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the EvT <br />-- Cf'`'VSTRUCTION <br />CITYYOOF <br />CITY <br />everett <br />PERMIT <br />PERMIT NO.08552 <br />CITY HALL 259-8745 <br />❑ COMBINATION El BI�Es <br />UILDING I—rMECHANICAL <br />❑ PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Timothy T. <br />Ross 2031 Rainier <br />98201 <br />252-6332 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAILADDRESS CITY <br />ZIP <br />PHONE LICENSE# <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE # <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE # <br />� ur, ❑NEW ❑ADDITION ❑ALTERAT,ON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />5 <br />DESCRIBE WORK <br />install freestanding airtight wood stove <br />single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />LOT LOCK -OF <br />ADDRESS <br />PLUMBING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHEH STATE OR LOCAL LAW REGULATING <br />CONSTRUCT N OR THE PE FORMANCE OF CONSTRUCTION. <br />SIGNATURE OF NTRACT R PUT IZE .ENT NT DATE <br />y 11/10/80 <br />NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT a•ee <br />WATER CLOSET (TOILET) AIR COND UNITS — H.P. EA, <br />BATHTUB REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN) BOILERS — H.P. EA. <br />SHOWER GAS FIRED A . UNITS — TONNAGE EA. <br />KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS — B.T.U. M EA, <br />DISHWASHER WALL HEATERS — B.T.U. M <br />......__.. _.., UNIT HFATERS — B.T.U. M <br />FLOOR DRAIN AIR HANDLING UNIT — C F.M. <br />VACUUM BREAKERS STOVE <br />ROOF DRAINS — RAINLEADERS 1 METAL FIREPLACE 8 CHIMNEY 4 50 <br />SINK(SERVICE — BAR. ETC.) <br />SUB TOTAL SUB TOTAL i 4 50 <br />PERMIT S PERMIT S <br />TOTAL FEE TOTAL FEE III <br />SIDE YARD SETDACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />ZONE <br />FbIIIz! <br />1. ENVIRONMENTAL CHECKLIST <br />2 BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY I PLANS CHECKED BY <br />DYES ONO <br />NO. OF DWEL <br />61 <br />APPR. FOR ISSUANCE BY <br />V.C. <br />MECHANICAL <br />PENALTY <br />TOTAL <br />E <br />U.B.C. <br />SEC. 303 (a) <br />7 50 <br />7 1 50 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0302 007.50 -UC41 <br />LO <br />CIO <br />n-CFIFIT o <br />h l-U <br />ADDRESS FILE 1 0 OV 80 <br />