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Me £Yergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT WA 98201 <br />CINSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT NO. 06719 <br />RR PLUMBING <br />MAIL ADDRESS <br />CITY <br />ZM1• <br />PHONE <br />OWNER <br />Newland Construction <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CRy <br />ZIP <br />PHONE <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE <br />GENERAL GINTRACTOR <br />MAIL ADDRESS <br />GRy <br />ZIP <br />PHONE IICENSEI <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />Everett <br />98201 <br />Glantz Supply inc. <br />3332 Spruce <br />CLASS OF WORK <br />❑NEW ❑ADDITION <br />❑ALTERATION ❑REPAIR <br />❑DEMOLITION ❑FENCE <br />❑SIGN 0GARAGE <br />PROPOSED USE OF BUILDING, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLDCK_OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS R STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />Check #57140 9/21/79 <br />JOB ADDRESS <br />3229 Pine Street <br />X <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />TYPE OF FIXTURE OR ITEM <br />2 OO <br />A'R COND. UNITS — H P. EA. <br />1 <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS — H P. EA <br />BATHTUB <br />2 <br />OO <br />BOILERS — H.P. EA. <br />j <br />LAVATORY (WASH BASIN) <br />GAS FIRED AA. UNITS —TONNAGE EA. <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TflA1' <br />4 <br />00 <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B i.U. M <br />EVAPORATIVE COOLERS <br />2 <br />CLOTHES WASHER <br />2 <br />OO <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />— <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SUBTOTAL <br />SINK (SERVICE — BAR. ETC.) <br />12 <br />OO <br />f <br />SUBTOTAL <br />3 <br />00 <br />PERMIT <br />f <br />PERMIT <br />f <br />15 <br />00 <br />1 TOTAL FEE <br />f <br />TOTAL FEE <br />f <br />PLAN <br />CHECK NUMBER PLAN CHECK <br />FEE <br />STREET SETBACK <br />REAR YARD SETBACK <br />SIDE YARD SETBACK <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ❑NO <br />FEES VALUATION <br />FEE <br />TYPE OF OONST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />_ <br />S17C OF BLDG. <br />NO. OF S/JRIES <br />MAX. OCC. LOAD <br />15 <br />OO <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />❑YES LINO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL 15 00 <br />3. FIRE HYDRANT <br />FIRE PROTECTION SYSTEM <br />PEPMIT N <br />WHEN PROPERLYVALIDATIOVALIDATED (IN THIS SPACE)THIS IS YOUR <br />4. <br />{PERMIT � <br />2578 SO 15.0 O-W <br />5. GRADING <br />B. DRAINAGE <br />r <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />YOUR RECEIPT c <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />THAR I Y O U <br />1 <br />oil <br />21SIT Jy <br />ADDRESS FILE <br />