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CITY OF - CINSTRUCTION <br />everett PERMIT PERMIT NO. 21 41 6 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ® MECHANICAL ® PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Richard Portman 2114 Rainier Ave. Everett ae O1 <br />ARCHITECT ON DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />Damage Repair Service P.O. Box 2045 Everett 989014 117-a979 DANA SSG303 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION Ek REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />Plumbing <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />SFR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER : PECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P OR ANCE OF CONSTRUCTION. <br />SIGNATU ONTRKTLIR AA)IHORIZED AGENT WNER DATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />2114 Rainier Ave. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H P. <br />1 <br />BATHTUB <br />I, <br />Inn <br />REFRIGERATION UNITS - H P. EA <br />2 <br />LAVATORY (WASH BASIN) <br />10 <br />nn <br />BOILERS —BT. U./H P. <br />SHOWER <br />GAS FIRED A C. UNITS -- B T.U. <br />1 <br />KITCHEN SINK A DISP <br />I, <br />nn <br />FORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS —B.T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />1 <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />fio <br />DO <br />SUBTOTAL <br />PERMIT <br />SiPERMIT <br />an <br />TOTALFEE <br />f <br />QjQ—TOT <br />` <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE / <br />#00021416 <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />.FEES <br />JNATION <br />_ <br />FEE <br />BUILDING <br />$CHECK V <br />1.50 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />30 <br />DO <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX OCC LOAD <br />MEC14ANICAL <br />21 <br />50 <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(c) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ALL BY <br />S.H. <br />PLPNS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />51 <br />50 <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILL <br />