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„,`� �����„".`�,� . �'0 N ST R U CT I O N <br /> everett PERMIT PERMIT N0. Z�Q�� � <br /> QTV HALL 259-0745 <br /> r EVERETT,V7A 98201 � COMBINATION i�'� BUILDING C MECHANICAL t I pLUMBING � <br /> 0':R�ER �raILALDRE55 Citt ZiF PnONE <br /> IY. E. HARTSON 5132 - 133rd SG Lverett IVA 98204 3�7-3968 <br /> tRC!UiEGi OR 4ESIGNER MAIL Ap�RE55 CrtY Z�P PnONE <br /> :Et1ERAL GONiRACiOR MAR AOORE55 CiiY 21P PHOHE LICENSE• <br /> Active Construction 20829 - 80th :lvenue lY. �dm�nds 1VA 98020 778-3991 <br /> b1EGMANIGRI CONTRAGTOR MAIL AD�RE55 CIiY ZI� PMONE LICENSE� <br /> PLUMB�NG LONTPAGiOR MAIL ADDNE55 ❑LY 21P PHONE LIGENSE x <br /> CLA55 OF\YORK <br /> ❑ NEW ❑ AODITION ❑ ALTERATION l�D REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN [] WOOD STOV!�IREPLACE INSERT <br /> VAWAT�ON OF WORN <br /> i <br /> GESCR19E WORK <br /> PFOPOSEO USE OF BUI��ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOVJ THE SAME TO BE TRUE AND <br /> �EGAl0E5LPIPTIJNOFP�OP[RTYISMOYlBELOYlOHAifACHFOURCOPIE51 CORRECT. ALL PROVISIONS OF IAWS ANU ORDINANCES <br /> w. 13 e�ocn_o3k78 EVCT�tt D1V. "B” GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF !� <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA i� <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OF <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORM OF CONSTRUCTION. <br /> !00 ApDRE55 SIG9FLUR " � lT,R�'j 6P OR AUi ORI�E�/GLNi OAiE <br /> 1925 Ho t X ��'�//r':-...r. ��+-�--� S/18/8S <br /> P�UMBING MECHANII.AL � <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND. UNITS — HP EA. __ <br /> 9ATHTUB REFRIGERATION UNITS — N.P. EA. <br /> LAVAiORY�WASH BASIN� BOILERS— HP. EA. _ <br /> SHOVJER GAS FIRED A.C.UNITS— TO��NAGE EA. <br /> KITCHEN SINN 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHVJASHER WALL HEATERS — O.T.U. M <br /> LAUNDRYTFAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHLSORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS S70VE—WOOD <br /> ROOF DFAINS— RAINLEADERS METAL FIREPLACE 8 CHIMfJEY <br /> 1 SINK�SERVICE— BAR.ETQ) Z �� FIREPLACE INSERT _ <br /> NEATPUMP <br /> SUB lOTAL 5 Q Q� SUB TOTAL S <br /> PEPMIT S 3 nO PERMIT S <br /> TOTAL FEE S ] �Q TOTAL FEE f <br /> 519EVAFD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE — -- '— <br /> YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILOING S <br /> 512E OF BLDG. NO.OF STORIES MA%. OCG LOA� -- <br /> PLUMBING 7 �� <br /> FIRE 20NE DASEMEN7 Ra[SPFINKLERS MECHANICAL <br /> llEOUIfiLD <br /> YES NO - <br /> APPROVALS BY OATE OTHER <br /> 1. ENVIRONMENTAL CHECK L15T � PENALTY U.B C. <br /> _ $EC. 307 lal <br /> 2.BUILDING PLANS <br /> L 3.FIRE HYDRANT TOTAL � O� <br /> a.PIRE PROTECTION SYSTEM PERMIT VALIUATION <br /> 5.GRADING bVHEN PROPERLY VALIDATED�M TM�O C DEI THI$,I$�vp�p Pf�F�AIT (1.` <br /> 6.DRAINAGE � � U 1 '� �� S' <br /> - cn <br /> 7.ENVIRONMEN7AUMPACTSTATEMENT ,_� <br /> e.HEALTH DISTRICT �'(_', �', i ; j�.,;,�,_. i_I F�' T. �' <br /> APPLICAiION ACC.BY PLANS CHECKED 6V APPR.FOR ISSUANCE BY <br /> I t� �i'.���i� i�_� �.� <br /> � `� I.:�I pJ <br /> hn^nr,�� F11F <br />