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, , <br /> rF.r. Evergreen C4`ISTRUCTION � <br /> CITY OF <br /> everett PERMIT PERMIT N0. O�59H <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILApDRESS LITY ZIP PMONE <br /> Frank Ronning 1326 Grand Everett 98201 252-7260 <br /> PRClIITECT OR UESIGNER MRII ADDRE55 QTY 21P PMONE ' <br /> GENEMLCONTRACTOR M�ILAODRE55 CITV 21P FHONE UCf &'.� <br /> Same <br /> MECMANICALCONTRnCTOR AIAILRDDRE55 LITV 21P PMONE LICEKSE� <br /> PWMBINGCANTRPCTOR MnILADDRE55 CIN ZIP PNONE LICENSEI <br /> CUSS OF WORK <br /> ❑NEW UADDITION ❑AL7ERATION �( (iEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> s 55G.00 <br /> DESGRIBE WORK <br /> replace existinq chimne <br /> PROPJSED USE OF BUILDING <br /> sinqle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALOESCFiIPTIONOFPROPERTYISHOWBELOWOflATTACNFOURfAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE /1ND CORRECT. <br /> 13-14 242 Everett Div. R ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eia�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRA�?ING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR T.E PERFORMANCE OF CONSTRUCTION. <br /> JO ADDRE55 � SIGNATU OFCANTRPCTO AUTMORIIEO AGENT DRTE <br /> �326 Grand X - 5 16 80 <br /> PIUMSINO MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET OILEn AIR COND.UNITS-H.P.EA. _ i <br /> BATHTUB REFRIGERATION UNI75-H.P.EA <br /> NVATORY(WASH BASIN) � <br /> BOILERS-H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS-TONNAGE EA. � <br /> KITCHEN SINK 8 UISP. FORCED AIR SYSTEMS-B.T.U. M EA. � <br /> �ISHWASHER WALLHEATERS-B.T.U. M ' <br /> UUNDRY TRAY UNIT HEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE C()OLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANCE HOOD <br /> FLOOH DRAIN AIR HANDLING UNIT- C.F.M. <br /> YACUUM BREAKERS STOVE <br /> ROOF OMINS-RAINLEADERS METAL FIREPLACE&CMIMNEY <br /> SINK(SERVICE-BAR,ETC.) <br /> 8UlTOTAL SUBTOTAL t <br /> PERMIT t PEPMIT t <br /> TOTALFEE i TOTALFEE <br /> � SIDE YMO SETBACK STREET SET&4CK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> � USE ZONE LOT AREA VACANT SITE <br /> ' OYES ❑NO FEES VALUATION FEE <br /> � TVPE OF CONST, OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S SSO.00 6 OO <br /> , SIZE OF BLDG. N0.Of STORIES MAX.OCG.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS <br /> REOUIRE� MECHANICAL <br /> OYES ONO <br /> APPIIOVALS CY DATE OTHER <br /> . 1. ENVIRONMENTAL CHECK UST �NA�n. U.B.C. <br /> 2. BUILDING PUNS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAI 6 00 <br /> 1. FIRE PROTECTION SYSTEM PERMIT VALID�TION • <br /> WHEN PROPERLY VAL�DATED 11N THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GMDINO .f <br /> 6. DMINAGE � [ 5 � �O 0 �.O O � � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � Ln <br /> 8. HEALTH DISTRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BV YO U R R EC E 1� <br /> THANK YOU : <br /> ADDRESS FILE I 6 �u� &0 <br />