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� � <br /> r <br /> _ , <br /> r <br /> � <br /> IarErCr�r�qv� - ^ONSTRUCTIO�, <br /> i�.,l'� Cn i � <br /> everett PERMIT PERMIT N0. 12571 <br /> CITY MALL 259�07d5 <br /> eveRerT,wn esza� [] COMBINATION ❑ BUILDING GIXMECHANICAL ❑ PLUMBING <br /> r <br /> OWNER h1All ADDRE55 CIiY 21P PNONE <br /> Bverett Fire Department 2801 Oakes Everett 98201 <br /> Rf1C1u1EGi OH DESIGNEq MAIL AODRESS GIIV 21P PMONE <br /> GENENALGONIPAGtOR MAILApORE55 GTY ZIP FNONE UCENSE� <br /> MECNPNICAL CONLRACTOR MAIL A�PqE55 CIiY IIP PHONE LICENSE 1 <br /> r Natural Gas Equipment Co. Inc. 1611 East Marine View Drive 98201 258-2441 q <br /> PLUMBING CONTRRC*OR MAIL ApORE55 CIiY ZIP PHJNE IICENSE I � <br /> CLA55 OF 1VORR <br /> ❑NEW ❑ AODITION ❑ ALTERATION ❑REPAIR ❑ OEMOI.ITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALU4TION OF WORN <br /> S <br /> �ESCRIBE WORN <br /> PROPOSED IISE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> ccn�oescaivrionoFanovearv�snoweE�owoant*acnFour�cori_si CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIEP WITH <br /> WHETHER SPECIF�ED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHEA STATE OR <br /> LOCAL LAW REGULATING CONSTRI�.^.TION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> J09AOORESS SIGNNiUREO C�N i0R0 ITMOHIZSDRGENi D�TE <br /> 2801 oakes X � 10/19/83 <br /> PLUMBfNO MECHANICAL <br /> N0. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETQOILET) AIR COND.UNITS- H.P.EA. � <br /> BATMTUB REFq�GERATION UNITS- H.P.EA. <br /> LAVATORY�WASM BASIN) BOILERS- HP.EA. <br /> SMOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK d DISP. FORCED PIR SISTCMS- B.T.U. M EA. <br /> DISMWASMER WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAV UNIT MEATERS- BS.U. M <br /> CLOTMES WASMER EVAPORATIVE COOLERS <br /> WATER MEATEfl CLOTHES DRYERS <br /> UFiNAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF ONAINS- RAMLEADERS METAL FIREPLACE A CHIMNEY <br /> SINK�SERVICE- BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTRL f SUB TOTAL f 4 $O <br /> PENMIT S PEPMIT f ,LO 00 <br /> TOTAL FEE f TOTAL FEE S 1Q SO <br /> SIDE YARD SETBACK STREET SETBACK REAR YFRO SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AqEA VACANT SITE <br /> YES . NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF D\YELLING UNITS <br /> BUILDING S <br /> G¢E OF BLDG. NO.OF STORIES MA%.OCG LOAD <br /> ` PLUMBING — � <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED ZQ SO <br /> vE5 NO <br /> APPPOVAlS BY DATE OTNER <br /> 1.ENVIRONMEN7AL CHECK L15T PENALTY U B C. <br /> SEC.303�a) <br /> 2.BUILOING PLANS <br /> ].'IREMYDHANT TOTAL L�S SO <br /> L A.FIPEPPOTECTIONSVSTEM WMENIPROPERLYOAU�ATEDQNTHi S THIS R T <br /> S.GRADId3 � g�� ��� ��� f a <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTAL IMPACT STATEMENT �', <br /> 8.NEALTH DISTRICT ��' <br /> APPLICATION ACC.BV PLANS CHECKED BV APPR.FOR ISSUANCE 9Y ���. ��J R REC E I PT� <br /> �� :-;P,r•1K YC U <br /> I 9 ccr 8� <br /> ADDReSS FILE <br /> � J <br />