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1hr Lrer�;ree�r <br /> � �° � �ONSTRUGTIO [�i1 <br /> everett P�R M I'� PE�T No. � �r � � <br /> CIiV HALL 259�87<5 <br /> E�eaerT.v�a sszci V COMBINATION X� BUILDING � MECHANICAL ❑ PLUMBING <br /> O�4NER ld41L AD�RESS GiY ZIP FHG1:E <br /> h1R. & t4RS. BERNARD LANGDON 3012 - 3014 KROMER EVERETT WA 98201 <br /> FRCHITEGi OP OES:GNEP IAqIL AO�A[55 CIiY ZIP PHGt�E <br /> GB�ERAL CO�IiPPCiOR MAIL ADDRE55 pTY LiP PMONE LICE��SE/ <br /> Birmingham Builders 19013 Soundvieai Stanwood WA 98297 652-9697 <br /> IdECMRNICALCONTRAGTOR IAAILApORE55 piY LP PHONE LICENSE♦ <br /> BIR11JN223 <br /> PLUMBING GQNTRACTOR 1dl.l�qODHE35 LIiY ZIP Po10NE LICENSE I <br /> CU55 OF WOflK <br /> ❑NEW O ADDITION ❑ ALTERATION �REPAIR � DEMOLITION ❑ FENCE ❑ SIGN � WOO�STOVEIFIREPLACE INSEP,T <br /> VALUFTION OF WORK <br /> y 7200.00 <br /> DESCRIBE WORK <br /> Reroof <br /> ❑aoaoseo usE oF ew�ou+c <br /> Dupl ex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI.i <br /> APPLICATION AND KNOW THE SAME TO BE TP.UE AND <br /> '�[GALDESGRIPiIONOFPROPERN�5MOW0ELOWOflATTACNFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> :OT_BLOCK_OF GOVERNING THIS TYP� OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OP NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHOFITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERyAfiMANCE OF �TRUCTION. <br /> JOB AODRE55 SIGJ(ATU0.E O�CONT TOq OR NfITMOfj2E0 RGENi i OATE <br /> 3012 - 3014 romer X,� � � ; i i <br /> « 2.t,c��./ 8/9/85 <br /> PLUMBING MECHANICAL <br />� N0. TYPE 0 TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND. UNIT$– H.P. EA. <br /> BATHTUB REFFIGERATION UNITS – H.P. EA. <br /> LAVA70RY{WASH BASIN) BOILERS– H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS –TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS – B.T.U. M EA. <br /> DISHVJASHEfi WALL HEATERS– B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS– B.T.U. M <br /> CLOTMES WASHER EVAPOFATIVE COOLERS <br /> WA7EF HEA7ER GLOTHES DRYERS <br /> 11flINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING Ut71T– C.F.M. <br /> VACUUM BREAKERS STOVE –WOOD <br /> ROOF DRAINS – RAINLEADERS METAL FIREFIACE&CHIMNEY <br /> SINK�SERVICE – BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PEHMIT f <br /> TOTALFEE 5 TOTAL FEE S <br /> SIDE VARD SETBACK STflEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECN FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E <br /> .Y:S I:NO FEES VAIUATION FEE <br /> TYPE OF CONST. OCCUPANGY GROUP N0.OF OWELLING UNITS <br /> Bu1LDING S 7200 O a <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLEPS NECHANICAL <br /> REOUIREO <br /> � -.YFS �, �NO — <br /> APPROVALS BY DATE OiHER <br /> 1.ENVIRONMEN7AL CHECK LIST PENALTY U.B.C. <br /> SEC.3031a) <br /> 2.BUILDING PLANS <br /> 3.PIREHYDRANT TOTAL 68 SO <br /> 4.FIRE PROTECTION SYSTEM PEiiM1T VALIDATION <br /> S.GFADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PEIiM1T �. <br /> 6.DRAINAGE � <br /> 7.ENVIflONMENTALIMPACTSTATEMENT N <br /> Ln <br /> 8.MEALTH DISTRICT <br /> � <br /> APPLICATION ACG BV PLANS CHECKED BV APPR.FOP ISSUANCE BY ' <br /> ADDRGSS FILC <br />