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rBe Llrr,�reen <br /> everett r� ��ONSTRUCTIC� � <br /> CITY HA�L259�8745 P E R M IT PERtiiiT No. 13 314 <br /> EVERETT,WA98207 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBINu^ <br /> OWNER MAILAODRE55 GITY ZIP PHONE <br /> Gary Lingerfelter ].105 Hoyt Everett �Sa_�ys� <br /> ARCMITEGT OR DESIGNER MAIL FOGBESS CITY 21P PHONE <br /> GENERAL CONTRFCiOR MAIL A�CRE55 GITY 21P PMONE LICENSE� <br /> Custom Gas 22329 57th Avenue S.E. Bothell 98012 481-5515 <br /> MECHANICAL GONTHACTOF � � MAIL AODFE55 CIiY 21P PMONE LICENSE x <br /> CUSTOG 5231P6 <br /> PLUMBING GONTRACTOR MAIL AD�RE55 GRY ZIP PHONE UCENSE Y <br /> CLAS�OF WORK <br /> �NEVr ❑ 4DDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ PENCE ❑ SIGN ❑ WpOD STOVFJFIFiEPLACE INSERT <br /> VALUATION OF WORK <br /> S <br /> �ESCR19E WOFiK <br /> PFOFOSED USE OF BUIL�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESGRIPTIONOFPRGPERTV�SHOY�BELOWOFATTALHFOURCOPIES� CORRECT. ALL PROblSIONS OF LAWS AND OFDSiVANCES <br /> LOT__^LOCK__OF GOVEftNING THIS TYPE OF WORK WILL BE CCI7PUFD WITH <br /> WHETHER SPECIFIED HEREIN OF NOT.THE GkANTING OF A <br /> PERiv11T DOES NOT PRcSUME TO GIVE AUTH6RITY TO VIOLAT[ <br /> OR C EL THE PROVISIONS OF ANY UTHER STATE OR <br /> LOC L AW REGULATING CONSTRUCTION OR THE <br /> P FO MANCE OF CONSTRUC�. <br /> JOB ADDFE55 SI NAT E OF CON ACT OR pUi U FUEni � CATE <br /> 1105 Hoyt ����-�.�,��/84 <br /> PLUMBING CHANICAL <br /> N0. TYPE OF FIXTURE Ofl ITEM FEE 0. TYPE OF EOUIPMENT FEE <br /> WATcqCL'ubEi�wlLtq AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS — H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— M.P.EA. � <br /> SHOWER GAS FIRED O..C.UNITS — TUNNAGE EA. <br /> KITCHEN SI�K 5 DISP. j FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WAT�R HEATER CLOTHES DRYERS <br /> URINAL VENTILATIDN FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKEHS STOVE—WOOD <br /> ROOF�RAINS— RAINLEADERS AIETAL FIREPLFCE 8 CHIMNEV <br /> SINK�SEHNCE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 Water Heater 4 50 <br /> SUB TOTAL i Sl1B TOTAL S ].Z OU <br /> PEflM1T S PEflM1T f ],O OO <br /> TOTAL FEE 5 TOTAL FEE S 2 <br /> SIDE YARD SETBACK STREET SEiBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK PEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE __ <br /> �;YES ;::NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLIN(i UNITS <br /> OUiLDING S <br /> SI2E OF BLDG. N0.OF STORIES MAX.OCC.LOAD - <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED ZZ OO <br /> �. YES .�.NO <br /> APPROVALS BY DATE �THEFl <br /> 7. ENVIRONMENTAL CHECK UST U.B.0 <br /> . . PENALTY SEC.3031a1 <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT MTeI ZY OO <br /> 4.FIRE PROTECTION SYSTEM pEFlMIT VALIDATION <br /> 5.GRADWG WHEN PROPERLY VALIDATED pN THI�6�?gE)THl$;I�Y�II�P�R?p11T-- (� <br /> 6.DRAINAGE ' . <br /> 7.ENVIRONMEN7ALIMPACTS7ATEMEN7 � <br /> 8.HEAL7H DISTRIC7 � ' - ��' <br /> . . . .. � ��� � , <br /> APPLICATION ACC.BV PLANS CHECKED BY APPR. FOR ISSUANCE eY - � <br /> , iJ ' <br /> � <br /> - , � <br /> ADDRE55 FILE <br />