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c <br /> !hPlirrr�rrPn j. . �O �V�, ■���lO �' <br /> c 77 or <br /> everett pERMIT PERMIT NO. -1-�+ � �2 �: <br /> CITY MALL 259�8745 <br /> EVEREi7.WA90201 ❑ COMBINATION ❑ BUII.DING � MECHANICA_ ❑ PLUMBING <br />\ 0\vNEP MqILA00flE55 CItV ZIP PIIONG <br /> GRAC� SPELLMAN 1415 - 84th #201 Everett WA 98209 <br /> Al1CMITEGT OP OESIGNER MAIL ADfJRE55 CITY ZIP PMONE <br /> GENERAL CONTPHCTOR MAII AOOiiE55 GITY ZIP PNONE LICENSE M <br /> MEGMANICAL C�NTRAl1lH MNL A��FESS CITV 21P PMONE LICENSE M <br /> PLUMBING CCNTPALTLH MAIL AOORE55 CIiY Z�p PMONE UCENSE� <br /> I <br /> CLA55 OF WOflK <br /> ❑ NEW ❑ ADDI710N O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN I� WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S <br /> DESCRIDE WOPK <br /> WOO(I StOVE <br /> PROPOSEO GSE OP BUILOING <br /> Residence I HEREBY CERTIFY THAT I HAVE P.EAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCPIPTIONOFPROP'cRTY�5MOW9ElO1Y0RATTACHFOURCOPIES� CORRECT. ALL PROVIS�ONS OF LAWS AND ORDINANCES O <br /> lOT_BLOLK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH .� <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � <br /> PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE m <br /> OR C CEL THE PROVISIONS OF ANY OTHER STATE OR �� <br /> LOC LAW GULATING CONSTRUCTION OR THE <br /> P RMANC F CONSTRUCTION. � �. <br /> � JOB ADDqESS SI TURE OF CON qA iOR OR AUiMOR12ED AGENT DATE � T <br /> 2511 Oakes �.�A ��L7��,�_ 4/30/85 <br /> .. .� <br /> �n x <br /> PLUMBING ECHANICAL c m <br /> cv <br /> �� N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE m o <br /> _ WATERCLOSET�TOILEn AIR COND. UNITS - H.P. EA. � > <br /> � BATHTUB REFRIGERATION UNITS- H.P. EA m <br /> -1 2 <br /> � LAVATORV�WASH BASIN) BOILERS - H.P. EA. _ � <br /> m <br /> � SHOWER GAS FIRED A.C. UNITS-TONNAGE EA. p � <br /> KITCHEN SINK 8�ISP. FOP.CED AIR SYSTEMS- B.T.U. M EA. n � <br /> � DISHWASHER � � <br /> WALL HEATERS- B.T.U. M <br /> -i N <br /> LAUNDRV TRAY UNIT HEATEflS- B.T.U. M K <br /> CLOTHES WASHER EVAPORATIVE COOLER$ p p <br /> WATER HEATER CLOTHES ORVERS T r <br /> URINAL VENTILATION FAN � m <br /> DRINKING FOUNTAIN <br /> RANGEMUOD m � <br /> N <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. O r <br /> VACUUM BREAKERS 1 S7�VE- WOOD n m <br /> C N <br /> ROOF DRAINS- F 11NLEADERS METAL FIFEPLACE 8 CHIMNEY T N <br /> 'm <br /> z c� <br /> SINK�SERVICE- BAR, ETC.) FIHEPLACE INSERT .--� r <br /> • m <br /> HEAT PUMP n <br /> — A <br /> — � <br /> 2 <br /> — n <br /> z <br /> SUB TOTAL S SUB TOTAL S � _ <br /> PEHMIT S PERMIT S <br /> N <br /> TOTAIfEE 5 TO7AL FEE S <br /> SIDE VARD>ETA4CK STREET SET2ACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHEGK FEE z <br /> O <br /> FEE RECEIPT NO. � <br /> l'iE ZONE LOT AREA VACANT SRE � <br /> m <br /> , YES NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DVlELLING UNITS <br /> BUILOING g <br /> SIZE OF BLDG. NO.OF STORIES h1A%.OCC. LOAD <br /> PWMBING <br /> FIRE 'l.ONE BASEMENT PIRE SPRINKLERS MECHANICAL <br /> REOUIRED 1� O <br /> VES NO - <br /> APPflOVALS BY OATE OTHER - <br /> 1. ENVIPONMENTAL CMECK LIST PENALTY U B C. <br /> 2.BL9LDIN�PLANS _ SEC.303(a� _ <br /> 3.FII7E HYDR 4NT TOTAL <br /> 1� � <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GI7AUING WMEN PROPERLV VALIDATED�IN THIS SPACE)THIS IS YOUR PERAtIT � <br /> _ � ' . <br /> fi.OflAINAGE ' � '-' - � <br /> � 7.EIJVIRONMENTALIMFACTSTALEMENT r' <br /> 8.H[ALTH DISTF.ICT � <br /> APPLICATION ACC. BV PLANS CHECKED BV APPR. fOR ISSUANCE BY � � � <br /> .�_L`C'.,.. � . _ <br /> ! <br />� <br />