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"1 <br /> ���� `�����`���`." ^O N ST R U CT I O N <br /> c�„ c� � <br /> ever�tt pE�� �T NF_RMIT N0. 12173 <br /> CITY HALL 259�8745 <br /> EVERETT,WA982Gt ❑ rOMBINATION X� BUILDING CJ MECHANICAL ❑ PLUMBING <br /> ^ OVJNER MFIL FDDFE55 CITY ZIP PHONE <br /> � CHARLES PlEFF 3132 Lombard Everett WA 98201 259-3648 <br /> FRCHITECT OR DESIGNER IdAR ADDRE55 CITY ZIP PMONE <br /> GEHEFAL CONTRAGTOR MAIL ADDRE55 CITY ZIP PMpNE LICENSE Y <br /> Same <br /> MECHANICAL WNTflACTOR MAIL ADORESS CITV Z�P PIIONE UCENSE� <br /> PLUMBING GONTFFGTOR MFIL ApORE55 GITY ZIP PMONE IICENSE� � <br /> CLASS OF VIORN <br /> ❑NEW ❑ AODITION ❑ ALTERATION �REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VFLUATION OF WORK <br /> 4 �Q�.Q� <br /> �ESCRIBE WORN <br /> Reroof <br /> PROPOSED USE OF OUILDING <br /> Residence I HEREBY CERTIFY T4AT I HAVE READ AND EXAMINED THIS <br /> APPLICNTION AND KNOW THE SAME TO BE TRUE AND <br /> LEGFlDESCRIPTIONOFPROPEHTY�5H0YlBELOWORATTAGMFOUFCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOGN_OF GOVERMNG THIS TYPE OF WORK WILL BE COMPUED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT D��ES NOT PRESU�'E TQ GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVI�IONS OF ANY OTHER STAT[ OR <br /> LOCAL LAW REGULA?iNG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AO�RE55 SIGNATURE OI WNTFACTOR OR AUTHORIjED AGE�It DAiE <br /> 3128 Lombard X /G 'r '„' �� � . ,G;% ,'/7/83 <br /> PLUMBING MECHANICAL ' ! G� <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. T1: _ JF EQUIPMENI� FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS- H.R E!� <br /> BATHTUB REFRIO(iRATION UNITS- H�, i. <br /> LAVATORY�WASH BASIN) 001LEFS- H.P. EA. <br /> SHOWER GAS FIRED A.G. UNI75- TONNAGE E.1. <br /> KITCHEN SINK 8 DISP. FORCE�AIR SVSTEMS- B.T.Ii. M EA. <br /> DISHWASHER WALL HEATERS- B.7.U. M <br /> LAUNDRVTRAV UNI7 HEATEFS- B.T.U. M <br /> CLOTMES WASIIEP EVAPOPATIVE COO�Efi$ <br /> VJATER HEATER CLOTHES�RYCna <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE F.00D <br /> FLOOR DRAIN AIR HANI)LIiJG UNIT-- C.F.M. <br /> VACUUM BREAFERS STOVE - WOOD <br /> ROOF DRAINS- RAINLEAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SEflVICE- BAR, ETG.) FIREPLACE INSERT <br /> HEAT°')M � <br /> i <br /> SUB TOTAL S SUBTOTAL 5 <br /> PEFMI7 S PERMIT S <br /> TO7AL F:E S TOTAL FEE E <br /> SIDE YARD SETBACK STREET SETBACK flEAR YARD SETBACK PLAN CHECK NUMBEFl PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE - -. <br /> .YES .NO FEU VALUATION FEE <br /> IYPE OF CONST. OCCUPANCY GROUP NO. OF DN.ELLING UNI75 ' <br /> _.___.___. . <br /> BUILDING � 'E:QQ.QQ �(� 50 <br /> SIZE OF BLCG. NO. OF STORIES MA%.OCC. LOAD -� ��--�-�--� � <br /> PLU6IBING <br /> FIRE ZONE AASEMENT FIHE SPRINKLERS �,�ECHANICAL — I J <br /> REOUIRED <br /> '� � YES NO --- + <br /> APPROVALS BY DATE �THER � <br /> 1. ENVIRONMENTAL CHECK U5T PENALTY U.B.C. <br /> SEC.30J(al <br /> 2.BUIL�ING PLANS �4 5� <br /> 3.FIRE HYDRANT TOTAL <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED pN T41S S"ACE)THIS IS YOUR PCERMIT (Y) <br /> 6.DRAINAGE 9 0 5 3 a O I �. J O "" � <br /> 7.ENVIRONMENTALIMPAG7S7A7EMENT N <br /> 8.HEALTH DIS7FIG7 <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSllANGE B'f ;�\.; U R RE C E I PT � <br /> T:�:1NK YOU <br /> - � s;� a� <br /> ADDRESS ��P,f. <br />