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""`'��TYeoF � �'ONSTRUCTION - <br /> everett PERMIT PERMIT NO. O9HO3 <br /> CITY HALL 259�8745 <br /> EVERE7�,WA 93201 ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ pLUMBING <br /> OWNER AIAiLA0DRE55 CITY 21P PMONE <br /> Carl Ryan 3223 Oakes Everett 98201 <br /> ARLNOEGTOPOESIGNFR AIAILADORE55 CITY ZIP PHONE <br /> GENEPAI CONTRACtOR MRIL ADDRE55 CITY 21P PHONE LICENSE I <br /> MECHANICALCANiRACTOR MFILqDORE55 CITY ZIP PHONE �ICENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PLUFIBINGLONTRACTOR �,IAILqpORE55 dTY ZIP PHONE UCENSEI <br /> G1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑(i[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑G4nAGE <br /> VFLUATION Of WORN <br /> S <br /> DESCFIBE WORK <br /> PROPOSED USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGAlDESCRIPiIONOFPROPERiY�SHOWpELOWORFTTACHFOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AWD CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or oioc�_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 AUTHURITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORM�NCE OF CONSTRUCTION. <br /> J0�ADOFE55 SIGNATU OF CONTRRCTOR OR AUiHORIZED TGENT pAiE <br /> 3223 Oakes X (� LL ���L��L�✓ 9/18/81 <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILE7) AIR COND.UNITS—H.P.EA. <br />���., BATHTUB REFRIGERATION UNITS—H.P.EA <br /> ILAVATORV(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER �AS FIRED A C.UNITS—TONNFGE EA. <br /> l' KITCHEN SINK R DISP. FOHCED AIR SVSiEMS—B.T.U. M EA. <br /> 1 DISHWASHER WALLHEATERS—B.T.U. M <br />" LAUN�RY TRAY UNR NEATERS—B.T.U. 4.1 <br />� � CLOTHES WASHER EVAPORATIVE COOlERS <br />; WATER HEATER <br />,'� CLOTHES DRVERS <br />�� URINAL VENTILATIUN FAN <br />.� DRINKING FOUNTAIN RANGE FIOOD _ <br /> FLOOR DRAIN AIR HARDLING UNIT-- GF.M. <br /> VACUUM BREAKERS STOVE <br />� FOOP DRAINS—fiAINLEADERS METAL FlREPLACE 8 CHIMNEY <br /> I SINK�SERVICE—BAR.ETC.) 1 Water HeateY <br /> I <br />� <br /> SUB TOTAL SUB TOTAL f 4 S O <br /> PERMIT S PERMIT f 3 00 <br />� TOTAL FEE S TOTAL FEE 5 'J 5 0 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLhN CHECK NUMBEP PLAN CHECK PEE <br />� FEE PECEIPT N0. <br />� USE ZONE LOT AREA VACANT SITE <br />' L7VES ❑NO PEES VALUATION FEE <br />�� TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br />� <br /> BUIIDING 5 <br /> SIZ[pF BLDG. NO.OF STORIES MA%.OCC.IpAD <br /> PLUMdING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUINED MECHANICAL <br /> fiYES f7N0 � S O <br /> APPflOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST _ <br /> PENhLTY U.BC. <br /> 2. BUILDING PLANS SEC 3031a) <br /> 3. FIRE HYDRANT TOTAL � 5� <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> . 5. GRADING WHEN PROPERLY VALIDATED pN THIS SPACE�THIS IS YOUR F[7RMIi <br /> 6. DRAINAGE � � . . � !. f� , — �r) <br /> L EhVIRONMENTALIMPAGTSTATEMENT � <br /> � <br /> P. MEnLTH DISTRICT . . .' � <br /> �=oi"..I '. .. ; . . . <br /> i ' <br />