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� <br /> � <br /> r <br /> dieG�•ergreen --� � JONSTRUCTIOP' <br /> CrtvOF I <br /> everett PERMIT PERMIT NO. 12H53 <br /> CITY MALL 259�8745 <br /> EVERE77.WA9B201 � COMBINATION ❑ BUILDING GXMECHANICAL ❑ PW�IBING <br /> OIYNER MAIL RODRESS CITY ZiP PNONE I <br /> r 2222 East Grand Curt Johanson Everett 98201 <br /> ARCMITECT OR DESIGNEF MAIL ADOflESS CITY ZIP PMONE <br /> GENERnL CONiRnCiOR MAIL ADDRESS CITY ZIP PHONE LILENSE� <br /> MEGHANICAL CONTRACTOR MALL AD�PE55 GITY .'.IP FMONE IICENSE M <br /> Natural Gas Equipment Co. Inc. 1625 East Marine View Drive 98201 258-2441 <br /> PLUMBING GONTRACTOR MAIL AD�RE55 LITV Z�P PMONE LILENSE• <br /> I' CLASS OF WORK <br /> ❑NEW CJ ADDITION � ALTERAiION O REPAIR ❑ DEMOLITION O FENCE ❑ SIGN � W0:1D STOVEIFIREPLAGE INSERT <br /> V��LUFLON OF WORK <br /> S <br /> DESGRIBE WORK <br /> PROPOSED USEOF 9UILDING I HEREBY CERTIFY THAT I HAVE READ P.ND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAM� TO BE TRUE AND <br /> LEGAL DESGRIPTION OF PROPERTV�SMOW BELOW OR ATTACM FOIIR COPIE51 CORRECT. ALL PROVISIONS OF Lf,WS AND ORDINANCES <br /> LOT_BIOCK_OF GOVERNING THIS TYPE OF WORK N'ILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NC`T.THE GRANTING OF A <br /> PERMIT DOES NOT PRtSUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY' OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRU^.TION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATUHE OF CONiPACTOR OP AUTHORI2ED AGENT DATE <br /> 2222 East Grand X 12/'0/83 <br /> PLUMBING MECHANICAL <br />� NO. TYPE OF FIXTURE OR ITLM FEE NO. TYPE OF EQUIPMENT FEE <br /> WAiERCLOSET�TOILET) AIR CON�.UNITS — H.P. EA. <br /> II BATH7UB REFRIGERATION UNITS— H.P. EA. <br /> i BOi�ERS — H.P.EA. <br /> LAVATORV 1WASH BASIN) <br /> SMOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS— B.T.U. M E4. <br /> DISHWASHER WALL HEATEFS— D.i.U. ti1 <br /> !AUNDRY TRAY Ui:iT HEATERS— B.T.U. M <br /> CLOTMES WASNER EVAPORATIVE COOLERS _ <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN (7AtJGE HOOD <br /> FLOOR DFAIN AIR HANDLiNG UNIi— C.F.M. <br /> VACUUM BREAKERS S7UVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — DAR, ETC.) FI(IEPLACE INSERT <br /> —� HEAT PUMP <br /> — 1 Water e <br /> SUB TOTAL f SUB TOTAL f 4 $0 <br /> PEHMIT f PERMIT 5 <br /> TOTAL FEE f TOTAL FEE = 14 SO <br /> SIDE YARD SETBACK STFEET SETBACK FEAR VARD SETBAfK PLAN CMECK NUMBER PLAN ChECRECEIPT NO. <br /> FEE <br /> USE ZONE LOT AREA VACANT SITE fEES VALUATION FEE <br /> i�.VES ::NO <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DIM1ELLING UNITS <br /> BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT REOUSRED KLERS MECHANICAL 14 SO <br /> L I �.YES . �.NO <br /> APPROVRLS BY OATE <br /> OTHEF <br /> U.B.C. <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SEC.303(a) <br /> 2.BUILDiNG PLANS TOTAL 14 SO <br /> 3.FIRE HY�RANT <br /> 4.FIRE PRO7ECTION SVSLEM PERMIT VALIDATION <br /> -- WMEN PROPERLY VALIDA7ED(IN THJSO O cE�THI�I�VPy_R P�F�MIT (1� , <br /> S.GRADING b o I 9 U i j <br /> ` 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT N <br /> B.HEALTH DISTRICT � � , � �� i�L'C E I PT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � " �" <br /> - �..(V ���� U <br /> , i r .. i� <br /> 3 D u�e o� <br /> ADDRESS FILE y <br /> 9 <br />