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, . , <br /> �AeEvergrrrn ,�. �NSTRUCTION �- �^. � <br /> .i(YUr � , <br /> evere�t PERMIT pERMIT NO. O$ 724 <br /> CITV HALL 259�8745 <br /> EVERETT,WA sazai ❑ COM9INATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> 01YNER � MAIL A�ORE55 QTV ZIP PHONE <br /> E. H. besy 1412 Park Drive 98203 353-6212 <br /> ARCHITECT OR ULSIGNER IAAIL AODRESS CITY 21P PHON[ <br /> GENERAL CONTRACTOR MAIL ADDRE55 CITY ' ZIP PMONE LICENSE� <br /> MECNANICAL CONTRACiOR MAIL ADDBE55 GIiY ZIP PNONE LICENSE� <br /> f , <br /> PLUM9INGCANTRFCTOR MAILADDPESS CRV 21P PNONE IICENSEI <br /> CUSSOF WORK <br /> ❑NEW �ADOITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUFTION OF WORN <br /> S <br /> DESCRIBE WORK <br /> PROPO�EO JSE OF BU1LDItlG <br /> I HEREDY CERTIFY THAT I HAVE READ AND EXA�4INED THIS AP• <br /> LEGALDESCPIPTIONOFPROFEPTV�SHOW BELOWORATTAC11i0URCOPiES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or s�a� _or TYPE OF WORK WILL F1E COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. fHE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LO LAW REGULATING <br /> CONSTRUCIION OR THE ERFORMANC CONSTRUCTION. <br /> SIGNAI U�[0� ' ' CTOR OR AU ORI AGENT DATE <br /> '�e�°�Es�ark Drive X • 0 12/29/80 <br /> PLUMBINO ME^.HANICA <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIlET) \IR COND.UNITS—H.P.EA. <br /> BATHTUB F?FRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASII') BOILERS—H.P.EA. . _' <br /> SHOWER _ GFS FIfiED A.C.UNITS—TONNAGE EA. <br /> � KITCHEN SINK 8 0150. FORCED AIR SYSTEMS—8 T.U. N EA. <br /> DISHWASHEF WALL MEATERS—BT.U. M <br /> � LAUN�RY TRAY UNIT HEATERS—D.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTNES DRYERS <br /> ' URINAI VENTILATION FAN <br /> DRIN'(ING FOUNTAIN RANGE HOOD <br /> FLOCR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUMBREAKERS 1 STOVEWOOd <br /> ROOF DRAINS—RAINLEAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR.EfC.) <br /> SUBTOTAL SUB TOTAL f 4 5 <br /> PERMIT i PERMIT S <br /> TOTALFEE S TOTALFEE f <br /> SIDE YARD SETBACK STREET SETBACH �7EAR VARD SETBACN PLAN CHECK NUMBEN PLf�N CHECK FEE <br /> � FEE RECEIPT N0. <br /> USE ZONE LOT AREA u SNTCNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNI7S <br /> BUILDING $ <br /> SIZE OF BLDG. N0.OF STORIES MN(.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT REOUIRED KLERS MECHANICAL 7 S O <br /> OYES ❑NO <br /> APPNOVA��^ BY DATE <br /> OTHER <br /> 1. ENVIRONMENTALCHECKLIST pENALN U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS 7 S O <br /> TOTAL <br /> 3. FIREHYOWINT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIJATED(IN THIS SPACE)7HI5 IS VO'JR PERMIT <br /> S. GRADING 222 � z001. 50 —� <br /> 6. DRAINAGE <br /> 7. ENVIRONMEN7AL IMPACT S7ATEIAEN7 ~ <br /> 8. HEALTH DISTRICT �. J , n��C.F:I PTO <br /> APPLICATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BV , ' ;�;\ },`, U <br /> V.C. <br /> 7 9 uEc s 0 <br /> ADDRESS FILE <br /> � <br />