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the <br />C1' <br />CITY Or: (INSTRUCTION �' <br />everett PERMIT PERMIT NO. 07199 <br />CITY HALL 259 8145 <br />EVERE7T, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />Robert Bonett 3024 Grand <br />MAIL AL DiF55 <br />Ave. <br />Lill <br />ZIP <br />PHONE <br />ARCHITECT OR LESIGNER <br />Everett <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE -- <br />GENERAL CONTRACTOR <br />MAIL ADUPESS <br />CITY <br />ZIP <br />P110NE LICENSE I <br />ME('HANICAL CONTRACTOR <br />Natural Gas Equipment Co. <br />MAIL ADDRESS <br />CITY <br />PHONE <br />1611 East Grand <br />Everett <br />98201 <br />LICENSE, <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />258-2491 <br />CITY <br />21P <br />PNONE LICENSE 1 <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />OF WORK <br />OF <br />LOT BLOCK. —OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE i RUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORT: WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE rPANTINr nC A DCDAIIT n111 . <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN RE OF CONTRACTOR OR AUTHORIZED AGENT <br />_ <br />JOB ADDRESS -- <br />3024 Grand Avenue <br />X <br />La1L <br />PLUMBING <br />MEC ANICA <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />FEE <br />BATHTUB <br />AIR COND. UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />REFRIGERATION UNITS — H.P. EA <br />- <br />BOILERS — H.P. EA. <br />SHOWER <br />KITCHEN SINK & DISP. <br />GAS FIRED A.C. UNITS —TONNAGE Eq. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />LAUNDRY TRAY <br />WALL HEATERS —B.T.U. M <br />CLOTHES WASHER <br />EATERS — B.T. <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />URINAL <br />CLOTHES DRYERS <br />VE•ITILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKER $ <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL -• <br />PERMIT' S <br />SUBTOTAL <br />$ 2 00 <br />TOTAL FEE S <br />PERMIT <br />$ <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />PLAN CHECK NUMBER TOTAL <br />FEE s <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />(DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />SIZE OF SLOG, <br />NO. OF STORIES <br />MAX OCC. LOAD <br />BUILDING <br />$ <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />R yO <br />SNOIRED <br />S <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />3. FIRE HYDRANT <br />TOTAL <br />4. FIRE PROTECTION SYSTEM <br />5 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />7825 $ 0 0 5. 0 0 _^ T <br />j��I <br />5. GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT <br />STATEMENT <br />["I <br />B. HEALTH DISTRICT <br />YOUR RECEIPT o <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />THANK YO U <br />-IFEB 80 <br />