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01 <br />Nn• EYergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />CONSTRUCTIC'y <br />PERMIT <br />❑ COMBINATION ❑ BUILDING» a MECHANICAL <br />PERMIT NO. 13708 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZI' PHONE <br />A. E. Soli 800 Grand Everett 98201 <br />ARCHITECT OR DT AGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />Natural Gas Equipment 1625 East Marine_ View Drive Everett 98201 258-2441 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />CLASS OF WORK <br />❑ NEW rJ ADDITION ❑ ALTERATION ❑ REPAIR D DEMOLITION ❑ FENCE ❑ SIGN F3 WOOD STOVEIFIREPLACE INSERT <br />Instal] Water Heater <br />PPOPOSEO 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 />PERFORM OF`CONSTRUCTION. <br />SIGNATURE CO sf OR A TNORIZED AGENT GATE <br />X c 7/31/84 <br />LEGAL DESORIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF_ <br />JOB ADDRESS <br />800 Grand <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 - 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 SILK 6 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 FOUN FAIN _ <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 />1 <br />Water Heater <br />SUB TOTAL f <br />SUB TOTAL S <br />4150 <br />_ PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />14 <br />50 <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 />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES -:NO <br />FEES <br />VALUATION <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 />_ <br />MA%. OCC. LOAD <br />PLUMBING <br />14 <br />50 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.S.C. <br />SEC. 303 (a) <br />J1 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION �S1y g <br />WHEN PROPERLY VALIDATED (IN THIF SPr CE) THIS O U CN 4 PlyMIT_ CgA <br />11 U I 4 11 UU c:) <br />i` <br />M <br />`! R (� RECEIPT <br />A'4K YC U <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />S1a84 <br />rr <br />N x <br />0 <br />m <br />c 9 <br />m <br />oA <br />--I = <br />m -i <br />O 2 <br />P- <br />r x <br />M M <br />T <br />CD <br />n A <br />�T <br />-I m <br />x <br />m CA <br />N <br />O <br />nrn <br />Crn <br />LA <br />3 N <br />Tn <br />zn <br />1r <br />rm <br />A <br />ADDRESS FILE <br />�' J <br />