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. . . <br /> rheEvergreen � C�''VSTRUCTION ^ '^ <br /> CITY UF <br /> everett PERMIT pERMIT NO. 08517 <br /> CITY HALL 259�0745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDINR ❑ MECHAiVICAL I� PLUMBING <br /> OWNEF D SS CIiY 21P PNONE <br /> Erwin Erickson 2�.�� �akes Everett <br /> ARCMITECT OR DESIGNER MAIL ADDFE55 CRY ZIP PHONE <br /> GENER�L CANiRACTOR MAI�AODRE55 CITY ZIP PHONE LICENSE I <br /> Ace Construction 2415 - 8th Street Everett 98201 252-9419 <br /> NECHRNIGL CONiMCTOP MAIL ADDRE55 CIiY 21P VMONE LICENSE I <br /> PLUAIBING GONTRACTOR MAIL ADDRE55 Cltt 21V PHONE LICENSE� <br /> Robinson Plumbing <br /> cuss oF woaK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f <br /> OESCRIBE WORK <br /> Roughin plumbing for bathroom <br /> PROPOSED USE OF fiUILDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALOESCRIPTIONOiPROPENTY�SHOW BELOWORRTT^.CHFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT�. <br /> �oT 19—���cK43�oF EveTett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED \NITH WHETHER SPECIFIED <br /> . HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TU GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSIP.UCTION. , <br /> JOB ADDPE55 SIGNnTURE OF CONTRACTUR OR AUTHO 2EU AGENT DATE <br /> 2126 Oakes, Everett X 10/30/80 <br /> PLUMSINO M HANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE '�, <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNIiS—H.P.EA � <br /> LAVATORY pNASH BASIN) BOILERS—H.P.EA. �� <br /> . SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOFiCED AIR SYSTEMS—B.7.U. M EA. <br /> DISHWASMER WALL HEATERS—B.T.U. M <br /> LAUNURY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> � � WATER HEATER CLOTHES DRYERS <br /> � URINAL VENTILATICN FAN � <br /> , ORINKING=OUNTAIN RANGE HOOD <br /> ' FLOOR DR41N AIR HANDLING UNIT— GF.M. � <br /> i <br /> YACUUM 67EAKERS STOVE <br /> ROOF DRAIN' —RAMLEADERS METAL FIREPLACE 8 CMIMNEY � <br /> � SINK(SERVIfE—BAR,ETC.) <br /> i <br /> i <br /> �� SUlTOTAL SU9 TOTAL t <br /> ' PERMR i PERMIT t <br /> MTAI FEE f TOTAL FEE <br /> SIDE YAPD SETBACK STREET SETBACK (7EAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> �YES ❑NO FEES VA!UATION FEE <br /> . TYPE OF CONST. OCCUPANCV GROUP N0.OF DWELLING UNITS <br /> � BUILDING S <br /> ' SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING 9 OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS - <br /> � REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS CY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST pENA��. U.B.C. <br /> 2. BUILDING PLANS SEC.3031a) <br /> 3. FIREHYDRANT TOTAI 9 OO <br /> �. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> 6. DRAINAGE 9 9 0 4 a 0 O 9. O a -- � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 8. HEALTH OISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BV i '�� �' .� R R E C L f P 1 O <br /> ' �,�',!K YOU ' <br /> ADDRESS FILE .i � ��T gO <br />