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!!ie Et�er,ereen �O N ST R U Cl`I�N <br /> CITY OF <br /> everett PERMIT <br /> arv ��A��zs9 e�4s PERM IT NO. 11 O 6 O <br /> EVERETT.wa 9ezoi ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br /> ownee <br /> raaa aooaess an <br /> Steve Winchell 1121 Hoyt Avenue i1P P�+or,e <br /> nac�rtecroacesicN=_a Everett 98201 259-4733 <br /> rnai�ao�aess �irr <br /> Z�N PHONE <br /> GENERALCO4iRALiOR IAAILADDPE55 <br /> QiY ZIP <br /> PHONE IIGENSE� <br /> lnESAme CpNTRACiOP M1IAiLADORESS CITV <br /> Z�P PNONE LICENSE r <br /> PLUMBING CONiRACiOF MAIL ApDRE55 <br /> ���� Z�� PHONE <br /> liC[IlSE I <br /> ClA55OF WORK , <br /> ❑NEW ❑qDDITION ❑ALTERATIOIJ ❑REPAIR - ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br /> VAWATION OF'JJORK <br /> b <br /> OESCPIBE V5'ORK <br /> Install wood stove <br /> PROPOSED USE OF 6JIlDING <br /> I HEREBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS AP� <br /> �=_cn�oescairniorvoFPaocearvisMowae�oweanrrnc�vouncc��es� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ior oioc�_oF ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SP[CIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR 7HE PERFORMANCE OF COPlSTRUCTION. <br /> dOB AODRF55 Si6��A1URE pF CqNiqAGiOR OF AUTHORI2ED AGENi <br /> 1121 Hoyt Avenue oAre <br /> X.�1�"�v �/i�-�, .c 9/27 82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. <br /> TYPE OF EQUIPMENT FEE <br /> WA7[R CLOSET�lOILEI� AIR COND UNITS— <br /> BATHTUB H.P.EA <br /> REFRIGERATION UNITS—H.R EA <br /> LAVATpRY(WqSH BASIN� BOILERS— H.R EA <br /> SHOWEP <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> _ KITCHEN SINK 8 DISR FORCED Alq SYSTEMS—�S.U. M EA. <br /> DISHVlASHER WALLHEATERS—�J.U. M <br /> IAUNORYTRAY <br /> UNIT HEATEflS—B.T.U. �,� <br /> CLOTHESIVASHEF <br /> EVAPORATIVE COOLERS <br /> INAi EF HEATER <br /> C�OTHES CRYERS <br /> URINP�1 VENTILATION FAN <br /> DPINEING FOUNTAIN <br /> FLOOii ORAIN F7ANGE HOOD <br /> AIR HANULIPiG UNiT— GF.M. <br /> VACUUM BREAKERS 1 STOVE WOO$ <br /> ROOF DPAINS—RAINLEADERS METAL RREPI.ACE&CHIMNCY <br /> _ SINK�SERVICE—BAR ETG.) <br /> SUB TOTAL <br /> PEHMIT SUB TOTAL = 5 <br /> S PERMIT s <br /> TOTAL FEE S TOTAL FEE � <br /> SIDE YARD SETBACK SiR[ET SET[3ACK REAR yqqD SETBACK ?LAN CHECN NUM�GR 5 <br /> PLAN CHECK F[E <br /> USE ZONE LOT AREA yqCANT SITE FEE RECEIPT NO. <br /> i_iYES I:NO FEES VALUA710N FEE <br /> TVPE OF CONST. OCCUPANCY GROUN NO.Of DWELLING UNITS <br /> 9ZE OF BIDG. N0.OF$?ORIES �UILDI�� g <br /> MA%.00C.LOAD <br /> PLUMBING <br /> FlH[ZCNE BASEMENT RRE SPRINKLERS - <br /> REOUIRED MECHANICAL <br /> - �iVES LlNO 1 7 $0 <br /> APPROVALS 9Y DATE ��'�.�HER <br /> 1. LNJIRONMENTALCHECKLIST -� _� <br /> PENALTV U B.C. <br /> 2 �UII�ING PLANS SEC.303(a� <br /> 3. FIRE hfYDRANT TOTAL <br /> 1� $� <br /> �1 FIRE PROTECTION SYSTEM PERMIT VqLIDATION <br /> 5. GRADING �.'HEN PROPERLY VALIOATED�IN THIS pSPACE)THIS IS YOUR PE7RM[IT <br /> C DRAINAGE o a ' � � O I l. J O �'� <br /> � L ENVIRONMENTALIMPACTSTATEMENT <br /> 0 <br /> — e ��A�T,�o�S,R��; YDUR REQEtpT� <br /> AFPLICATION ACC.BY PLANS CHECKED BY APPR FOR ISSUANCE BY <br /> • rH�►�� Y,O�U <br /> , , . <br /> _ 1 c. .:� e � <br /> �,D�r�es: Fi�.r <br /> 21 �U" Q? <br />