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«��E°�gYeo° -� rONSTRUCTION - <br /> everett PERMIT pERM1T N0. 09477 <br /> CITY HALL 259�8745 <br /> EVERE7T,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL CY.btPLUMBING <br /> OVJNER MhIlA0DFE55 CITY ZIP PHONE <br /> Brian Medler 308 Heather Way Everett 98203 � <br /> ARCNITECT OR OESIGNER MAI�pDDRE55 CITY ZIP PHONE <br /> GENEflAICANT9ACTOP MAILADDPE55 GTY ZIP PMONE UCENSEI <br /> MECHANiCALCANTN.'TOR MAILADDPE55 GtY 21P �MONE LICENSEI • <br /> PWMBINGCANTRACTOR MAILADOPE55 CITY ZIP PHONE UCENSE♦ <br /> Allied Spraying and Landscaping 201 7th Snohomish 568-3197 <br /> C1A55 OF WOPK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑flLPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAMGE <br /> VALUATION OF WORK <br /> S <br /> �ESCRIBE WORH <br /> PROPoSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEG/.LDESCflIPT10NOFPPOPEflTY15HOWBELOWORARACHFOURGOPIES) PLICATION AND KNOW THE SAME TJ BE TRUF AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS <br /> �or e�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIE� <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P�iO� <br /> �iSi�NS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. <br /> J06 4D�PE55 SIGNATU �OF CONTRACTOR OR UTf10RIZE0 AGENT DRTE <br /> 308 Heather Way X � �1�� 7/13/81 <br /> PLUMBING MECHA ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNIiS—H.B EA. <br /> BATHTUB PEFPIGERATION UNITS—H.P.EA <br /> LAVATORV(VJASH BASIN) BOILLRS—H.P.EA. <br /> SHOWER GAS FIFED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 OISR FORCED AIR SVSTEMS—8 T.U. Id EA. <br /> DISNWASHER WALLHEATERS—BT.U. M <br /> LAUNDRV TRAV UNIi HEATERS—B.T U. M <br /> CLOTHES WASHER EVAPORAiIVECOOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DAINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIPI AIR HANDLING UNIT— C.F.M. <br /> 1 VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.EiCJ <br /> SUBTOTAL p SUBTOTAL 3 <br /> PEpMR . S 3 00 PEPMI7 S <br /> TOTAL FEE f T7TAL FEE i <br /> SIDE VARD SEiBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE PEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> �UILDING � <br /> SIZE OF BLDG. NO.OF SiORIES MA%.OCC.LOAD S OO <br /> PLUMBING <br /> FIRE ZONE BASEMENT p RO IRED KLERS MECHANICAL ' <br /> flYES UNO <br /> APPROVALS BY DATE OTHER <br /> 7. EIIVIRONMENTALCHECk.lIST PENALiV U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 5 �� <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATE�(IN THIS SPACE)TM1515 YOUR PERMIT <br /> 5. GFADING � � �i ,� [ f1 (� _ � <br /> 6. DRAINAGE C ' � ' J '� <br /> � <br /> 7. ENVIRONI.IENTAL IMPACT STA'fEMENT � <br /> B. HEALTH DISTRIC7 ' � �- �. I�-� O <br /> APPLICP.TION ACfJ.BY PL4N5 CHECKED BY APPR.FOR ISSUANCE BY . <br />