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lliC Erer1'reen - �O rV V�� l�� C I �A' _ � <br /> �.; <br /> everett PERMIT PERM�r No. ��=� ==� �� �� <br /> CITV Hl.LL 25487�5 <br /> EVERETT.VJA98201 C COMBINATION ❑ BUILDING � MECHHNICAL ❑ PLUMBING <br /> OWNER MFIL ApORE55 GITY 21P F40NE <br /> Wayne Herzog 1802 Hoyt Avenue Bverett 98201 252-5622 <br /> ARCM'iELi OR DESIGNER idaiL<DORE55 GITY ZIP PHOHE <br /> G[�1[RAL CONTRACTOR MAIL A�ORESS GITY ZIP PMONE LiCENSE� <br /> IAECHAN�CAL CONTPACiOR MAIL ApDHE55 CITY ZiP PMONE IICENSE� <br /> Gas Equipment Contractors 2221 120 N.E. Bellevue 98005 455-9320 . <br /> PLUMBING LONTRAGTOR �dAIL AO�RE55 QTY ZIP PHONE LICENSE• <br /> GA SE QC 256NF <br /> CLA55 OF WORK <br /> ❑NEW ❑ ADDITIO�i ❑ ALTERAiION ❑REPAIR ❑ OEMOUTION ❑ FENCE ❑ SIGN ❑ V:00�STOVEIFIREPLACE INSERT <br /> vAWAT10N OF WORpK <br /> . ���Z�M <br /> �ESCRIBE WORK <br /> PROPOSEO USE OF BUILDING , <br /> I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br /> APPLICATION AfJD KNOW THE SAME TO BE TRUE AND <br /> �rc��oesceivnonoFaRoaearvisMowee�owoanrrncMFouRcoviesi CORRECT. ALL PROVISIONS OF LAWS AND ORDIN�INCES <br /> GOVERNWG TNIS TYPF.` OF WORK WILL BE COMPLIED WITH <br /> �o�_eiocn_oF WHETHER SPcCI. '? HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOE:i NOT PRESUME TO GIVE AUTHORITY TO VIOI_ATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LGCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF GONSTRUCTION. <br /> �013 n0�RE55 SIGNAi11Rf.OF CONTPACTOR OR AUTMOrUZED AGENT OAiE <br /> 1802 Hoyt Avenue X Check #9567 8/10/83 <br /> PLUMLiING MECHAN�CAL <br /> NO. TYPE UF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEN� _ FEE <br /> WATER CLOSET�TOIIET) AIR COND. UNITS— H.P. EA. <br /> 6ATHTUB REFRIGERATION UNITS— M.P.EA. <br /> LAVATORY(WASH BASIN) ] BOILERS— H.P.EA. 5 <br /> SHOWER GAS FIRED A.C.UNITS—TOkNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCEO AIR SYSTEMS— B.7.U. M EA. <br /> DISHWASHER �h'ALL NEATERS— B.T.U. M <br /> LAUNDRYTRAV UNIT HEATERS— B.T.U. M <br /> CLOTMES WASHER EVAPORAIIVE COOLERS <br /> WATER HEATEP CLOTHES DRYEflS <br /> URINAL VENTILATIO�! FAN <br /> DRINKING FOIINTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING :1NIT — C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF DRAINS— P.AI�t EADERS METAL FIREPLACE&CHIMNEY <br /> SINK(EERVICE — BAR, ETC.� FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 Water Heater 9 50 <br /> SUB TOTAL SUB TOTAL S 4 $� <br /> PERMIT S PEFMIT S LO OO <br /> TOTAL FEE 5 TOTAL FEE S z� S O <br /> SIDE YARD SETBACK STREET SET�ACK I REAR VARD SETBACK PLAIJ CHECK NUI,I�ER PLFN CNECK FEE <br /> I FEE RECEIPT NO. <br /> USE ZCNE LOT AREA VACANT SITE FEES ' VALUATION FEE <br /> YES NO <br /> IYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNRS _ <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OP STORIES MA%.OCG LOAD <br /> PLUMBING � <br /> RPE ZONE 6ASEMENT flflE SFRINKLERS MECHANICAL Z O S O <br /> REOUIRED <br /> VES NO <br /> APPROVALS BY DATE OTHER <br /> i. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303 lal <br /> 2.BUILOING PLANS _ TQTA� Z O S O <br /> �.FIflE HYDRANT <br /> 4.FIRF.PROTECTION SYSTEM PERM1'IT VALIDATION � <br /> WHEN PROPFRLY VALIDATED;IN THIS SPACE)THIS ISr.VOUR P[ERMIT . <br /> 5.GRADING 0 3 4 5 � V � O. J 0 �� � <br /> 6.I)RAINAGE <br /> 7.E�vIRONMENTALIMPACTSTATEMENT . <br /> 0.HEALTH DISTRICT �{ ' <br /> AP�LICATION ACG. 81' PLANS CHECKED BV APFFl. FOR ISSl1ANCE BY j��'? J � R E C�I P 1 <br /> - , � , .., .•�. 0 <br /> � <br /> I, �l !i c S ; <br />