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(hc£�'crAreen ;-_-� -- C O N ST R U CT I O''� <br /> ��.�oF <br /> everett pERMIT PERMIT NO. 15693 <br /> CITV HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILADORESS CITY 21P PHONE � <br /> William Walter McReynolds 1401 Oakes Avenue Everett 98201 252-8012 <br /> ARGNITECT OR OE514NER MAIL ACORE55 ��TV Z�P PHONE <br /> GENERAL GONTF�CTOR MIIL�OORE55 CITY ZIP PHONE LICENSE� <br /> ME'.HANICAL CONTHACTOR MML AODRESS CITY ZIP PNONE LICENSE� <br /> Valley Natural Gas 11323 Highway 99 Everett 98204 355-7730 <br /> PLUMBING CONTPACTOfl MPIL A�DPESS GITY ZIP PMONE LICENSL� <br /> CU55 OF WORK <br /> 7RX�EW ❑ AODITION � ALTEHATION ❑PEPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSER7 <br /> V�LUATION OF WORR <br /> f y6 <br /> DESCflIBE WORK a <br /> N <br /> PFOPOSEO USE OF BUILDING � <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAI DESGRIPiION OF PROPERTY�SMOW BELOW OR ATTACM FOUR GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> l0T_BLOGK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A �..� �,,� <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE � '*l <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR � y <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> PERFORMANCE OF CONSTRUCTION. � <br /> JOB A�ONE55 SIGtUTIIPE OF CON CTOR OR FUTMOPRED AGENT OATE <br /> 1401 Oakes X ` � <br /> PLUMSIN(i MECliANICA � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> M <br /> WATERCLOSET�TOILEn AIR CON�.UNITS— H.P.EA. � Z <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. � <br /> UVATORY�VJASH BASINI �OILERS— M.P.EA. N <br /> SMOWER GAS FIRED A.C.UNI7S—TONNAGE EA. !sJ <br /> KITCHE�;SINK d DISP. FORCED AIR SVS7EM5— B.T.U. M EA. O �7 <br /> r=� � <br /> DISHW45HER WALL HEATERS— B.T.U. M � �� <br /> LAUNDFY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS � <br /> WATER HEATER CLOTHES DRVERS � <br /> UHINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD • � <br /> FLOOR DRqIN A�R HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOYE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV � <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 � <br /> N <br /> N <br /> Pi in � <br /> SUBTOTAL f SUB TOTAL S <br /> PERMIT f PENMIT S � <br /> TOTAL FEE f TOTAL FEE t <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> : .YES :.NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES A1A%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKIERS MECHANICAL ZZ SO <br /> REOUIRED <br /> I '�YES ;.�.NO <br /> APPROVALS BY DATE OTMER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.�03(a1 <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL ZZ SO <br /> S.GRADINGTECTIONSVSTEM PERMITVALIDATION ���� � � ����—_ � <br /> WMEN PROPERLY VALIDATED(IN T P E)THI I V IT <br /> 6.ORAINAGE <br /> I� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.NEALTM DISTRICT ,� 1 i I n n r��I n' � � <br /> APPUCATION ACC.BY PL4N5 CMECKED BV APPR. FOR ISSUANCE BY i I\ I'.t] 1 <br /> ! � I!�N'r: YD U <br /> I 3 no� o� <br /> AUDRESS FILE <br />