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�V�l��� � �G���� pE�rr,o.0�096 <br />CITY HALL 259�d7A5 <br />eveaeTT wa 9azoi ❑ COMBINATION C� BUILDING � MECHANICAL ❑ PLUMBING <br />CY:NER l.IP��qpCNt55 CIiV �IP PHONE <br />Neiaall JeFfs 727 H�t Everett 98201 <br />:,ce��recroaoesmn=_e rnnanooness cin zir P��orv=_ <br />:..tiEiiALCONiRAGTOR MAILADDRESS OTY ZIP GHONE JCENSE� <br />'.�ECH4NIGALCAN'RACiOP AIFILADOPE55 CIiY ZIP PHONE LiCBlSEi <br />Natural Gas Equi.F�mer.t 258-2441 <br />�'lU!.�0111G CONiRACTOR IAAIL ADpPE55 QTV IiP PHOtff LiCE1SE i <br />CLl.SS Of WORK <br />❑NE',N ❑ADDITIOII ❑A�TERATION �REPAIR ❑DE�dLLITION ❑FENCE ❑SIGN ❑GARAGE <br />VnLUATION OF V/ORH <br />CLS^RiBE WORK <br />Hot ivater taiik installation (gas) <br />r�oaoseo use oF aui�mH� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOE" N�T <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRG <br />VISIO�S OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAt1�RE 0° CANI�RCiOR OR AUiHORRED 26ENi �ATE <br />X'��O,i�.,_�. � f"`7:��1r-t�ti December 27, <br />MECH�ANICAL � 9 <br />LFf,:� D"cSCRIPTION OF <br />J0t3,:'u�RLGS <br />727 [IOyt <br />PLUMBING <br />NO. <br />Y�Y9q <br />LAUNDRVTRAY <br />CLOTHES WASHEI <br />NJAiFFi HEATER <br />URINAL <br />DflINKING FOUN7 <br />FLOOP DRAIN <br />VACUUM BREAKE <br />ROOF DRAMS — <br />ciniv iccomrc — <br />S[iE YARD SETBACK <br />CSLZONE <br />I fFE OF CONST. <br />SI7E OF BLDG. <br />i iHE ZONE <br />STREET S[TBACK <br />BASEMENT <br />1. LNVIRONMENTAL CHECK LI�T <br />:'. [3UILDINGPLANS <br />3. FlRE HYDRANT <br />FlRE PROTECTION SVSTEM <br />5 GRnDING <br />f DNAINAGE <br />i. ENVIRONMENTAL IAIPACT STATEMENT <br />8 H[ALTH DISTRICT <br />nFPLICATION ACC. BY PLANS CHECKED BY <br />=EE N0. TYPE OF EOUIPMENT <br />FIP COND. U1J�T5 — H.P. [A. <br />PEFPIGERAI ION UNIiS — H.P. EA <br />BOILERS — H.R EF. <br />GAS FIRED A.C. UNIIS—TONNABE EA. <br />FOFCED AIR SYSTEMS — 9 T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFS — B.7.U. M <br />EVAPOFATIVE COOLERS <br />CLOTHES DRYERS <br />VEIJTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C. <br />STOVE <br />METAL FIREPLACE 8 CHRdNEY <br />— 1 l4ater heater <br />SUBTOTAL <br />PERMIT <br />70TALFEE <br />SETBACK PLAN CHECK NUMBER PLA <br />F[E <br />JYES !NO <br />UNITS <br />BUILDING <br />PLUMBING <br />MECHANICFL <br />OTHER <br />PENALTY <br />TOTAL <br />APPR.FORISSUANC[BY <br />FEES <br />5 <br />U.B.C. <br />SEC. 309 (a) <br />ree <br />RECEIP7 NO. <br />1YHEN PqOPERLI' VALIDATED (IN THIS SPACE) THIS IS YOUP PERMIT <br />� <br />G391 3005.D0 �'�3 <br />� <br />' � <br />• YOUR RECElPT <br />� T��;1NK Y01i <br />� ,. ,� : , '; , I a F,. � � <br />�S�`,.� �i ��. . u1,�.a�m'i ..�� L '�:iK'_�J t�.: :+r. �iv:�`'"`�a-°::' 'ti�! .�: <br />