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�hrE�ergrcen '�pNSTRUCTIOPL <br /> cirv Ov ��--. <br /> everett PERMIT PERMIT NO. 16122 <br /> CITY HALL 259�87a5 <br /> EVERETT,WA98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILADORE55 CITV 21P PNONE <br /> Gerald J. Rodgers 1805 Hewitt Everett 98201 258-1490 <br /> ARCMITECT OF�ESIGNER MAIL AOOPESS CITY 21P PMONE <br /> OENERALCONTRAGTOR MAllAODRESS CITV ZIP PMONE LIGENSEI <br /> MECHANICRL GONTRACTOfl MAIL A�DRESS CITY 21P PMONE LICENSE� <br /> same <br /> PLUMBING CONTRPCTOR MAIL AUDRESS CITY ZIP PNONE LIC N <br /> CUSS OF WORR <br /> �NEW ❑ ADDITION C$ ALTERATION O HEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INS <br /> V�LUATION OF WORK <br /> f <br /> DESCPIBE WUNK <br /> install pipinq & vent for a gas furnace & range <br /> PROPOSEDUSE OF BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> residential APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ARACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LpT_B�OCN_OF 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 STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB�UDRE55 SIGNATURE OF GONT ACTOR OR AUTHORRED AGENT OATE <br /> 1506 Pine St. X 3-3-86 <br /> � PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILET) AIR COND.UNI75— H.P.EA. <br /> BATHTUB REFRIGERATION UNI75— fI.P.EA. <br /> LAVATORV ryVASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIREO A.C.UNITS—TONNAGE EA. <br /> I KITCHEN SINK 6 DISP. 1 FORCED AIR SYSTEMS— B.T.U. M EA. 6 00 <br /> DISHWASHEH WALL HEATERS— B.T.U. M <br /> UUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> ' WATER HEATER CLO7HE5 DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINKISERVICE— BAR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> 1 as stove <br /> SUB TOTAL 2 SUBTOTAI f <br /> PERMIT S PERMIT f 10 OO <br /> TOTAL FEE f TOTAL FEE f 2 50 <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PIAN CHFCII NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO <br /> USE ZONE LO7 AREA VACANT SITE FEES VALUATION FEE <br /> :-;YES .�.NO - <br /> NPE OF CONST. OCCUPANCY GPOUP N0.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIPE ZONE BASEMEN7 FIRc SPRINKLERS MECHANICAL 20 SO <br /> REOUIRED <br /> .-�YES :�.NO <br /> APPROVALS BY DAiE OTHER _ <br /> 1.ENVIRONMENTAL CMECK LIST PENALTV U.B.C. <br /> SEC.90J(a) <br /> 2.BUILDING PLANS T�TA� 20 SO <br /> 7.FIiiE HYORANT <br /> d.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPEPLV VALIDATED(M THI�S�l�CE)THIS 1S'1(OyF�P�ih4T_C�f� <br /> S.GRA�ING 5 5 x U L U 7 U �F <br /> 6.DRAINAGE �'"� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �� <br /> ,..�• r�. :i" I r-i <br /> B.HEALTH OISTRICT � � .", i, . � . <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ' , � <br /> . . � <br /> L.C. <br /> � . <br /> - , u i� <br /> ADDRESS FILE <br />