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Ihr Ea�remrn � � • � l����O � <br /> ��,.�� � �'0 � T <br /> everett ��ERMIT PERMIT NO. 1427H <br /> CITY HHLL 259�B7d5 <br /> EVERETT,WA98P01 ❑ COMBINATION ❑ BUILDING �j MECHANICAL ❑ PLUMBING <br /> 01NNER <br /> MAIL RODRESS CITY ZIP PMONE <br /> R. Michael Sraaten ''.14 Pecks Drive Eveeett 98203 355-0749 <br /> RRCMITEGT OR OESIGNER MAR AODFE55 CITY ZIP PHONE <br /> GENEPPI CONTRACiOR MAIL ADOPE55 CITY 21P PHONE LIGENSE M <br /> MEGHANICAL CONTFACTOF <br /> MAIL AO�AE55 GTY ZIP PNONE LI�ENSE� <br /> Snme <br /> PLUMBING CONTflACTOR <br /> MAllA00RE55 GITY ZIP PMONE LICENSE� <br /> CLASS OF WORN <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR O OEMOLITION ❑ FENCE O SIGN WO00 S70VFJFIREPLACE INSERT <br /> VALUATION OF WORN <br /> S — <br /> DESCRIBE WOHIt <br /> Install free standing wood stove <br /> PROPOSEO USEOF 9UILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> ILGAL DESGRIPTIDN OF PROPEiIiY�SNOW 6EL01Y OR ATfAGM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOi___BLJCK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO�IVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> SIGNAT RE OF CONTRACTOR OR AUTNOPIZED AGENT OATE <br /> eoe nooness - 12/20/84 <br /> 21�3 Pecks Drive X � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn F�R COND. UNITS— M.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS — H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISP. fORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASMER WALL MEATERS— B.T.U. M <br /> LAUNORY TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER E\'APORA7IVE COOLERS <br /> WATER HEATER CLOTNES URYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. Z <br /> 1 STOVE—�'�'OOD 7 SO � <br /> VACUUM BREAKERS � <br /> ROOF DRAINS— RAINLEADERS ME7AL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, ETG) FIREPLACE INSEFiT •• <br /> — HEAT PUMP <br /> H 1- <br /> SUB TO7AL S 7 SO '� �� <br /> SUB TOTAL + - <br /> PERMIT S PERMIT S lO OO � �' <br /> 70TAL FEE 5 TOTAL FEE S <br /> PLAN CNECK FEE � � <br /> SIOE YARD SETBFCK STREET SETBACK REAR YAflD SETBACK PLAN CHECK NUMBER qECEIPT NO. <br /> FEE c <br /> � ' <br /> USE ZONE LOi AREA VACANT SITE FEES VALUATION FEE � <br /> .'.YES .NO � '� <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS � <br /> BUILDING S � � <br /> SIZE UF BLDG. N0.OF STORIES MA%.OCG LOAD � F <br /> PLUMBING y !r <br /> �2 <br /> FIHE ZONE BASEMENT FIFE SPRINKLERS MECHANICAL 1� SO Q �- <br /> REOUIPED .� .. <br /> YES NO <br /> OTHER �-3 1 <br /> APPROVALS BY DATE _ x <br /> -- U.B.C. bJ . . <br /> 1.ENVIRONMENTAL CNECK LIST PENALTY SEC.3031a1 ' � <br /> 2.BUILOING PLANS TOTAL 1� SO <br /> 3.FIREHYDFANT S : � <br /> d.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PFOPERLY VALIDATED�IN TMIS SPACE)THIS IS VOUR PERMIT � z ,. <br /> S.GRADING N � <br /> 6.DRAINAGE N <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � . � j, �, . —— � <br /> 8.HEALTH DISTRICT � <br /> APPLIC�710N ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> . !iT <br /> . , � <br /> nonr�ss � ae <br />