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r <br />the,E`�TYOF <br />"ONSTRUCTION <br />everett <br />PERMIT <br />PERMIT NO. <br />12896 <br />CITY HALL 259 8745 <br />G' <br />❑ <br />EVERETT, WA 98201 <br />Ll COMBINATION F% BUILDING MECHANICAL <br />PLUMBING <br />to OWNER <br />MAIL ADDRESS CITY <br />Zip <br />PHONE <br />William K. Diedrich <br />5314 2nd Lowell Everett <br />98203 353-9278 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />Zin <br />PHONE <br />4 <br />GENF9AL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />Star Home Improvement <br />5314 2nd Avenue <br />Everett <br />98203 <br />353-9278 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE II <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE I <br />­ - y111 ❑ NEW ❑ ADDITION ❑ ALTERATION Xq REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD SIJVEIFIREPLACE INSERT <br />f 2,000.00 <br />DESCRIBE WORK <br />-i ncnl ati nn and sheetrock <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 />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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF RMANCE OF CONSTFUCTION. <br />SIGN RE OF CON CTOR OR AUTHOPI TO AG T DATE <br />X 1/17/84 <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 3 BLOCK 6220E Evere: t <br />JOB ADDRESS <br />2705 Grand Avenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSETITOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <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 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT S <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />,]YES ".IJO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 2,000. <br />32 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />-YES :-N9 <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />32 <br />150 <br />3. FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />S. GRADING <br />IVALIDAI ED (IN THISCSPAfrq THIS I� �uUR2f?EgNIjT —(C <br />WHEN VALIDATION PROPERLY <br />0C <br />RGCEIP( <br />� <br />YOU <br />_ .... In 1. <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT��,?<)R <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />I ( x4i 0 4 <br />