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r --� <br /> rlie Ercr4reen <br /> �verett ^ ��NSYRUCTIO � � <br /> CITV HALL 259�87d5 <br /> PERMIT PFRMIT NO. 1-�.'. � /' ;� <br /> EVERETT,�'�q9B201 [J COMBINATION L1 BUILDING �XX MECHANICAL ❑ PLUMBING <br /> OIYNER <br /> MnIL ADDRE55 CIiY Z�p <br /> Beryl W, Hutcher 1625 East Marine View Drive aHme <br /> nacnirecr oa oescHee �erett 98201 258-2441 <br /> MAIL AODRE55 GiY ZIP VHONE <br /> GENERq��ONiqq�TOF � MAIL ADDRESS <br /> CpY Zip PHON[ LICENSE� <br /> MECNANICAL GONTqp�10R � MAIL AODRESS <br /> Natural Gas E ui ment cirr zia aHor�e uceNse, <br /> 4 P 1625 East Marine View Drive Everett 98201 258-2441 <br /> PLUMBING CONiqq�Tpq � <br /> -- MqIL ApORE55 ��TY <br /> � Z�P PMONE �IGENSE� <br /> CLA55 OF YJOFK <br /> ❑NEW ❑ qDDIT�ON ❑ qLTERATION ❑REPAIq ❑ DEMOLITION ❑ FENCc ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> S <br /> DESCRI9E WORK <br /> PRD?OSE�USE OF BUILOtNG <br /> I HEREBY CEqTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALpESCRIPTIONOFPROPEfliV�SMOWBELOWORATTACMFO11RCppIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL FROVISIONS OF LAWS AND ORDINANCES <br /> LOT�gLOCN_pF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AU'HOFITY TU VIOLA7E <br /> OR CANCEL THE PROVISION� OF ANY OTriER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �oe aooaess PERFORMANCE OF CONSTRUCTION. <br /> LSOS HOYt SiGNATUPE O :ONiRqC`T OR AUTMORiZED AGENT pqi� <br /> PLUMBING x �(,�-��,� �� � `���-���t�'.i 1 ' 11/3/83 <br /> MECHA ICAL �� <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> WA7ERCLOSE7�TOILEn FEE <br /> AIR COIJD. UN175 - H.P. EA. <br /> BATHTU6 qEFRIGERATIUN UNITS- <br /> H.P. EA. <br /> _ LAVATORY(WpSH BASIN� OOILERS- H P. EA. <br /> SHOWEfi <br /> GAS FIRED A.C. UNITS - TONNAGE EA. <br /> KITCHEN SINK 8 D1SP. FORCED AIR SVSTEMS- B.T.U. h1 EA. <br /> D':SHWASME� <br /> LAUNDRY 7Rpy V✓ALL HEATERS- B.T.U. M <br /> UIJIT HEATERS-� B.T.U. M <br /> CLOTHES WASMER <br /> EVAPORATIVE CC�7LER5 <br /> WATER HEATER <br /> CLOTHES ORYERS <br /> URINAL <br /> DRINKING FOUNTAIN �ENTILATION FAN <br /> FLOCP DRqIN RM1NGE HOOD <br /> Alfl HANDLING UNIT- C.F.M. <br /> _ VACUUM BREANERS STOVE- VJOOD <br /> _ ROOF ORAINS- flAINLEADERS METAL FIREPLACE 8 CHIMNFY <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP - <br /> -� 1 Water Heater <br /> SUB TOTAL 3 SUBTOTAL 5 9 SO <br /> _ PERMIT 5 <br /> TOTAL FEE 5 PERMIT S 10 OO <br /> SIDE YARD SETBACK STREET SETBACK TOTAL FEE s <br /> REAR YARD SETBPLF PLAN CHECK NUMBER PLAN CHECK FEE <br /> USE ZONE LOT AREA VACANT SITE FEE RECEIP7 NO. <br /> VES . NO PEES VAWATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. NO,OF STORIES MA%. OCG LOAD BUILDING = <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPqINKLE(i5 - I <br /> RYESREDNO MECHANICAL I�S SO <br /> APPROVA�S BY �ATE OTMER <br /> 1. ENVIRONMENTAL CHECK LIST U B.C. <br /> 2.BUILOING PLANS PENA�T� SEC.30J�a) <br /> J.FIRE HYDRANT TOTAL I <br /> ! <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALI�ATION 1 <br /> 5.GRADING WHEN PROPERLV VALIDATED pN TM$,�SPf��E)TMI 1 Y P IT j <br /> 6.DRAINAGE •} S � �� P�. ��- � <br /> 7.ENVIRONMENTAI.IMPACTSTATEMENT � ' <br /> B.HEALTH DISTRICT N � <br /> AAPLICATION ACC.BY PLANS CHECKED BY APPH.FOR ISSUANCE BY � C % �.� P, R=C E 1 PT •—+ � <br /> a ;•.,,,tr� YCtiU <br /> � <br /> - f�.ir � ') <br /> ��rx�,,:=.r.. n�r ' <br /> � <br />