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dieE��ergreeri "'� ~�ONSTRUCTION �� ' � <br /> CITY OF <br /> everett PERMIT PERMIT NO. O99L_T <br /> CITY HALL 259�8745 � COMBINATION ❑ BUILDING �I MECHANICAL ❑ PLUMBING <br /> EVLRETi,VJA 9820i <br /> Q}yN�N MAIL ADOR[55 <br /> CIiY ZIP �HONE <br /> 982U3 355-6769 <br /> ARNIE JOHNSON 7220 OLYMPIC DR. EVERETT WA. cTY ZiP p��ONE <br /> APCNRECT OR OE9GN[R MAIL FDDRF55 <br /> GENERAL C�NTRACTOR MAIL A[lDRE55 <br /> QTY ZIP PMONE LICENSE R <br /> QUIL CEDA CONSTR. 9508 HWY 99 N MARYSVILLE cTY98270 6591P 8050 PHO,E �,ceNse. <br /> MECNANICAL CANiPAQOR MAIL RDDRE55 <br /> P W AIOING CONiRACTOR <br /> MRILADDPE55 CITY ZiP PNONE LICENSE� <br /> C1P55 OP\VORK <br /> �NEW ❑ADDITION ❑ALTERATION ❑REFAIR ❑DEIdOLITION ❑FE�CE ❑SIGN GAR�GE <br /> VALJATiON OF WORI: <br /> f <br /> DESC918E WOPK <br /> INSTALL WOOD STOVE <br /> PROPOSEO USE OF BUIL�ING <br /> I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS A � <br /> IEGAL�ESCRiPiIUNOf PROPER7Y�SHOW BELOWONAI'TACHi0UAC0�'IES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORR[CT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT B�aK_aF 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 VIOIATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> i;ONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. <br /> SiG E OF GONiRPGiOF OR HOFI AGENT pATE <br /> JOB A70R�55 X �� 10 21 81 <br /> 7270 OLYMPIC DR. <br /> ML ANICAL <br /> PLUMBIN6 <br /> NO. TYF�OF FIXTURE OR ITEM _ FEE NO. TYPE OF E�UIPMENT FFE <br /> Alft COND.UNITS—HP.EA. <br /> WATER CLOSET(TOILET) qEFRIG[RATION UNITS—HR EA <br /> 84THTUB BOiLERS—HP.EA. <br /> LAVATORY(W4SH BASIN) GAS FlFiEO A.C.UWITS—iONNAGE EA. <br /> SHOWER FOF7C[D Alp SYSTEMS—�T.U. M EA. <br /> KITCHEN SINK 8 DIE.^. y�q�L HEATERS—B T.LL �+� <br /> DISN\YASHER . UNIT HEATERS—BT.U. M <br /> LAUNDRY TRAY EVAI'ORATIVE COOLEPS <br /> CIOTHES WASHER CLOTHES DRYERS <br /> WATER HEATEP VENi1LAT10N PAN <br /> URINAL RANGE HOOD <br /> DRINKWG FOUNTAIN AIR NANDLING UNIT— C.F.M. <br /> FLOOR DRAIN 1 STOVE LR S O <br /> VACUUA:BREAKEPS METAL FI4iEPLACE 8 CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SEPtlICE—BAR.E�C.)__ <br /> SUBTOTA� s <br /> SUB 70TAL _ PERMIT f 3 � <br /> PEHMIT s TO7AL FEE s <br /> TOTAL FEE s pLqN CHECK FEE <br /> SIDE 1'ARD SETOACK STREET SETB�CK REAR YARD SET6ACN PLAN CH[CK NUM�EP qECE1Pi NO. <br /> FEE <br /> USE ZONE LOi AREA VACANT SI7E FEES VALUATION FEE <br /> ❑YES CNO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING a <br /> NO.OF STOFIES MAX.OCC. LOAD <br /> SI7.E OF BLDG. PLUMBING <br /> FIPE ZONE BASEMENT FIRE SPRINKLERS MECHANICAI 1� S O <br /> RGOUIRED <br /> 17YE5 ❑NO <br /> APPROVALS <br /> BY OATE OTHER <br /> PENALTY UBC. <br /> t. ENVIRONAIEN7AL CHECK LIST SEC.303(a) <br /> 2. BUILDWGPLANS — TOTAL 17 50 <br /> 3. FIRE HYDRANT <br /> � PERMIT VALIUATION <br /> 4. FIRE PROiECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR P[RMIT <br /> N <br /> 5, GR�.DING , _ � " �' ._ � <br /> 6. DRAINAGE I � � <br /> � <br /> 7, ENVIRONMENTALIMPACT STATEMENT � <br /> 8. HEALTH DISTRIC7 � , , � <br /> APPLICATION ACC.8Y PU+NS CHECKED BY APPR.FOR ISSUANCE BY � <br /> /:DDRESS �ILC <br />