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i <br /> ""' `"`�``r`�`�" CONSTRI�CTIC V <br /> ��„ �� � <br /> everett p�RMIT PERMIT NO. 12358 <br /> CITY HALL 259�8745 <br /> EVERETT,Wn9B201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNER MAIL AOORESS CITY ZIP PNONE - � <br /> 1022 Grand Everett <br /> ARGHITECT OR OESIGNER MAIL AO�RE55 CITY 21P PHONE <br /> GENERAL CONiflACTOR MAIL AD�RBSS CITV 21P PMONE IIGENSE 1 <br /> MEGMANICAL CONTRACiOR MAIL AO�RE55 dTY ZIP PNONE LICENSE+ <br /> PLUMBING CONTRACTOR MAII ADDRESS <br /> CRv 21P PMONE LICENSE� � <br /> Coal�aell Plumbing PO Box 1181 Dlarysville lVA 252-1881 <br /> CLA55OF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ,�7EPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S - <br /> DESCPIBE WORK <br /> PROPOSE IISE OF 9UILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS . <br /> Resid ne ce_ APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGPLOESCRIPTIONOFPROPEPTV�SHOWBEL0140RATTACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L07_OLOCK�OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AOURESS SIGNATUFE OF CONTRACT�OR AUTMOR12E0 AGENT D TE <br /> X s' .z� �3 <br /> PLUMBING MECHANI AL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�l'IPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND.UNITS— H.P. EA. <br /> BATH7UB REF(iIGERATION UNI7S — H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS PIRED A.C.UNITS —TONNAGE EA. <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYSTEMS — B.T.U. M EA. <br /> DISMWASHER WALL MEATERS— B.T.U. M <br /> LAUNDRY 7RAY UNIT HEATERS— B.T.U. �+1 <br /> CLOTHES WASHER EVAPORATIVE COOLEf15 <br /> WATER HEATER CLOIHES DRYERS <br /> URINAL VENTII.ATION FAN <br /> DFINKING FOUNTAIN RP.NGE HOOD <br /> FLOOR DRAIN AIR MANOLING UNIT— C.F.M. <br /> VACUUM BFEAKERS S70VE— WOOD <br /> Fi00F DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAF.ETC.� fIREPLACE INSER7 <br /> 1 Re lace �vater line 2 0� HEATPUMP <br /> SUB TOTAL > Z OO SUB TOTAL S <br /> PEHMIT S 3 OO PERMIT 5 <br /> TOTAL FEE S S OO TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER I PLAN CNECK FEE <br /> iFEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAN7 SITE . FEES VALUAiION FEE <br /> VES . .NO <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SI2E OF BLDG. NO.OF STOHIES MA%.OC:. LOAD pLUMBING <br /> �� __� <br /> . FIRE ZONE BASEMENT qE�USRED�KLERS MECHANICAL <br /> YES NO <br /> APPROVALS BY �ATE <br /> OTHER <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY $EC.303(a) <br /> 2.BUILDING PLANS TOTAL O O <br /> 3.FIRE HYDRANT <br /> a.FIRE PROTEC710N SYSTEM PERMIT VALIOATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUR PERMIT !)j � <br /> 5.GRADING � 86 � E005. 00 �3 <br /> 6.DRAINAGE <br /> 7.ENVIRONMEN7ALIMPACTSTA7EMEN7 � ' <br /> 8.HEAL7H DISTRICT <br /> APPLICATION ACC.BY PLANS CHECKEO BY APPR.FOR ISSUANCE BY Y V �J R RE C E I PT � . <br /> i 1-�:�l�!K YOU <br /> 2 3 auc 8 3 <br />