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(Ite Ll'ergrern <br /> everett � �O N�T R U CT I O��� <br /> PERMIT PERMIT NO. �-5397 <br /> ;ITY HALL 25E 87d5 <br /> EVEREI7,VJA59201 ❑ COMBINATION ❑ BUILDING �x�dECHANiCAL ❑ PLUMBING <br /> OWNER MAILAODRE55 CIiY 21P PMONE <br /> Catherine Wallis 9633 Mermont Driv_ Everett 98203 259-3839 <br /> ARCYITEGT OR OESIGNEfl M<IL AC:.FE55 dTV 21P PNONE <br /> GENf.ROL .ONTRACTOR MAIL ADDFE55 CITY CIP PHONE LIGENS[t <br /> MECMANIG�L GONTqACTOR MAIL AODRESS dTY ZIP PHONE LIGEIlSE� <br /> Natural Gas Equipment 1625 East �Iarir.e Vi=w Drive Everett 98201 258-244 <br /> PLUMBING CONTRACTOR MAIL pD�RESS CITV ZIP PHONE �ICENSE� <br /> CLA55 Of Y:OPN <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIfl ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIPEPLACE INSERT <br /> VAll1ATI0N OF WORN <br /> f <br /> �ESCPIdE WORK <br /> install gas fired furnnce and hot water heater — � <br /> PNOPOSED USE OF BUILDING M <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �� <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND .. <br /> LEGRL OESGflIPT10N OF PROPEPtt�SMOW BELOW OR ATTACH FOUR COFIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT_e�on;_or_. GOVERNING THIS TYPE OF'vVURK WILL BE COMPLIED WITH <br /> WHETiiER SPECIFIED HEREIN OR NOT.7HE r,RANTING OF A <br /> PERMIT DOES NOT PRESIiME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR y ,� <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> PERFORMANCE OF CONSTRUCTION. '"' <br /> y <br /> JOB A�OME55 SIGNAT E OF CONTq CTOR OR AUTHOR2E0 AGENT DATE <br /> 4633 Mermont Drive X (� -.�" • ,v'„ 9/9/85 � <br /> PLUMBINO MECMANICAL H <br /> d <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE � <br /> WATERCLOSET�TOILE� AIR COND.UNITS — H.P. EA. <br /> BATHTUB flEFRIGERATION UN'.TS— H.P. EA. � �"� <br /> Z <br /> LAVATORV(WASH BASIN) BOILERS— H.P.EA. � <br /> SH0INER GAS FIRED A.C.UNITS— iONNAGE EA. i..� <br /> KITCHEN SINK 8 DISP. 1 FORCED AIR SVSTEMS— B.T.U. M EA. � SO � N <br /> DISHWASHER WALL HEATERS— a.T.U. M � � <br /> LAUNDRYTRAY UNITHEAiERS— B.T.U. M � <br /> _ CLOTHES WASHER EVAPORATIVE COOLERS � <br /> WATER HEATER GI.OTHES ORYEHS N <br /> L'RINAL VENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. ff <br /> VACUUM AREAKERS S70VE—WOOD — , N <br /> ROOF ORAINS — RAINLEADE�S METAL FIREPLACE 8 CMIMNEV � <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSEHT 'v <br /> HEAT PUMP � <br /> 4 50 <br /> . � <br /> H <br /> SUB TOTAL f SUB TOTAI f 12 00 N7 <br /> PENMI7 t PERMI7 S � <br /> TOTAL FEE S TOiAL FEE S 2 � <br /> �ti <br /> SIDE 1'ARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN GHECK FEE � <br /> - FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ::YES [�.NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY .^.ROUP NO.OF OWELLING UNITS <br /> BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MAC.f�CC. I.OAD <br /> PLliM81KG <br /> �IREZONE BASEMENT PIRE SPRINKLERS MECHANICAL <br /> RE�UIRED ZZ OO <br /> :'YES � �.NO <br /> APPROVAIS BY DATE OTMER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.307�al <br /> 2.BUILDINGPLANS ZZ OO <br /> 3.FIRE MYDRANT TOTAL <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRAOING WHEN PROPERLV VALIDATED QN THf��1�19E)TH1�1411'QN1 I�fnAIL� � <br /> 7 IILL v <br /> 6.DRAINAGE M <br /> 7.ENVIRONMENiAL�MPACTSTATEMENT ❑ <br /> B.MEALTF!DISTRICT �'i1 J � �`�r,',C L I PT � <br /> 4PPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY <br /> T,-�.�r�� ��ou <br /> � - 9 stP fi 5 <br /> �i u <br /> ` �yg/�� j� ADDRE55 f-ILE <br />