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`,"���`�"��`���' ; ^ONSTRI� CTlO �� <br /> everett P E R N� IT PEAM�r Na. � =!� ��� �� � <br /> CITY HALL 259�8)a5 <br /> EVERETT,WA98207 [� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER M11AIL A��RESS CITY ZIP PHONE <br /> CLAI2ENC� NGFF 1924 OAI�S EVERETT l4A 98201 258-2935 <br /> FRCMRECT OR DESIGNEfl MAIL ApORESS CITY JP PMONE <br /> GENERALCONiRAGiOfl MAILAOORE55 CITY ZIP PHONE LICENSEI <br /> Same <br /> MECHANICAL CONiRACTOR MAI�AO�RESS CITY 21P PMONE �ICENSE N <br /> PLUMBING CONTpACTOR MAIL AOORE55 CITV ZIP PNJNE LICENSE x <br /> LLASS OF WORK <br /> ❑NEW ❑ AODI710N ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUr1T10N OF WORK <br /> S 2����. <br /> DESCRIBE WORK <br /> Reroof, plwnbing repair, plasterUoard wltere needed <br /> PROPOSEU USC OF BUILOING <br /> 4-plex I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPL!�ATION AND KNOW THE SAME TO E= TRUE AND <br /> LEGALUESLRI^iIONOFPROPERN�SMOWBEL01Y0RARACHFOURWPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH o <br /> WHETHER SPECIrIED HEREIN OR NOT.THE GRANTING OF A -� <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE n <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR .^.� <br /> LOCAL LAW REGULAT�NG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTJON. <br /> JOB ADDRESS SIGNATURE OF CONTRAGTOR R AIITH AGENT DATE � T <br /> 1924 OAI�S X � � � " 6/3/85 � � <br /> PLUMBING MECHANICAL o m <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE c v <br /> m o <br /> WATER CLOSET(iOILEn AIR COND.UNITS- H.P. EA. .� C <br /> Z BATHTUB REFRIGERATION 11NITS- H.P. EA. �± <br /> LAVATORY(WASH BASIN) BOILERS- H.P.EA. = 1 <br /> SHON'EF GAS FIRED A.C.UNI7S-TONNAGE EA. m <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS- B.T.U. M EA. 'C Z <br /> DISHWASHER WALL HEATERS- B.T.U. M r = <br /> LAUNDRYTRAY UNIT HEATE(75- B.T,U. M ._.� N <br /> CLOTHES WASHER EVAPORATIVE COOLERS � <br /> T <br /> Q VIATER HEATER $ �� CLO7HES DRYERS � y <br /> URINAL VENTILATION FAN ..-� m <br /> DRINKING FOUNTAIN RANGE HOOD m .-. <br /> FLOOR ORAIN AIR HANOLING UNIT- C.F.M, p � <br /> VACUUM BREAKERS STOVE -WOOD �m <br /> ROOF DRAINS- RAINLEADERS METALFIREPLACE 8 CHIMNEY y � <br /> SINK(SERVICE - BAR, ETC.� FIREPLACE INSERT Z C� <br /> new 1 lii 2 QQ HEAT PUMP � n <br /> � <br /> � <br /> 2 <br /> p <br /> sue rora� s 14 00 sue Torni. s � <br /> PEHMIT t 3 QQ PEHMIT S = <br /> TOTAL FEE 5 1� Q� TOTAL FEE S N <br /> SIDE YARD SETBACK STFEEiSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK PEE Z <br /> FEE RECEIPT NO. � <br /> -i <br /> USE ZONE LOT AHEF VACANT SITE � — —�- � <br /> FEES VALUATION FEE � <br /> .�.YES . -.NO m <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF OWELLING UNITS <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCC. LOAD BUILOING $ Z OOO. 3Z SO <br /> , PLUMBING 1� OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIFED <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.0 <br /> SEC.3031a) <br /> 2.BUILDING PLANS ' <br /> 3.FIRENYDRANT TOTAL 49 O <br /> d.FIRE PRO7ECTION SYS7EM• PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATED pN THIS SP.4CE)THIS IS YOUR-PERMIT Q <br /> 'B.ORAINAGE . ,� i, . '-"�' ��� <br /> �-�) <br /> , ' 7:ENVIFONMENTALIMPACTSTATEMENT ,�,. <br /> �B.HEA�THDISTRICT �"' . <br /> APPLICATION ACC.6Y ' LANS CHECKED BY APPR.FOR ISSUANCE BY " � � � <br /> � . <br /> \ St� I ZC <br /> i <br /> �-`l ADDRESS PILG <br />