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Me ETergreen <br />°I <br />CONSTRUCTIO"I <br />everett <br />PERMIT <br />PERMIT <br />12655 <br />NO. <br />CITY HALL 2598745 <br />EVERETT. WA 98201 ❑ <br />COMBINATION ❑ FUILDING .XX MECHANICAL <br />PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />PHONE <br />R. Rhoads -Everett <br />Public Market 2804 Grand Everett <br />98201 <br />252-1089 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />_ <br />PHONE <br />MAIL ADDRESS CITY <br />bP <br />PHONE LICENSE A <br />GENERAL CONTRACTOR <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />S <br />Install wood stove <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 1HIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK W'_L 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 CAN EL THE PR VISIONS OF ANY OTHER STATE OR <br />LID Q AL W REG EATING CONSTRUCTION OR THE <br />PE, FO ANCE 6F - NST4UCTION. <br />SI HE 0 CONI` ggAUi O ZED AGENT DATE <br />yA /trj 11/3/83 <br />MECHANIC L <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT —BLOCK —OF- <br />JOB ADDRESS <br />2804 Grand Avenue <br />PLUMBING <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FFE <br />N(i. <br />TYPE OF EQUIPMENT <br />FEE <br />WAl"ER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <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 />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 />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />7 <br />ROOF DRAINS — RAINLEADERS _ <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL S <br />SUB TOTAL S <br />7 <br />150 <br />PERMIT S <br />_ <br />PERMIT S <br />10 <br />00 <br />TOTAL FEE $ <br />_ <br />TOTAL FEE S <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 />DYES END <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. 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 />REOUIRED <br />YES NO <br />MECHANICAL <br />17 <br />50 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SFC. 303 (B) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />17 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPDAC'E) THIS I$YQU(7 7Ef 16 ` yi <br />J / 9 J +C U I / /4 U 'S.T <br />l `( <br />i % U R RECEIPT <br />THANK YOU <br />S. GRADING <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />,I <br />ADDRESS FILE j <br />