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�he [rerlreen •� ���������I O� <br /> Urv o� <br /> �verett • 15 3 51 <br /> CITY HALL 259�8745 P E R M �T PERMIT NO. <br /> eveaerr, wneAzai � COMBINATION ❑ BUILDING C`�MECHANICAL ❑ PLUMBING <br /> OWNER MA;L qD�FE55 �ITY ZIP PHONE <br /> Austin �Weaver 1415 Hoyt Everett 98201 259-1386 <br /> ARCMREGi OR pE51GNER lAAIL FD�RE55 GITY ZIP PHONE <br /> GENfRPLCONiFFCiOR MAILAU�RE55 GITY ZiP PNONE LiCENSE� <br /> MEGHANIf,q��pNTPACiOR MAIL AO�RE55 C�TY ZIP PHONE LiCENSE Y <br /> PLUMBING CONTRAGTOR MAIL ADDRESS GITY ZIP PHONE LiCENSE N <br /> CLASS OF YJORK <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMGLITION ❑ FENCE ❑ SIGN '� WQOD STOVEIFIREPLACE INScRt <br /> VALUITION OF WORN <br /> 5 <br /> �ESCFIBE WORN <br /> PPOPOSEO USE OF BWLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERiY�SHOLV9ELOWORATTACHFOl1RCOPIES� CORRECT. ALL PROVISIONS OF LAVWS AND ORDINANCES <br /> �oT_e�ocK_oF __ _ GOVERNING THIS TYPE UF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTItJG OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTIIER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> _ PERFORMANCE OF CONSTR CTION. <br /> JOB p141S F]O t IGNA UfiE�F GONTRA �q Ob/U HO �AG�NT OATE <br /> Y ,i.. ; 8/21/85 <br /> PlUMBING MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.P. EA. <br /> BATHTUB qEFFIGERAT10N UNITS— FI.P. EA. <br /> LAVATORY(V.'ASH BASIN) 901LEF5 — H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS --TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.i.U. M <br /> LAUIJDRY TRAV UNIT HEATERS— B.T.U. M <br /> CLCTYES WASHER EVAPORATIVE COOI_ERS <br /> N'ATER MEATER CLOTHES ORYERS <br /> URINAL VENTIL:.TION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN Alq HANOLING UNIT— C.F.M. <br /> VACUUM BflEAKERS __ STOVE— WOOD � SO <br /> FOOF DRAINS— RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY Q <br /> 51NK�SERVICE — BAR, ETQ) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB70TAL 5 SUB TOTAL 5 <br /> PENMIT t pERM1T 5 <br /> TOTAL FEE 5 TOi'AL FEE 5 ZS OO <br /> SIDE}ARD SETBFCK STREET SETBACK REAR YARD SETBACN PLAN CHECK NU�d9EA PLAN CHECK FFE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . YES .:NO FEES VqLUAT10N FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> BUILDING S <br /> SIZE OF OLDG. N0.OP STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPPINKLERS MECHANICAL <br /> REOUIRE� ZS OO <br /> YES I:NO — <br /> APPflOVALS BY DATE �THER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> 2.BUIL�INi:PLANS SEC.303(a) <br /> 3.FIREh'.�'7RANT TOTAL PS OO <br /> .`IRE Pi::l ECTION SVSTEM pERMIT VALIDATION <br /> 5 �,naulNG WHEN PROPERLY VALIDATED QN TH�$QpQE�THI�I�Yg� f�FN.11T_ � <br /> 2 6.DRAINAGE � 9 < < �� �� <br /> 7.ENVIRONMENTAIIMPACTSTATEMENT m <br /> � <br /> B.HEALTHDISTflICT YOUR REC�IPT *-� <br /> APPLICATION ACC.BY PLANS CHECKED 6Y APPR. FOR ISSUANCE BY <br /> THANk YOU <br /> 21A� 85 <br /> AUDBf:55 fllF <br />