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__, <br /> � <br /> �heEvergreen rONSTRUCTION � �� <br /> QTY OF <br /> everett PERMIT PERMIT NO. 11347 <br /> qTY HALL 259�8745 <br /> EVERETf,WA 98207 ❑ COMBINATION ❑ BUILDING C�XAAECHANICAL ❑ pLUMBING <br /> OWNER �AAILACURE55 CITY ZIP PHONE <br /> R. H. Medler 308 Heather Everett 98203 <br /> ARCHITEGT OP D[SIGNER iAAIL ApORE55 CITY ZIP PHONE <br /> GENERAL WNTriNCTOB MNILADORE55 QtY ZIP PHONE UCENSE/ <br /> IAECHANICALGONTRRCiOP MAILACDNE55 CITY ZIP PHONE IICENSE� <br /> Natural Gas Equipment 1611 East Marine View Drive Everett 98201 258-2441 �i <br /> PWMBINGCONTPFCiOB MAILAppRE55 GITY ZIP PHONE LICENSE� <br /> C1A55 OF WORH <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIP ❑DEMOLITION ❑FENCE ❑SIGN ❑GAHAGE <br /> VALUAt10N OF WOFK <br /> 5 <br /> DESLRIBE VIOPK <br /> PROPOSE�USE OF 9UIlDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> �ecn�oescaianor�oFvr+oaearvisNov�oe�owoanrrncHFouacoaies� PLICATION �n!n KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT eiocK_oF TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JO�AODRE55 SIGNAiUPEOFC@ITFAGTOROfiFU1HORiZED�G[NT DATE <br /> 308 Heather Road x c J 12/17/82 <br /> PLUMBING MEC ANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPh'�FNT FEE <br /> W�TER CLOSET(TOILET) AIR COND. UNITS—H.P.EF. <br /> BAiHTUB REFRIGERATION UNITS— H.P.EA <br /> LAVATORV IVJASH BASIN) BOILEFiS—HP. EA. <br /> SHOWEF GAS FIRED A G UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FpHCEG AIR SYSTEIdS—B.T.U. M EA. <br /> DISHWASHER VJALL HEATEPS—0 T.U. M . <br /> LAUNDRY iRAV UNIT HEATLRS—�.T.U. M <br /> CLOTHES WASHER EVAFOFATNECOOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRNN AIR HANDLING UNIT— C.F.M. <br /> VACUUM�R[AKEfl$ STOVL <br /> ROOF ORAMS—RAMLEAOEFS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SEPVICE—BAR,ETCJ 1 Water Heater <br /> SUB 70TAL SUB TO7AL f 2 00 <br /> PEpM1T E PERMIT i <br /> TOTALFEE 5 TOTALFEE S LZ OO <br /> SIDE YARD SETBACK STREET SETBACK REAR YAPD SET�ACR PLAN CHECK NUIdBER PLAN CHECK FEE <br /> FEE �7ECEIPT NO. <br /> USE<'ONE LOT AREA VACANT SITE <br /> i_IYES CiNO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF�LDG. NO.OF STOfl1E5 MA%.OCC.LOAD <br /> PLUMB�NG <br /> FIRE ZOIJE BASEMEIJT FIRE SPRINKLERS I <br /> REOUIRED MECHANICAL ].Z OO J <br /> ❑VES LiNO <br /> APPHOVALS BY DATE O7HEN <br /> L ENVIRONMENTAI CHECK L15T PENA�TY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS — <br /> 3. FIRE HYDRANT TOTAL 12 00 <br /> A. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> I� 5. GRADING WHEN PROPERLY VALIDATED(M THIS SPAqCE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE � L ��� S D I T. O O �� � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT M <br /> e. Hen�T�;oisrRicr YO U,R REC E I PT � <br /> APPLICATION ACC.BY PU+NS CHECKED BY APPR.FOR ISSUANCE BY , • 7�A,N K YO U <br /> � � ' . <br /> ; : <br /> I 7 �C 82 <br /> ADDRESS FILE , . • � <br />