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��" `"�"�"`" CONSTRUCTIOP' <br /> ,, � : <br /> everett PERMIT PERMIT NO. 13620 <br /> CITY MALL 75907d5 <br /> EVERE7T.WA 98201 ❑ COMBINATION ❑ BUILDING �L MECHANICAL ❑ PLUMBING <br /> OIYNER M�q AO�RE55 GIiY 21P PHOHE I <br /> Russell Divers 1411 Oakea Everett 98201 <br /> APGHIIECi OA U[SiGMCN MAIL�ODAESS GILY IIP PNONE <br /> 6ENER�I COHtR�C1pR M�R�OORE55 Lliv 2tP PnONE 4GENSE� <br /> MECN�NIC�LfAHIRI.GTOR MML�DDRESS LIiY ZIP PMONE LIG[NSE• <br /> Natural Gas Fquipment 1625 Eest Marine View Drive Everett 98201 258-2441 <br /> PlUM81NG CANiRAGif.'1 MAI��ppPE55 CpY ZIP PMONE LICEHSE� <br /> CU55Of WORR <br /> ❑NEW O AD�ITION O ALTEHRTION ❑PEPAIR ❑ DEMOLITION O FENLE ❑ SIGN ❑ WOOD STOVEIFIFEPIACE INSERT <br /> V�LUAiION OF WORK <br /> f <br /> UESCRiBE WOAK <br /> PROroSED USE OP BUrIDInG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LOESCN�PtWNOFPf10PERTYISNOWBCLOWONl1TTA�NFOUNCAPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior_e�ocK_oo 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 <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB�DDNE55 SiGN1TUREOFGONi C�OR,��FyOP2ED�GEH1 D�TE <br /> iaii o�:es X — c� Lh �/ii/ea <br /> PLUMBIN6 MECMANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AiR COND UNITS— M.P.EA. <br /> BATMTUB REFRIGERATION UNITS— M.P.EA. <br /> UVATORY(1'/ASH BASIN� BOILERS — M P.EA. <br /> SMOYlER GAS FIREO A C.UNITS—TONNAGE EA. <br /> NITCHEN$INN 6 OISP. FORCED AIR SYSTEMS— B.T.U. �.1 FA. <br /> DISNY/ASMER WALL MERTERS— B T.U. M <br /> UUNORY TRAY UHIT HEAlEAS— B.TA. M <br /> CLOTMES WASNER EVAPORATIVE COOLERS <br /> WI1tER HE�tER LLO7ME5 OHVEFS <br /> URINAL VENiMTIGN F�N <br /> DR�NNING FOUHTAIN RANGE MOOD <br /> FLOOR DRAIN Alfl HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE —YlOOD <br /> ppOF DRAINS— RAIN�E�DERS METAL FIPEPUCE 8 CMIMNEY <br /> ( SINK(SERVILE—BAN.ETC.� FIPEPLACE INSERT <br /> MEAi PUMP <br /> 1 Water Heater <br /> sue roT�� s sue tar�� s 4 5 <br /> GERMIT f PERMIT = <br /> TOT�L FEE f TOTAL FEE f ZQ SO <br /> SIDE YARD SETBACK STREET SETBACK REnfl VARD SETBACK PLAN LHECK tNMBER PUN CNECN PEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E FEES VALU�TION fEE <br /> YES ..NO <br /> TYPE OF CANSi. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING f <br /> SRE OF BLD6. NO.OF STORIES MA%.OCQ�OAU <br /> PLUMBING <br /> FIRE ZONE BASEMEHT FIqE SPRINKLEHS MECHANICAL 14 SO <br /> PEOUIRED <br /> YES t!O <br /> AVOROV�LS BY UATE OTMER <br /> ' U.8 C. <br /> I.ENViRONMENiAL CMECI(L15T PENALTY SEC.3071a� <br /> 1.BUILDINGPUNS ipT�� 14 SO <br /> 3 FIRENYDFANT <br /> I � FIPE PROTEGTION SYSTEM VERMIT VIILID�TION <br /> S.GRADiNG �vMEN PROPENLY VALIDAIED�R1 THIS SPACE�THIS iS YOUR P IT <br /> �� �' � � � �1 � ��. � <br /> 8 DRAINnGE (D <br /> 7.ENVIROHMENTAL IMPAQ STATEMENT (Y) <br /> B MEA�1M DISTRICT ; R';�. •�I FT�--� <br /> APPLICATION ACC.OY PLAHS LHECKEU BY RPPR.FOR ISSU�NCE BY <br /> . ..�r : �� <br /> , ` , <br /> ���;oN�s: ri�r� � <br />