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CITY GF <br /> everett PEI�MIT pERMIT NO. ng7Z1 <br /> CITY HALL 259�8145 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDIN(i � MECHANICAL L� PLUMBING <br /> OWNERFfrSC B3Pt�8Y. Q1111'1�t1 lA'2'b"��Ft�fic EVerett JQ201 z'° °"°"E <br /> ARCH�TEGT OR DESIGNER MRI�0.9DRE55 CITY ¢�p pqp}�E <br /> GENERAL CONTqPCTOR MAIL�D�RE55 CITY 21P PIIONE I�GENSE I <br /> MECN/.NIUL CONiHACt09 MRIL AD�RE55 QtY 21P PMONE LILENSE/ <br /> A. Wilcox Co 1227 N. 97th, Seattle 98103 522-0602 C WI-LC-OA-C343L0 <br /> PWMBINGCANTRACTOq MRILhpDRE55 CITY IIF PHONE UCENSEI <br /> GIA55OF WOqK <br /> ❑NEW ❑ADDITION E]ALTERAiION CREPAIR ❑DEMOLI710N ❑FENLE ❑SIGN ❑GAFAGE <br /> VAW�iION OF WORK <br /> f 4���.�0 <br /> DESCRIBE W09K <br /> Replace gas-oi7 burner in existing boiler <br /> PA01'OSEO USE OF BUILDING <br /> Church I HEREBI'CERTIFY THAT I HAVE READ AND E>;AMINED THIS AP� <br /> �ccn�oesc�unriovoFreoveArvtsHoweeiowoAanncHFouacoaiesi °LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �4LL ('ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or__aioc�ov 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 VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL L4W REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF C;ONSTRUCTION. <br /> JOB�� 9GN�TUFC Uf('qN7ARCTOR�y�i OM2lD,nGENi �- DA1E <br /> .�36Eb Pacific, Everett k — % /,� . � � � 12/26/80 <br /> PLUMSIN(i MECNANICAL <br /> N0. TYPE OF FIKTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> N'A'"ER CLOSET(TOILET) AIR CAND.UNITS—H P EA <br /> BATHTU� � R[FRIGERATION UNITS-- H n EA <br /> LAV4TORY(WASH BA$IN) BOILERS—H P EA <br /> SHC WER GAS NRCU A C.UN11S—tONNAGE L.4 <br /> KIT(:HEN SINN$DISP. FOPL[D AIR SYSTEIAS—B T U M[A , <br /> DISMWASHER WALL HEATEHS—BT U. M <br /> IAUNDRV TRAV �INI f HLATERS—9 T U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WAT[R HEATER CLOTHFS DPV[RS <br /> URINAL V[NTitATION FFN <br /> DRINNING FOUNTAIN RANG[H(�0 <br /> FLOOR DRAIN AIR HANDUNG UNIT— L�M <br /> VhCUUM BREAKERS STOVE <br /> ROOF OFA�NS—RAML'ADERS M[TAL FIPEP�ACE 6 `�MNEV <br /> SINK(SENJICE—BAR.[TC) <br /> SUBTOTAL SUB TOTPL f <br /> PERMIT f PEPMIT f <br /> TOTIIL FEE f TOTAL FEE f <br /> SIDE YARD SETBAGK STRFET SE7pACK REAR VAFD S[T�ACK PLAN CHECK NUMB[R PLAN CHFCK f[C <br /> i[E PGCEIPi NO <br /> US[ZONE LOT AREA VACANT SITE <br /> 11VES ❑NO FEES VALUATION FEE <br /> Tl'PE OF CONST. OCCUPANCV GROUP IJJ.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STORIES MNc.OCC. LOAf� <br /> PLUMBING <br /> FIRE ZONE BASEM[NT FIPE SPRIIJKLEFS <br /> REOUIRED MECHANICAL LO SO <br /> [-!VES � !NO <br /> 11PPROV11L5 BY UATE OTF.'FA <br /> L ENVIf70NM[NTAL CHECK LIST <br /> PLNALTv SEC 3031a1 <br /> 2. BUILDING PLANS _ <br /> 3 FIRE hYDRANT TOTAI LO SO <br /> a FIRE PROT[CiION£VSTEM PERMIT VALIDATION <br /> t7NEN PROP[RLV VAUDAT[D(I6 THIS SPACE)THIS IS YOUR PEPMIT <br /> 5 GEADING ^ [ /� <br /> 6. DRAINAGE � � / C C '.J I O. J '�.) —� � <br /> 7 LNVIRONMENTAL IMPACT STATEMENT � <br /> P HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.fOR ISSUANCE BY � � ��f` �� � � <br /> f�♦ ,t � <br /> � �. ; <br /> ,^.CL'RESS FILE <br />