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r/ir !i rcr,�reeri <br /> ��-� �� ' � CONSTRUCTI <br /> everett S ! PERMIT � PE�r No. 14097 <br /> CIT1'HALL 259�B7a5 <br /> EVERETT,WA9B201 � COMBINATION ❑ BUILDWG GEXMECHANICAL ❑ PLUMBING <br /> OWNER MAII AODRE55 CITY ZiP P�.ONE <br /> John Ol�son 1305 Hoyt Everett 98201 <br /> ARCNRECi OR OESIGNEli MqiL AD�RE55 CIiY ZIP PHONE <br /> GENERAL GONTRAGTOP MAIL ADORE55 CITY ZIP PHONE LICENSE M <br /> MECNANICPL CONTPACTOR lAAIL ADDRE55 GITY 21P PMONE LiCENSE� <br /> Natural Gas �guipment 1625 East Marine View Drive Everett 98201 258-2441 <br /> PLWABiNG COt'TRACTOfl MpIL AD�BE55 Cltt ZIP PHONE LiGENSE M <br /> CLnSS OF YlORN <br /> ❑NEVJ ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUPTION OF WOFR <br /> 5 <br /> OESCRI9E WORN . <br /> PROPOSED USE OF BUROWG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO EE TRUE AND <br /> LEGRL�ESCRIPTIONOFPROFEflTVISHONBELOWORATfACNFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BIOCN_OF GOVERNING THIS TYPE OF WORK WILL B� COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OA NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE uR <br /> LOCAL LAW REGULATING CONSTRUC'iION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOE1 ADDRESS SIG A UFE OF GONi CTO�OR AUTHORI2ED AGENT DATE <br /> 1305 Hoyt x �� �h��u�, iolayl��I_ <br /> PLUMBING MECHANIC <br /> NO. TYPE OF FIXT!1RE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGEH;,�ION UNITS — H.P. EA. <br /> LAVATORY�WASH BASIN) 601LERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEM�-- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNORY TRAY UNIT MEATERS— B.i.U. M <br /> CLOTHES WASHER EVAPOFATIVE GOOLERS <br /> WA'fER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN PANGE HOOD <br /> FLOOR DRAIN Ala HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS :�OVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEV <br /> SINK(SERVIGE— BAR, ETC.) PIREPLACE INSERT <br /> HEAT PU1.1P <br /> er eater 4 50 <br /> SUBTOTAL 5 SUB TOTAL S ¢ S� <br /> PERMIT S PERMIT S LO OO <br /> TOTAL FEE S TOTALFEE S 14 SO <br /> SIDE YARO SET6ACK STREET SETBACK REAR YARO SETBACK PLAN CMECK NUMBEP PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . .YES . �NO FEES VALUATION FEE <br /> 7VPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> 6UILDI�IG 5 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC. LOAD <br /> PLUMOI�G <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAi <br /> REOUIRE� 14 50 <br /> YES NO — <br /> APPflOVAlS BV DATE OTh1ER <br /> 1.ENVIRONMENTPL CHECK LIST PENALTY U B.C. � <br /> SEC.303(a� <br /> 2.BUILDING PLANS <br /> 3.FIHF.HYDRANT TOTAL 14 $� <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> 5.GRADING WHEN PROPERLY VALIDATED pN THIS SPAGE�THIS IS Y(aUR PERMIL__ j�: <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HcALTH DISTFICT ! � � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FORISSUANCE BY <br /> ADUR[SS ill[ <br />