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_ _ _� <br /> ,,�t���1e"����.,� -;O IV ST R U CTI O N <br /> arv or � <br /> everett pERMIT PERMIT NO. 14"I �� <br /> CITV HALL 259�0745 <br /> EVERETT,WA90201 ❑ COMBINATION ❑ BUILDING �j MECHANICAL ❑ PLUMBING <br /> OWNER MAILApORE55 CITV ZIP PMONE <br /> Tom Morgan 3206 Norton Everett 98201 <br /> ARCMI'EGT OR OESIGNEF MAIL ADDRESS CITY 21P PMONE <br /> GENERAt CONTRACTOR MAIL ADORE55 GTY ZIP PMONE LICENSE� <br /> � MECHANICFL CONTRqCTOR AInIL ADONE55 CI'Y JP PMONE UCENSG M <br /> Natural Gas Equipment 1625 East Marine View Drive 98201 258-2441 <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE X <br /> CLASS OF WORK <br /> ❑NEIV ❑ ADDITION ❑ AL7ERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEJFIREPLACE INSER7 <br /> VALUATION OF WORK <br /> f <br /> DESCRIBE WORH <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPERTY�SMOW UELOW OR ATfACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_B�OCK_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 V�OLATE � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR m <br /> LOCAL LAW REGUL,�TING CONSTRUCTION OR THE <br /> PERFORMANCC- OF CONSTRUCTION. � <br /> JOB A�ORESS SIGN iU E OF CONTRACiOR OR AUTHORRED AGENT DATE .� T <br /> 3206 Norton X � 11/28/84 M � <br /> N 2 <br /> PLUMBINCa MECHA ICAL �^ <br /> 0 <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE m o <br /> WATERCLOSET�TOILEn AIR COND. UNITS - H.P. EA. � C <br /> I, ' <br />�I BATHTUB REFRIGERATION UNITS- H.P. EA. � m <br /> LAVATORV(WASH BASIN) BOILERS- H.P. EA. 2 -Zi <br /> SHOWER GAS FIRED A.C. UNITS-TONNAGE EA. m � <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. �C z <br /> DISMWASHER WALL HEATERS- B.T.U. M r 2 <br /> �--i �--i <br /> LAUNDRYTRAY UNIf HEATERS- B.T.U. M -1 1/� <br /> CLOTMES WASHER EVAPORATIVE COOLERS K T <br /> WATER HEATER CLO7HE5:1RYERS � � <br /> 3 <br /> URINAL VENTILATION FAN --I fn <br /> DRINKING FOUNTAIN RANGE HOOD m �-+ <br /> N <br /> FLOOR DRAIN AIR HANDLING UNIT - C.F.M. o <br /> VACl1UM BREAKERS SiOVE- WOOD �m <br /> ROOP ORAINS- RAINLEADERS METAL FIREPLACE S CHIMNEI' .� N <br /> SINKISERViCE- BAR, ETC.) FIREPLACEINSERT Z f� <br /> HEAT PUMP � T <br /> a <br /> 1 Water Heater 4 5 � <br /> � <br /> x <br /> a <br /> z <br /> SUB TOTAL S SUB TOTAI f 4 SO � <br /> PERMIT S PERMI7 S 10 00 = <br /> � TOTAL FEE S TOTAL FEE S 1 N <br /> SIDE YARD SETBACK STREET SEiBACK REAR YARD SETBACK PLAN CHECK NUMBE' PLAN CHECH FEE Z <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AREA VACANT SITE n <br /> �. ;YES �. NO PEES VALUATION FEE m <br /> TYPE OF CONST. OCGUPANCY GROUP NO.OF DWELLING UNITS <br /> I BUILDING 5 <br /> I SIZE OP BLOG. NO.OF STORIES \1AX.OCQ LOAD <br /> PLUM8ING <br /> FIRE ZONE BASEA�EN7 FIRE SPRINHLEfiS MECHANICAL 14 50 <br /> REOUIRED <br /> YES NO <br /> APPROVALS BV DATE O7HER _ <br /> 1.ENVIfiONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILOING PLANS SEC.303(a) <br /> �.FIREHY�RANT 70TAL 14 SO <br /> d.FIFE PROTECTION SYSTEM pERM1T VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED�1N THIS 3PACE)THIS IS YOUR PERMIT � <br /> 6.DR.4INAGE � � <br /> . 7.ENVIRONMENTA�IMPACTSTATEMEN7 ,�� (1 ', / _�� 3o'j � <br /> B.MEALTH DISTRICT �y' "+T <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR.FO(i ISSUANCE BY ///.,� p/�Y � <br /> iADU�ESS fILF. <br /> 1 <br />