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� <br /> � <br /> lhel_�cPrr;rCe�t _. ~ONSTRUCTION � <br /> c��voF �� � <br /> everett PERMIT PERMIT NO. �3317 <br /> GTY MALL 259�87<5 <br /> EVE9E7T.WA 98201 ❑ COMBINATION ❑ BUILDING XI�X MECHANICAL PLUMBING <br /> OWNER MAIL ADDflE55 <br /> LiTI� ZIP PMONE f <br /> George Morrison 2928 East Grand Everett 98201 <br /> ARLHITECT OR DESIGNER <br /> Mq'�. qD�PESS GITV ZIP PMONE <br /> GENERR�CONTRAGiOR <br /> MAIL AOORESS CITY Z�P PNONE LIGENSE r <br /> MEGMANIGRL WNTRAGTOR MAIL A��RE55 <br /> GITY 21P PMONE LIGENSE� <br /> Natural Gas Equipment 1625 East Marine View Drice Everett 98201 258-2441 . <br /> PLUMBING 61NTRACTOfl MRIL ADDRESS <br /> QiY 21P PMONE LICENSE 1 <br /> GLASS OF WORK <br /> ❑ NEW ❑ RDDITION ❑ ALTERATION ❑REPAIR ❑ DEtAOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INS <br /> VALUATIUN OF WORK <br /> S <br /> DESCRIBE WORK <br /> PROPJSED USEOF BUILOING I HEREBY CERTIFY THAT I HAVE READ AIJD EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESLRIPTION OF PROPERTY�SMOW BFLOW OR ATTACH FOUR GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT__BIOCN__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PEHMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. oATE <br /> JOB AODHE i ;�GNAT RE OF CONTPAGTOF OR AUTMORIZED AGENT 5�2�84 <br /> 2428 East Grand X � � <br /> PLUMBINU MECH NICAI <br /> FEE VO. TYPE OF EUUIPMENT FEE <br /> N0. TYPE OF PIXTURE OR ITEM AIR COND. UNITS — H�. EA. <br /> W ATER CLOSET�701LEn <br /> REFflIGERAT10N UNITS—H.P.EA. <br /> BATHTUB <br /> BOILERS— H.P. EA. <br /> LAVATORYIWASM BASIN) <br /> GAS FIRED A.C.UNITS— T�NNAGE EA. <br /> SHOWER <br /> FORCED AIR SYSTEMS— B.T.U. M EA. <br /> KITCHEN SINK S�ISP. M <br /> WAII NEATERS— B.T.U. <br /> DISIiWASHER <br /> UNIT HEATENS— B.T.U. M <br /> LAUNDRYTRAV <br /> EVAPOfiATIVE GOOLERS <br /> CLOTHES W�SHER GLOTHES ORVERS <br /> WATER HEATER <br /> VENTILATION FAN <br /> URINAL <br /> RANGEHO00 <br /> ORINKING FOUNTAIN C.F.M. <br /> AIR HANDLING UNI7— <br /> FLOOR DtiA�N STOVE—WOOD <br /> VACUUM BREAKERS <br /> ROOF DRAINS— RAINLEADERS <br /> METAL FIREPLACE S CHIMNEY <br /> SINK(SEiiVICE— BAR,ETG.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SU9 TOTAL S 4 $0 <br /> SUB TOTAI s <br /> PERMIT s <br /> PERMIT s <br /> TOTAL FEE s <br /> TOTRL FEE S <br /> PLAN CHECK FEE <br /> SI�E YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CH�CK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E FEES VALUATION FEE <br /> VES . NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELIiNG UNITS <br /> BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCG. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMF.NT FIRE SPRItlKLERS MECHANICAL 14 50 <br /> REOUIPED <br /> YES .NO <br /> � BY pATE O7HER <br /> APPROVALS U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY SEC.307(a) <br /> 14 50 <br /> 2.BUILDING PLANS TOTAL <br /> 9.FIPE MYDRANi <br /> PERMIT VALIDATION - <br /> 4.FIREPROTECTIONSVSTEM WHENPROPERLYVALIDATEDIINTHISSPACE�THIS�xO�1F},PF�Eit�lT__. � � <br /> � 5.GRADING � �1 �' 8 4 U I 4 ) U � <br /> 4��} <br /> 6.DRAINAGE - <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � � <br /> B.HEALTHDISTRICT � . ,�. RCCi:IFT� � <br /> APPLICATION ACQ BY PLANS CHECKED BY APPR.FOR ISSUANCE BY . �K �, ,. 'J <br /> L <br /> ;!'�Y ��I <br /> ADDf'E55 FILF <br />