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rheEl•UTveo �_' .. �O �V�� I� V�IV ■ ^ <br /> everett PERMIT PERMIT N0. 15H75 <br /> CI7Y HALL 259�87d5 <br /> EVERETT,WA 9B201 ❑ COMBINATION ❑ BUILDING CXI MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS dTY ZIP PHONE <br /> Eric Srinster 1208 Grand Everett, WA 98201 252-7033 <br /> FRCMRECT OR DESIGNEN MAIL AOORE55 CIiY ZIP PNONE <br /> GENERNL CONTRALTOR MAIL ADDRE55 CIiY ZIP PHpNE LICENSE I <br /> MECHANICAL LONTp4CTOR MAIL ApDRE55 CITY 21P PMONE LICENSE 1 <br /> PLUMBING LONTRACTOR MFIL AD�RESS CITY 21P PHONE 4LENSE I <br /> ClASS OF\YORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑qEPAIR ❑ DEMOLITION L] FENCE O SIGN � WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORN <br /> S <br /> OESCRI9E WORK <br /> Install fire lace insert <br /> PROVOSEO USE OF BUILOING <br /> Single family residence 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL GESCRIPTION OF PROPERiY�SHOY!BELOIY OR ATTACM FOUP GOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT UOES 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 /> PERFO E OF CQI�STRUCTION. <br /> JOBAOOflESS SIG llra^Fr�.�loqCT ALLMpRIZE�AGENT DATE <br /> 1208 Grand Everett, WA 96201 n >, '� 12/31/85 <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNI75— H.P. EA. <br /> LAVATORY�WASHBASIN) BOILLRS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNI75 —TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> IAUNDRY 7RAV UNI7 HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VEN7ILATION FAN <br /> DRINKING FOUNTAIN ' RANGE HOOD <br /> FLOOR DRAIN AIR MANDLING UNIT— C.F.M. <br /> VACUUM BPEAKERS STOVE —WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, ETG) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAI S 7 SO <br /> PERMIT S PERMIT = ZO 00 <br /> TOTALFEE 5 TOTAL FEE S <br /> SIOE VARD SETBACK S7REET SETdACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . VES � NO FEES VALUATION FEE <br /> TYPE OF CONST. OGCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> 512E OF BLDG. NO.OF STORIES MA%.OCQ LOA� <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINNLERS MECMANICAL <br /> REOUIRED 7 <br /> YES NO <br /> APPqOVALS BY DATE O7HER <br /> 1.ENVIRONMENTAL CHECK LIST PENAL7Y U.B.C. <br /> 2.BUILDING PLANS SEC.3U3(a) <br /> 3.FIREHYDRANT TOTAL 17 SO <br /> 4.FIRE PROTECTION SYS7EM pERM1T VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS�O�JR{'E�M�T �,j) <br /> 6.DRAINAGE � j � I V � � � -���-�'� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.HEAL7H DISTRICT �n <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � . . . . , I�� <br /> M.hL ' <br /> ,� I �.. .; uJ <br /> ADDRESS FILE <br />