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,,"� `,���,`.o� °',ONS,TRUCTIO(V <br /> everet�. PERMIT pERMIT NO. 11111 <br /> GITY 11,d_L 259�87�� <br /> r_vta=_Tr c:? eawi ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> bl'/!!ER N,AILAGJH(„5 CIiV ZIV <br /> vHorve <br /> LaD]onte Johnson 1424 Kcssuth Everett 98203 355-6368 <br /> ARGHrtECI pR DEL!GtJEn MnR ADDPESL CrtY D�' PHOVC <br /> GCllCR4LG01lIFACiOfl MMlAO�RESS GiY Zli PHONE LiC;uSCr <br /> Same <br /> MECMF�JICALCANiRAGiUR MAILAOORE55 CITY ZIP PHONE 110EK`SE• <br /> PWIlBiNGCONiRAGTOF MAIIADORE55 CIYv IIP GH06E LiCEtiS[� <br /> Clf.$5OF WORK - <br /> ❑NEW GADDITIOIJ ❑ALTERATION ❑REFAIR ❑DEMOLITION GFENCE ❑SIGN ❑GAPAGE <br /> VFLUAT'OIJ OF WORK ' <br /> �ESCRIflE WOPK <br /> Install iireplace insert <br /> �'90F'CS[�USE OF 6URDIIlG <br /> I HEREBY CERTIFY THAT I HAVE R[AD AND EXAMINED THIS AP- <br /> c;n�oescaiariorvoFPRocearri;��owne�ov+o�<nrcr,wuncories� PLICATION AND KNOW THE SAME -f0 BE TRUF AND CORR[CT. <br /> ALL PROVISIOIJS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �.cr e�oc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPFCIFI[D <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DQES NOi- <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[PFO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THc PEFFORMANC: OF CONSTRUCTIGIJ. <br /> JOG/.[lU«rc5 �ir�NAIU� y/G"O�'y��nACIORCP HORI -0:.GBIi OnTE <br /> 1429 Kossuth X ��-�/%/��rLZt-- nca,.� 10/7/62 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTUFE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> %ATERCLOSE7ITORET� AIHCOND UNITS—H.REA <br /> BATH7UB qEFRIGERAT10N I!NITS—H.P.EA <br /> LAVATOPV IWASH BFSIIJ) 601LEPS—H.P.EA. <br /> SHOWER GFS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEI�SINK 8 DISP. FORC[D AIR SYS�EMS—BS.LL M EA. <br /> 015!IbVASHER WALL HEATEFS—B.T U. M <br /> IAUN��iRV TRAY UNIT HEATEPS—H.T.U. M <br /> CLO1H:�WASHEN EVAPORATIVECOOLERS <br /> \YATER��eATLR CLOTHES DFYERS <br /> URINAI VEkTILATION FAN <br /> DRINKIIJG FOUNTAIN RANGF HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VAC W hl 9REAKERS S10VE <br /> ROOF GPA!NS—RAINLEADERS METAL FIREPLACf�CHIM1WEY <br /> SINK�SEHVICE—BAA,ETC� � <br /> SUB TOTAL SUB TOTAL S I S O <br /> PERMIT S PERMIT i <br /> TOTAL FEE S 70TAL FEE f 'r <br /> SiDF YARD SETBACK STREE�SEi�ACK REAR VAP.D SEif3nCK PLAN CHECh: NUh+.I3ER FLAN f��ECK FEf <br /> P[E fl[CEIFT fJO. <br /> US[ZONE LOT AREA VACANT SITE <br /> L;YES I'NO FEES VALUA710N FEE <br /> i1'PE OF CON57. OCCUPANCY GROUP NO.OF DWEILING UNITS � <br /> UUILDiNG 5 <br /> 9Z[OF�LDG N0.OF STORIES MAX OCC.LOAU <br /> PW�d01NG <br /> FIfiE ZON[ BASEM[NT FIRE SPRINFLERS <br /> REOUIRED MECHANICAL l� �O <br /> I IYES I NO <br /> APPPOVALS BY DqTE O1HER � <br /> 1. ENVIRONMENTAL CHECK LIST ---� <br /> PENAL7Y U�C. <br /> ? �UILDING PLANS SEC.303(a) <br /> �.� RRE HVDRANT TOTAL 17 S O <br /> .t RRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VAUDATED(IIJ THIS SAA�C�'HIOS IS YO��LjM�T � ^ �� <br /> 5. GRADING � � ( U <br /> 6 DRAINAGE � <br /> � ; ENVIRONMENTAL IMPACT STATEMENT � � [•} � <br /> �� 9 HEA�TH0�5TA��T YQ`U�R IIEOEil�7�—+ <br /> APPLICATION FCC.BY PL4N5 CHECKED BY APPR.FOR ISSUANCE BY I(-�,k�K Y�Q+U � <br /> t � •r , � <br /> — l� �T S T <br /> !,� ;. ; i�_e <br />