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thrGrrrFrren CONSTRUCTIQ• l <br /> c�Tv oF � <br /> everett PERMIT PERMIT NO. 1Z491 <br /> GTY HALL 2i9-B7d5 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING Gt�c MECHANICAL ❑ PLUMBING <br /> OWNER MI.�LRODRE55 GrtY Z�P � PMONE <br /> � William Mauldin 1110 Pacific Everett 98201 <br /> •RCHITEGT OR O[SIGNER MAIL A�DRE55 ��T� Z�P PMONE <br /> GENEAPIGONTRAGTOR MAIL�PORE55 GITY ZIY PMONE LIGENSE� <br /> MECMANIG�LCONTRACTOH 1.'�IL�DORE55 CITY 21P VNONE UGENSE� <br /> Natural Gas Equipment 1611 East Marine View Drive Everett 98201 258-2441 <br /> PLUMBING CANTHPLIOR MRIL RO�RE55 GTY 21P PMONE LICENSE� <br /> ClASSOF WORK <br /> ❑NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN O WOOD STOVE/FIREPLACE INSEH. <br /> VALUATION OF WOPN <br /> S <br /> DESGRiBE WORN <br /> vaovoseo use oF ew�on+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> qPPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEG�L0E5CHIPiIONOFPROPEflTY�SHOWBELOWON�TT�GNFOURLOP�ES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ' GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_e�ocK_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORE55 SIGNPT RE F GONiPRCTO OR AUTHORRE�RGENT ORTE <br /> X �1�� L � � 9/30/83 <br /> 1110 Pacific Y <br /> PLUMEINO MECH NICAL <br /> NO. TYPE OF FIXTUPE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WA7ERCLOSET�TOLLEn AIR LOND.UNITS— M.P.EA. <br /> BATMTUB flEFFIGERATION UNITS—H.P.EA. <br /> LAVATORYIWASH BASIN� DOILERS—H.P.EA. <br /> SHOWER GAS FIPED AA.UNItS—iONNAGE EA. <br /> KITCHEN SINN E OISP. FORCEO AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASMER WALL HEATLRS— R.T.U_ M <br /> L0.UNDRVTRAY UNIT HEATERS— B.T.0 M <br /> C.OTHES WASMER EVAPOFATIVE COCLERS <br /> WATER MEAIER CLOTHES DRYERS <br /> VENTILATION FAh <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREANEFS STOVE—WOOD <br /> ROOF DRAINS— RRINLEADERS METAL FIREPLACE d CHIN.VEY <br /> SINK�SERVICE—BAR,ETC.) .FIREPLACE INSERi <br /> FIEAT PUMP <br /> 1 water Heater <br /> sue rot�i s sue TOTn� s 4 50 <br /> PERMIT f PEPMIT = ZO OO <br /> T0TI1L FEE f TOTAL FEE f 14 SO <br /> PLAN CHECK FEE <br /> 510[VAflO SETBACN STREET SEiBACK REAR YARD SETBACK PLAN CHECK NUMBER qECEIPT NO. <br /> FEE <br /> USE ZONE LOT AREA VALANT SITE FEES VALUATION FEE _ <br /> VES NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWEI'.ING UNITS <br /> BUILDING s <br /> SIZE OF BLDG. NO.OF STORIES Mnx.Of,G LOAO pLUfdBING <br /> � FIRE 20NE BASEMENT qEOUIRED NLERS MECNANICAL ZA SO <br /> YES NO <br /> BY UATE OTNER <br /> APVNOVALS U.B.C. <br /> 1.ENVIRONMENTAL CHECN LIST PENALTY SEG 903181 _ <br /> 2.BUIL�INGPLANS TOTAL LQ SO <br /> 3.FIREMYDFFNT <br /> a.FINE PROTECTION SYSTEM 7ERMIT VpLIDATION ���� �� � �. �� — � <br /> WHEN PROPEPLV VAIIDATE0I�N TN P �TMI Y U P IT <br /> 5.GRADING <br /> � 6.DRAINAGE � <br /> 7.ENVIRONMENTAL IMPACT STATEMENT N <br /> B HEAITNDISTpIQ YUU P. RECEIPT r-+ <br /> a' PUCATION ACC.9Y PLANS CMEChED BY APPR.FOR ISSUANLE BV 'i� !!'��P.,�� Y C�'U <br /> - 3 ocT s� <br /> n�uF��s,: -�iE <br />