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!he£:rr,ereen � �� ������ w�lA � � <br /> C�rv or � \! V <br /> ever�tt pE�� �� P�RMIT ��o. �61 �� <br /> CITY NALL 259�8)d5 <br /> EVERETT, WA98201 ❑ COMBINATION ❑ BUILDING XI�X MECHANICAL ❑ PLUMBING <br /> OWNER - MAILADI1RE55 GiY ZIP PHONE <br /> Lal.oude <br /> James Y7IlC�8� 3119 Lombard Everett 98201 363-7299 <br /> APGHITECT OR UESIGNER MAIL AODRE55 CITY ZIP PHONE <br /> GENERAL GONiPACTOR MAIL AOORE55 CITY Z1P PMONE LICENSE M <br /> MECHANIGAL WNTRPCTOR MAIL ADDFE55 GITY ZIP PHCNE LICE9SF M <br /> Valiev [latural Ga� 11323 Highway 99 Everett 98204 355-7730 <br /> PLUM9ING GONTflAGTOR MAIL ADDRE55 CITY ZIP PNONE UCENSE N <br /> GLASS OF VlORI: <br /> ❑IJEW ❑ ADDITION ❑ ALT'cRATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOO�S70VFJFIr7EPLAGE INSER7 <br /> VALUATION OF YlORK <br /> S <br /> �ESGFIBE WORK <br /> PROFOSEO USE OF 9'JIL�ING <br /> I HEREBY CERTIFY TH.4T I HAVE READ AND EXAMINED THIS <br /> APPLICATION ,4ND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESGRIPTION OF PROPERTY�SHOW BELOW OR RTiACM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOi_BLOCK_OF <br /> WH�'THER SFECIFIED 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 /> L CAL LAW REGULATING CONSTRUCTION OR THE <br /> aF0 ANCE C N RU . ION. <br /> J06 ADORESS 51 4TUR 0 CONT AC�O A ;ORI I qGENT OATE <br /> 3119 Lombard _ ,i / 2/zs/a6 <br /> PLUMBING MECHAAICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEFCLOSET(TOILEn AIR CON�.UNITS— H.P. EA. <br /> BA7HTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(NASH BASIN) BOILERS— H.?.EA. <br /> SHOWER GAS FIRED A.C.��I75 —TONNAGE EA. <br /> KITCHEN SINK 8 OISP. 1 FORCED AIR SYSTEA:S— BS.U. M EA_ <br /> DISHWASHER WALL HEATERS— B.T.0 M <br /> LAUNDRVTHAY UNIT HEA7ER5— B.T.U. M <br /> CLO7HES WASNER EVAPORATIVE COOLEFiS _ <br /> WAiER HEATER CLOTf1E5 DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DFAIN AIF HANULING UNIT — C.F.M. <br /> VACUUM BREAKERS S70VE— WOOD <br /> fi00F DRAINS— (iAINLEADERS METAL FIREPLACe 8 CHIMNEY <br /> SINK�SERVICE— BAR, ETC.) FIREPLACEINSER7 <br /> H[AT PUMP <br /> 2 Water Heater 9_ <br /> SUB TOTAL i SUB 707AL S 15 00 <br /> PERMI7 S PERMIT S <br /> TOTAL FEE S TO7AL FEE 5 10 00 <br /> SI�E YARD SETBAGK STREE7 SETBACK REAR YAiiD SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> FEE RECEIP7 t�0. <br /> 11SE ZONE LOT AREA VACANT SITE <br /> . .YES . .NO FEES VALUATION FEE _ <br /> TYPE OF CONST. OCCUPANCY GI70UP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE Or BI.DG. NO.OF S70RIES MAX.OCG. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHl.�JICAL ZS OO <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHE,^.K LIST PENALTY U.B.G. <br /> SEC.303 1a) <br /> 2.BUILC NG PLANS _ TOTAL ZS 00 <br /> 3.FIRE 1-�YDRANT <br /> 4.FIRE PP.OTECTION SYS7EM PEHIAI7 VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED QN TH�S��AjE)THI�5,1$YQl�7 POERMIT � <br /> �, ULS G <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPAGTS7ATEMENT � � <br /> B.HEALTH DISTflICT � (� , <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR. POR ISSUANCE BY � ! f` rC'-�'�- ' ' I <br /> � ,."d;! , 'i <br /> , <br /> ; -, I �D � � <br /> ADDRESS PILE <br />