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'1 <br /> '�"�t'���Y`�' � ^ON�TRUCTIO � ' <br /> ���'�,�!�� PERMIT PERMIT N0. 11931 <br /> CITY HALL 259�8745 <br /> EVERE7T.WA98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOORESS GIiV ZiP PMONE � <br /> William Richardson 3206 Lombard <br /> ARCMRECT OR DESIGNER MAIL ADpFE55 CITY ZIP PMONE <br /> GENERAL CONTPACTOR MAIL A��RESS CITV 21P PMONE LICENSE� <br /> MECMANIGaL CONTRACTOR MAIL ApORE55 CITY ZIP PHONE LICENSE� <br /> Natural Gas Equipment 1611 East Marine View Drive Everett 98201 258-244% <br /> PLUMBING CONTRAGTOR MAIL A�DRE55 CITY LIP PHONE LIGENSE� � <br /> GLASS OF WOflK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ S�GN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VAWPTION OF WORK <br /> S <br /> OESCNIBE\YOFN <br /> PROPOSED USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPiIONOFPROPERTY�SMOWBEL01Y0RATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br /> LOT__BLOCK,_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�OLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAY1 REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORE55 SIG RE OF LONTPACTOR OH aIfTMOR12ED AGENT DATE <br /> 3206 Lombard X (, 4/29/63 <br /> PLUMBING MEC ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn A�R COND.UNITS — H.P.EA. <br /> BATHTUB REFRIGERATION UNIiS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS — H.P.EA. <br /> SHOVJER GAS FIRE�A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS7EfAS— B.T.U. M EA. <br /> DISHWASHEfi WALL HEATERS— B.T.U. M <br /> LAUN�RYTRAY UNITHEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATI�E COOLERS <br /> WATER MEATER CLOTIicS DRVERS __ <br /> URINAL VENTILAiION FAN _ <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR�RAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKEPS STOVE—W00� <br /> ROOF DRAINS— RAINLEA�ERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 Wate• Heater <br /> SUB TOTAL S SUB TOiA{. S <br /> PERMIT S PERMIT _ 3 �Q <br /> TOTAL FEE 5 TOTALFEE S 1 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPI NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> YES NO _ <br /> TVPE OF CONST. OCCUPANCV GFOUP NO.OF DWELLING UNITS _ <br /> BUILDING 3 <br /> SIZE OF BLDG. NO.OF STORIES 1AA%.OCC. LOAD <br /> PLUMBING ,5p <br /> FIREZONE BASEMENT FIRESPRINKLEf1S MECHANICAL RXX SPH � <br /> REOUIPED <br /> VES NO <br /> APPROVALS BY DATE QTHER <br /> U.B.C. <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV SEC.30](a) <br /> 2.BUILDINGPLANS TOTAL 18X �� <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYST:M PEqMIT VALIDATION ��¢� ��� � � 5� A � <br /> 5.GRADING WHEN PROPERLY VALIDATEO(IN THIS THIS I R E t-�� I <br /> � <br /> 6.DRAINAGE �- � Q� <br /> 7.ENVIFONMENTALIMPACTSTATEMENT , ,YOUR P•ECEIPT'-! <br /> B.HEALTH DIS7RICT � <br /> APPLICATION ACC.BV PLANS CHECKED BY APPR. FOR ISSUANCE BY �}-{AN K Y O U <br /> 2 9 �P� 8 3 <br /> ADDRESS FILE <br /> �� <br />