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� <br /> ''7e`"CTYCOF IONSTRUCTION <br /> everet� PERMIT PERMIT N0. 11325 <br /> CITV HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION ❑ BUILDING X� MECHANICAL ❑ PLUMBING <br /> OWNER MFIIND�RE55 CITY ZIP FMONE <br /> , _ lYM DEl�MIN 2705 JORDAN ROAD EVERETT 98204 337-1729 <br /> � �RCHRECi OR OESIGNER MNIL ADDRE55 �I7Y ZIP PMONE <br /> GENERALCONTRACTOR MAIIADDRE55 qTY LIP PIIONE LIf,ENSE1 <br /> Otvner <br /> MECHANICALCONiRACiOR MAILADDRESS LIiY 21P PIIONE IICEN5E1 <br /> PLUTABINGCONiRACiOR MAILAD�fiE55 CIiY ZiP PNONE �ICFNSEI <br /> GLA55OF WOR4 � <br /> C�NEW ❑A�DITION ❑ALTERATION ❑PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VA�UATION OF WORK <br /> b <br /> DESCRIOE WORN � <br /> Install �aood stove <br /> PR01'OSED USE OF BUIL�ING <br /> Res idence i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecnioescaiPuoNOFraoPenn�sHowu«owoannncHFouacoFies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 7F�8 476 Plat Of Everett ALL PROVISIONS OF L�WS AND ORDINANCES GOVERNING THIS <br /> �oT oice�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PEfiFORMANCE OF CONSTRUCTION. <br /> JOB AU�RESS SIGNATUFE OF GONIqACTOR OF AUiI R LEU AGENi OAiE <br /> 2215 Oalces X �,�,iGfijs2 ,t✓,�,�,,,v 12/10/82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAiER CLOSBT(TOILET� AIR COND. UNITS—H.P.EA <br /> BATHTUB REFHIG[RATION UNITS—H P.EA <br /> LAVA70RV pNASH �ASIN) BOREfiS—H P.[A. <br /> SNOWER GAS FlHED A.C.UNITS—TONNAGE EA. <br /> KITCH[N SWK 8 DISP. FOfiCED AIR SVSTEIdS—�T.0 M EA. <br /> DISHWASHER WALL HEl.TER:;—�.T.U. M <br /> IAUNDRY TRAY UNIi HEATERS—B.TL. M <br /> CLOTMES WASHER LVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UMT— C.F M. <br /> VACUUAI�PEAKERS STOVE <br /> ROOF DRAWS—RAINLEADERS METAL FlREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR.ETCJ ,� <br /> SUBTOTAL SUB TO7AL S <br /> PERMIT � 5 PEHMIT f <br /> TOTALFEE S TOTAL FEE E <br /> SIDE VARD SETBACK STR[ET SET�ACK REAR YARD SETBACK PIAN CHFCK NUh1IlER PLA17 CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑yES f.1N0 FEES VALUATION FEE <br /> TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BIDG. N0.OF STORIES MAX.OCC.LOAD <br /> PWId�ING <br /> FIRE ZONE BASEKFNT FIFE SPRINKLERS <br /> REOUIRED MECMANICAL 1� SO <br /> I1VE5 i',NO <br /> APPAOVALS BY DATE OTHER � <br /> 1. ENVIRONIdENTAL CHECK LIST PENALTY U�C <br /> 2. BUILDING PLANS SEC. 3031�1 <br /> 3. FIRE HYDRANT TOTAL 1� S O <br /> 4. FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN TF'IS SPACE)THIS IS YOUR PERMIT <br /> 5. GRFDING (� 7 [n <br /> 6. DRAINAGE 0 919 � V � 1. I y �� <br /> 7. ENVIRONMENTALIMPACTSTATEMENT . M <br /> 8. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY YO U'R Rf C E I P� <br /> THANK YOU <br /> - 9 o�e 82 <br /> ACDRESS FIL[ <br />