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i� - � <br />� `,"� `'`.Ar"" - ;pNSTRUCTlOI�' ' <br /> ���:�� � <br />� everett PERMIT PERMIT NO. 1�171! <br />� CITY MALL 259�8745 <br /> EVERETT.WA98201 � COMBINATION � BUILDING �xMECHANICAL ❑ ?LUMBING <br /> 4 OWNER fdAIL AODRESS GITY ZIP PHONE <br /> Curt C. Johansen 2222 East Grand Avenue Everett 98201 339-2217 <br /> I ARGHITECT OR OESIGNER MAIL AODRE55 CITY 21P PHONE <br /> �� , GENEPAL CONTRACTOfl MAIL ADDRESS CITV ZIP PMONE UCENSE� <br /> � MECMANICFL CONTPACTOR MAIL AD�RE55 GTY ZIP PMONE LIGENSE� <br /> � <br /> PLUMBING CONTRACTOR MAIL ADURE55 CITY ZiP PHONE LICENSE R <br /> � <br /> � CLASS OF\YORK � <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVE/FIREPLACE INSER7 <br /> VALUATION OF WORK <br /> f _ <br /> DESGR19E 1COHN <br /> Instell wood stove <br /> PRO�OSED USE OF BUILDING <br /> , HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGFLOESCRIPTIONOFPROPcRTV�SHOWBELOWORATTAGHFOUPCOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH Z <br /> �or_o�ocn_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A o <br /> PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE .-. <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR � <br /> m <br /> LOCAL LAW REGULA NG CONSTRUCTION OR THE •• <br /> PERFO ANC O CTION. <br /> J00 ADDRE55 SIGNFT F CO F R 0 P R¢EO AGENT �ATE <br /> 2222 East Grand Aver.ue X /JCe�.►�� 11/16/89 - T <br /> .. -i <br /> F'LUMBING MECHANICAL N m <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE UF EOUIPMENT FEE <br /> co <br /> WATERCLOSET(TOIIEn AIR COND.UNITS - H.P. EA. m n <br /> BATHTUB REFRIGERA710N UNITS- H.P.EA. p? <br /> — m <br /> LAVATORV�WASH BAGIN) BOILERS- H.P. EA. <br /> SHOWER GAS FIRED AC. UNITS -TONNAGE EA. _ � <br /> m <br /> .. <br /> I(ITCHEN SINK 8 DISP. FOHCED AIR SYSTEMS- B.T.U. M EA. ,C Z <br /> DISHWASHER WALL HEATEflS- B.T.U. M <br /> LAUNDRV TRAY UNIT NEFTERS- B.T.U. M rr.. .._. <br /> CLOTHES WASHER EVAPORATIVE COOLERS � N <br /> -< <br /> T <br /> � WATER HEHTER CLOTHES ORVEPS O n <br /> � URINAL VENTILA�ION FAN 3 <br /> DRINKING FOU�TAIN RANGE HOOD 2 m <br /> f FLOOR DRAIN AIR HAN�LING UN!T- C.F.M. m � <br /> N <br /> VACUUM BREAKERS STOVE-�'�'OOD O r <br /> ROOF DRAINS- PAINLEADERS METAL FIREPLACE 8 CHIMNEV C (m/1 <br /> N <br /> SINK ISERVICE- BAR, ETC.) FIRE7LACE INSER7 Z � <br /> - HEA7 PUMP -1 m <br /> D <br /> il t ''O <br /> � <br /> 2 <br /> SUB TOTAL i SUB TOTAL f 7 50 Z <br /> � PERMIT S PERMIT S � <br /> TOTAL FEE S 70TAI.FEE S 17 50 ._. <br /> SIGE YARD SETBACK SiREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE N <br /> FEE RECEIP7 NO. Z <br /> O <br /> --1 <br /> USE ZONE LOT AflEA VACANT SITE — � <br /> . VES . NO FEES VALUATION FEE � <br /> �, m <br /> TYPE OF CONST. OGCUPANCV GROUP NO.OF DWELLING UNITS � <br /> BUILDING $ <br /> SIZE OF OLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUM8ING � <br /> r �IRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 1'J SO <br /> � REOUIRED <br /> � -- � -YES . NO - <br /> pppqpyp�5 BY OATE OTHER <br /> 1. ENVIRONMENTAL CHECK L15T PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BL'ILDINGPLANS 1'J SO <br /> iOTAL <br /> 3.FIRE HYDRANT <br /> 4.FIRE PRO7ECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALI�ATED pN THIS SPAGE�THIS 1S YOUP PERMIT _ �; <br /> � <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �' <br /> . B.HEALTH DISTRIC7 . ,. I�� 1 r� � <br /> � APPLICATION ACC. BY PLANS CHECNED BY APPF. FOR ISSUANCE BY . . <br /> l <br /> ADDRFSS 1=1LE <br />