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Utc Erer�rccn _. �� e - ��'�������� �� <br /> Cn'r O� � ��� <br /> e�er�et�t P �F;�,� ��' PERMIT N0. �-�= r��, <br /> CITV HALL 259�8745 <br /> EVERETT,WA98201 [] COMBINATION ❑ BUILDING Y2� MECHANICAL C PLUMBING <br /> OWNER A1AI�ADORE55 Clil" ZIP PNOkE � <br /> A. C. 7_UANIf.H 1019?; Lan�Place FverPtt <br /> AFCHREGi OR�`SiGNER -T MAiL A��RE55 GITY ZIP PMONE <br /> GENERAL GONiRAG10R 1dAIL AD�RESS CITY ZiP PHONE IIGENSE+ <br /> MECMANICAL LONiRAGTOH MRIL ACONESS CIT'! 21P PHONE UCENSE� <br /> Natural Gas E ui ment 1611 E Grand Everett <br /> PWM1IBiNG GOIJTFACTOR MAIL AOOHESS CITV ZIP PfIONE LICEI�SE� <br /> CLA55 OF WORK <br /> X� NEW ❑ ADDITION ❑ ALTERFTIOW ❑REPAIR ❑ �JEIdOLIT10N ❑ PENGE ❑ SIGIJ � WOOD STOVFJFIREPLACE INSEflT <br /> VA�UATION OP'fJOflK <br /> 5 <br /> DESCRI�E WORK <br /> Install hot water heater <br /> PP.OPOSEO USE OF BUILDiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED iHIS � <br /> APPLICATIUN AND KNOW THE SAM[ TO BE TRUE i�iJD <br /> iecn�oescaivrioN�oFv�oveFrvisnowee�owoanrrncnFouacoaiesi CORRECT. ALL PROVISIONS Or LAWS AND ORD!NANJES <br /> i�r e�ocK_oF _ GOVERNING THIS TYPE OF WORK WILI_ BE COMPLIED WITH <br /> 1�JHETHER SPECIFIED HEREIN OR NOT. THF GRANTING OF A <br /> PERMIT DOFS NOT PRESUivic TQ riVE AIiTHORITY TO`/IOLATE <br /> --- OR CANCEL THE PROVISIONS OF ANY GTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTIO� OR THE <br /> P[RFORMANCE OF CONSTRUCTION. <br /> J00 a00FC55 +�GNAiUFE OF COf+TR.CinR QR AUif10Ri3�?FGEHT �, DATE <br /> 1018z Lane Flace X � /") ' ,� � ( I % r Z 7/13/83 <br /> PLUMBING MECNANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> bATHTUB REFRIGERATIO�J UNIiS — H.P.EA. <br /> LAVATORV�WASN Bf�SIN� BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNAGE EA. � <br /> KITCHEN SINK&DISP. FOHCED AIR SVSTEMS — B.T.U. M EA. <br /> DISHWASHER WALL HEAiEF:;— B.T.U. <br /> LAUNORY TRAY UNIT HEATcn�— C T.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS " ' - <br /> WATER HEO.TER CV_fIiES URVEflS "� <br /> URINAL �ENTILATIDN FAN <br /> �RINnING FOUNTAIN RANGE HOOD __ <br /> FLOOR DRAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREAKERS STOVE —NJOOD <br /> ROOF DFlAMS — RAINLEADERS �dETAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICC — BAR, ETC.) FIREPLACE IMSEFT _ -� <br /> HEAT PUMP <br /> . ater.J�eate 4 — <br /> SUB TOTAL a SUB TOTAL 5 4 5� <br /> PERMIT 5 PEflMIT S <br /> TUTALFEE SI TOTALFEE S <br /> SIOE YARD SETBACK STREET SETBACK R[AR YARD SETBACK PLAN CHECK Nl11dPER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE - — <br /> YES �NO FEES VALUATION FEE _ <br /> TYPE OF CONST. OCCUPANCY GROUP NO, OF DWELLING UNITS <br /> BUILOING S <br /> 9ZE OF BLDG. NO, OF STORIES �dA%. OCC. LOAD <br /> PLU1dBING <br /> _� <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS p1ECHANICAL �4 5O <br /> REOUIREC <br /> YE$ NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.30J la1 <br /> 2.BUILDING PLANS �4 50 <br /> 3,FIRE HYDRANT T�TA� <br /> d.FIRE PROTECTION SYSTEM PERMIT VAUOATION . <br /> 5.GRADING WHEN PROPEFLY VALIDATED(IN THI��P�AC;)THIS ISO IU�P�RMIT ((� <br /> 6.DRAINAGE ° � � � �� <br /> N <br /> 7.ENVIRONMENTALIMi'ACTSiATEMENi <br /> N <br /> E.HEALTH DISTRICT p <br /> APPLICATION ACC. BY PLANS CHECKE�BY APPR.POR ISSUANCE BY \� �.� �� `. REC E I PT r� <br /> T�.� ,•,,� iK YC�U <br /> I 3 �- 8 3 <br />