. n <br /> t*1 <br /> USC ZONE LOT AREA VACANT SITE <br /> ;:VES �,'.NO FEES VALUA710N FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> _ BUILDING $ <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD -- <br /> PLUMBING <br /> FIFE ZONE BASEMENi qEOUSRED KLERS y�ECHANICAL 1( Q� <br /> .:YES '.�.NO <br /> FPPFOVALS BY DATE OTHER <br /> 1. EHVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(al <br /> 2.BUILDING PLANS 16 OO <br /> 3.FIREHYDRANT TOTAL <br /> 4.FIRE PROTECTIOh SYSTEM PEflMIT VALIOATION <br /> 5.GRADING WHEN PROPERLV VA�IOAiED(IN THIS SPACE)THIS IS YOUR PERMI? �Gj- <br /> 6.DRAINAGE � � ' �� -- � <br /> i <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> ta' <br /> 8.HEALTH DISTRICT <br /> +-�i <br /> APPLICATION ACC. BV PLANS CHECKED BV APPR. FOR ISSUFNGE BV � � � <br /> ACDRESS FILE � <br />