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IhP£��erFreeu ,� �CO N ST R U CT 10� � <br /> GTV OF <br /> everett PERMIT PERMIT N0. 16027 <br /> CITY NALL 259�B7J5 <br /> EVEFETT,WA PB207 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILFDDRE55 GTY ZiP PNONE <br /> Dennis Brenon 2108 East Grand Everett 98201 258-4770 <br /> aPf.wiiFfi pa pE51GNEH MAIL ADDRE55 CITY ZIP PHONE <br /> GEN_pALGONT9AGTOR MnILADDRE55 CITY ZIP PHONE LICENSE• <br /> MECHANIC�L CONTRACTOR MFIL ADDRESS GTY 21P PNONE i CENSE� <br /> $aR1E <br /> PLUMBING fANTPACTOR MAIL AODRE55 CITY 21P PHONE UCEM6!I <br /> CU55 OF WORK <br /> ❑NEW ❑ AUDITION ❑ ALTERATION ❑REPAIR ❑ DEMpLITION ❑ fENCE � SIG� �C WOO�STOVEIFIREPUCE INSEHT <br /> VALUATION OF WORK <br /> f <br /> OESCRIBE WORK <br /> Install wood burning stove <br /> PROPOSE�USE OF BUILUING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�L DESCRIPTION OF PROPERTY�SNOW BELOW OR ATTAL.1 FOUR CAPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOi_BLOLK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> V:'iETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PP.cSUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTIGN OR THE <br /> _ PERFORMANCE OF CONSTRUCTION. <br /> JOB�UDRE55 SIGNAT OF CONTPACTOR OR AUTMORRED AGENT DATE <br /> 2108 East Grand X 1/31/86 <br /> PLUMBINO MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WA7ERCLOSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORV(WASM BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KI7CHEN SINK 8 DISP. FORCEC AIR SYSTEMS— B.7.U. M EA. <br /> DISHWASHER WALL MEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATiVE COQLERS <br /> WATER HE.ATER CLOTHES DRYERS <br /> URINAL VENTILAiION FAN <br /> DRINKING FOUNTAIN RANGE NOOD <br /> FLOOH DRAIN AIR HANDLIN6 UNIT— C.F.M. <br /> VACUUM BFEAKERS 1 STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METPI FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSLRT <br /> HEAT PUMP <br /> SUB TOTAL t SUB TOTAL f � SO <br /> PERMIT f PERMIT S ZO OO <br /> TOTAL FEE f Tl'TAl FEE S ].� SO <br /> SIDE VARD SET9ACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBEF PLAN CMECK FEE <br /> FEE FlECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITF - <br /> .YES i:�NO FEES VALUATION FEE <br /> 7VPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO. OF STORIES MA%. OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> REOUIRED 1� SO <br /> .VES i-:NO -- <br /> APPROVALS BY DATE OTHER <br /> 7. ENVIIiONMENTAL CHECK LIST pENALTY U.B.C. <br /> SEC.903(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL 17 SO /� <br /> 1.FIRE PROTEC710N SYSTEM PENMIT VALIDATION -t Q z Q n '-- "* <br /> 5.GRADING WMEN PROPERLY VALIDATED(IN THIS�ACE�iHIS ISWOU E}i IT � <br /> 6.ORAINAGE � <br /> 7 ENVIRONMENTALIMPACTSTATEMENT � �. �` q�."��.I� <br /> B.HEALTH DISTRICT ' �� �i�� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � ' ' � ,�l. Y G v � <br /> T I u 0 <br /> ., ����, u 6 <br /> ADDRESS FILE <br />