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` <br /> , <br /> the EveCrRY oF ';O NSTRUCTIO N <br /> e�ereti PERMIT PERMIT NO. 11�66 <br /> CITY HALL 259�8745 <br /> EVERE7T,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNCR MHILADDPE55 CITY IIP � PIIONE <br /> r - Terry O' Neal 3202 Norton EvErett 98201 <br /> , ARCHRECT Uq OESIGN[R 61AIL ADDFESS QTY ZIP PNONE <br /> GENF.qqL CONifIFCTUR MAIL AppRE55 GTY 21P PNONE �ICENSE/ <br /> MECHANIG/LCANiRACiOR MAILADDRE55 CITY 21P PHONE LICENSEI <br /> Natural Gas Equip�nent Co. Inc, 1611 East Grand 98201 258-2441 <br /> FLUMP'NG CONiRALTOR 1AAIL PDOHESL CIiY LIP PHONE LICENSE 1 <br /> C1A550F WORN � <br /> CINEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION OFENCE ❑SIGN ❑GARAGE <br /> VALUATI�N-)F WORN _ <br /> S <br /> �ESCRIOL WORN <br /> PNOPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT ! HAVE READ AND EXAMINED THIS AP� <br /> t=G4l0E5GRIPTIDNOFPROPEFiY�SNOWBEl01VORATTACNFOURCOPi[5) PLI�A',ION ANp KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIOiJS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eia�oF 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 �F ANY OTHER STATE OR LOCAL LAW REGULATI�JG <br /> CONSTRUCTION UR THE PERFORMANCE OF CONSTRI;CTION. <br /> J0�ADDRE55 SIGNNUR�OF COLiR�C10R OR AUi110PIZED AGENi pAiE <br /> 3202 Norton X " �,�ti ,�� v 11 18 82 <br /> PLUMBING MEC ANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE7) AIR COND. UNIT£—H P. EA <br /> . BATHTUB REFRIGERATION U41T5—H.P.[A <br /> LAVAiORY�WASH BASIN) _ BOILEF75—H.P. EA. <br /> SHOWER GAS FlRED A C. WITS—TONNAGE EA <br /> KIiCHFN SINK 8 DIFp. FORCED AIR 51'STE\75—8 T.U. M EA. <br /> DISHWASHER \VALIHEATERS—�TL. h7 <br /> LAUNDRY TRAY UNIT NEATEHS—�T.U. !d <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEP __ CLOTHES DRVERS <br /> URINAI VENIILATION FAN <br /> DflINKING FCJNTAIN RANGE HOOD <br /> i.00R DRAIN AIR HAND�ING�NIT— <br /> _ CFM17 <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS h7ETAL FIREPLACE 8 CHIIANEV <br /> Sli!K�SERVICE—BAR.ETC� 1 W tG. Z OO <br /> SUB TOTAL __ SUB TOTAL f 2 00 <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE f <br /> SIDE Vr.RD SETBACH STREET SFiBACK REAP VARD SETBACK PLAN CHLCR NUh1�ER PLAN CFcCK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> i1VES i1N0 FEES VALUATION FEE <br /> iVPF OF JONST. OCCUPANCY GROUP NO.OF DYlELLING UNITS <br /> �UILOING $ <br /> 52E OF 6LDG. NO.OF STOFIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIHE SPRINKLEpS — <br /> REOUIRED MECHANICAL 12 OO <br /> !iYES �.!NO <br /> APPROVALS BY DATE OTMER � <br /> L ENVIRONMENTAL CHECK LI�T <br /> PENALTY U.B.C. <br /> 2 BUILDING P�PNS SEC.303(a) <br /> J. FIHE HYLRANT TOTAL 12 OO <br /> 4. FIRE PFOTECTION SVSIEM � PENMIT VAUDIITION <br /> WHEN PROPERLV VALIDA7E0 pN THIS SPACE)THIS IS VOUR PER1.71T <br /> 5. GRADING � �A� ,�1 O ' �,a O -_ � <br /> 6. DiIAINAGE <br /> 7. ENVIRCNMEN'AL IAIPACT STATEMENT - . r <br /> • N <br /> 0. HEALTND15iRICT ` � �"� <br /> APPUCATION ACC.PY PLANS CHECKED AY APPR.FOR ISSUANCE BV YO U,R R E C E 1 PT .-+ <br /> T!-iANK YOU <br /> ADDRESS FILE � I 9 � g2 <br />