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The EYerereen <br />T, a: <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />�ONSTRUCTIOr" <br />PERMIT <br />❑ COMBINATION ❑ BUILDING XX MECHANICAL <br />PERMIT NO. 13647 <br />❑ PLUMBING <br />OWNER <br />2430 <br />MA-L ADDRESS <br />Grand <br />Everett <br />98201 <br />Steven DeRosa <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />CITY <br />ZIP <br />PHONE LICENSER <br />3ENERAL CONTRACTOR <br />MAIL ADDRESS <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />Marine View Drive <br />ZIP <br />98201 <br />PHONE LICENSE / <br />258-2441 <br />Natural Gas Equipment Co. <br />Inc. 1625 <br />East <br />IAgIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR El DEMOLITION ❑FENCE ❑SIGN ❑ WOOD S70VEIFIREPLACE INSERT <br />VALUATION <br />S <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY )SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING TH,S TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_SLOCK_OF_ <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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM CE O ONSTRUCTION. <br />SIGNATURE C C R A TH RIZED AGENT 7/;?��84 <br />�l <br />JOB ADDRESS <br />2430 Grand <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS - M.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />_ <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE IS CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />1 <br />Water Heater <br />SUBTOTAL S <br />SUB TOTAL $ <br />4 <br />50 <br />PERMIT S <br />PERMIT $ <br />0 <br />UU <br />TOTAL FEE $ <br />TOTAL FEE S <br />14 <br />50 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />;:YES LINO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />14 <br />50 <br />REQUIRED <br />OTHER <br />- <br />;YES NO <br />APPROVALS <br />BY <br />DATE <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />19 50 <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS $P�.QEI THI vl^�YTUji P€Ij11AlT <br />'T U <br />5. GRADING <br />1, i(., }) UU yy <br />Co <br />R7 <br />`I R r+ <br />RECEIPT, <br />.. I `I\R, V `��, 11 <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />11juL84 <br />z <br />0 <br />Mm <br />ADDRESS FILE <br />.•i <br />