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-i <br /> the EveCrgYecn ;- �O N ST R U CT I O P - <br /> everett PERMIT PERMIT NO. 12270 <br /> CITY HALL 259�8745 <br /> EVERETi,WA 98201 ❑ COMBINATION � BUILDING C MECHANICAL ❑ PLUMBING <br /> OWNER MAIL RD�RESS CITY 21P PMONE i <br /> Alvin Torve 3516 Norton Everett 98201 <br /> ARCNITECT OR OESIGNER MAIL AODRE55 CITY ZIP PMONE <br /> GENERAL CONTNPCTOR MAIL ADDRE55 GTY ZIP PMONE LICENSE� <br /> MECMANIJAL CONTR�LTOR MAII ADDRESS CITY ZIP PHONE LICENSE� <br /> Natural Gas Equipment 1625 East Marine view Drive Fverett 98201 3591441 --� <br /> PLUMBIAG CONTRRCTOR MRII AOOflE55 GITY ZIP PHONE LI�[ SE� <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ AL7ERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORI( <br /> f <br /> OESCFIBE WOPN <br /> PROPOSE�lISE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS , <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPT1011 OF PROPERTY�SHOW BELO\Y OR ATfACN F011fl COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> l0T_BLOCK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHEF STPTE OR <br /> LUCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUC?ION. <br /> JOB AODHESS SIGNA U E OFIC�O�NT(iACiOR P AUT ORIZED AGENT DAiE <br /> 3516 Norton X U�. L CtS�I'St.� � 29 83 <br /> PLUMBINO MECNA ICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS — H.P.EA. <br /> BATH7U8 REFRIGERATION UNITS— M.P.EA. <br /> , LAVA7C' �(WASH BASIN� BOILERS — Fi.P. EA. <br /> ' SHO..�R GAS FIRED A.C.UNITS—70NNAGE EA. <br /> ' • KI7CHEN SINK d DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> � D�,HWASHER WALL HEATERS— B.T.U. M <br /> � LAUNDRYTRAY UNIT HEA7ERS — B.T.U. M <br /> �� CLOTMFS WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> ' URINAL VENTILATION FAN <br /> � DRINNING FOUNTAIN RANGE HOOD <br /> � FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUl1M BREAKERS STOVE— WOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 Water Heater 4 50 <br /> SUB TOTAL i SUB TOTAL f 4 50 <br /> PENMIT f PERMIT S 10 00 <br /> � TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARO SEfBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LO7 AREA VACANT SITE FEES VALUATION FEE <br /> YES NO -- <br /> TYPE OF CON57. OCCUPANC�GROUP NO.OF DWELLING UNITS <br /> BUILDIIIG S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING � <br /> FIRE20NE BASEMENT AEQUSRED KLERS MECHANICAL 14 SO <br /> - �.;VES :�"NO <br /> APPROVIILS BY DI1TE OTHER <br /> 1. ENVIRONMENTAL CMECK LIST PENALTY U.B.C. <br /> SEC.3031a) <br /> 2.BUILDING PLANS TOTAL 14 S O <br /> 7.FIRE HVDRANT <br /> 4.FIRE PFiOTECTION SYSTEM PERMIT VRLIUATION <br /> WHEN PROPERLY VALIOATED(IN TH�gPCC�E)THIS I OY IUR � O IT � f <br /> � S.GRAOING � � E <br /> 6.DRAINAGE N <br /> 7.ENVIRONMENTALIMPACTSTATEMENT N <br /> A PL CATION ACCTBY PLANS CHECKED BY APPR. FOR ISSUANCE BY YO U F R E C E I PT � <br /> THARY. YUU <br /> �nnpr« r-nr <br /> 2 9 .�. 83 <br />