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rlir E��rr,�rcen + �O N ST R U CT I O� ! <br /> C1TV L`F � <br /> everett PERMIT PERMIT N0. 16OH9 <br /> CITY HALL 259-8745 <br /> EVERETT,WA98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILAD�RE55 GITV 21P PHONE <br /> HERB WILLIAMS 1931 OAKES EV�RETT WA 98201 <br /> AflCHITECT OR DESIGNER MAIL AODRESS GITY ZIP PMONE <br /> GENERALCONiRACTOR MAIIADORE55 CITY 21P PHONE LICENSE� <br /> DAVE BEAMES 3411 KROMER AVE EVERETT IaA 98201 DAVESSP165tIB <br /> MECMANICAL CONTRACTOR MAIL ADDRE55 CITY 21P PHONE LILENSE t <br /> PLUMBING GONTPACTOR MAIL ADORE55 CITY ZIP PHONE LICENSE/ <br /> CLA55OF WORN <br /> � NEW ❑ AODITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VA�UATION OF WORN <br /> S <br /> DESCRIBE WOHN <br /> Install gas lines only <br /> PROPOSEO USE OF B111L01NG <br /> Residential I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPEPTY�SHOW BELOW OR ATTFCH FOUR GOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�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 AUTHORITYTO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORE55 SIGNATUR WNTRACTOH UTHOPIZED AGENT DATE <br /> 1931 Oakes X ���-y�`_ 2/20/86 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> BA7HTU8 REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> �ISHWASHER IVALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— 8.7.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> \YATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOO.�ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKEfiS S70VE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE— BAR,ETC.) FIHEPLACE INSERT <br /> HEAT PUMP <br /> li e <br /> SUB TOTAL f S��p TOTAL S � <br /> PERMIT 5 PERMIT S <br /> TOTAL FEE f TOTALFEE S <br /> SIDEYARD 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 VAWATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING E <br /> SIZE G�6LOG. NO. OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> fIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED 1 <br /> �. �.YES ::NO <br /> APPROVALS BY DATE aTHLR <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2,BUILOING PLANS SEC.303(a) <br /> 3.FIRE HYDRANT TOTA� <br /> d.FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATED�INTHIS SPACE�THIS�r�'O�1Fj�PF�i�IT_� <br /> fi.ORAINAGE <br /> 9J94 U I L U <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTH DISTRICT � � � �� � � I I �� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � �� •• �- <br /> . .- ��. 1 �. �'..� <br /> ,� / ��� U U <br /> ADDRESS FILE <br />