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�'��� �,�������,� ^,pNSTRUCTION <br /> ��T, �,F <br /> everett PERMIT PERMIT N0. 11025 <br /> CITY 11ALL 259�8745 <br /> [VERETi.WA 98201 ❑ COMBINATION C� BUILDING � MECHANICAL ❑ PLUMBING <br /> ��•�NE� inqaauouess crtr ziv ri�orvt <br /> Frances Plurra7 1113 Walnut Everett 98201 <br /> nnourccr or+oesic�+en n�na nooness crtv zir rHone <br /> GCtJ[R4L CONiRACiOFl MAIL ADDRE55 CrtY 21P PHONE UCEHSE� <br /> IdE("IANICALGONiRACtOR h1AllADDPE55 CitY 21P PIIONE UCEfiSE� <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> FLUM1I�ING WNiRACiOR AIAiL ADDRESS CITY ZiV P��ONE LiCE1bE♦ <br /> CLASS OF WORK ' <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIfl ❑DEMOLITION ❑P`_NCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> S <br /> OESGRI�E 1VORN <br /> fROPOSED USE OF�WLOWG <br /> I HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS AP� <br /> imnioescaianoNOFanoPERn'isNoweEiowoanrrncNvouracoaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PRO'JISIONS OF LAWS AND 0�DIhIANCES GOVERNING THIS <br /> �,;, oice�_oF TYPE OF WORK WILL BE COMPUE� \"11TH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTINE CF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHOFITY TG VIGLATE OR CANCEL THE PRO� <br /> VISIONS OF A�JY OTHER STATE JR LOCAL LAW REGULATING <br /> , , CONSTHUCTION OR THE PERFORAIANCE OF CONSTRUCTION. <br /> ..��;runi��:i cr co^+,naao��c���+unroa¢m w�.ra �•.a� <br /> �ao nouness � • <br /> , , ��� �i�. J x l� <br /> 1113 .W.a1i�v�t�� G✓ . � � �t: � 9/20/82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QUILETI AIR COiJO UNITS—H R EA <br /> BATHTUE3 REFRIG[RATION UNITS—H P.EA <br /> I.AVAiORY�WASN BASIN dOILEPS—fIP.EA. <br /> SHOWEH GAS FIRED A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 OISP ], FOFCCD AIR SYS�EAIEB�0 TL i, Id EA. O_ <br /> DISH\NASHER IYALL HEATERS—��S.LL M17 <br /> LAUNDPV TRAV UNIT HEATERS--B.T.U. �� <br /> CLOTHES\NASHER EVAPORATIVE COOLEfaS <br /> IYATER HEATEF CLOIHLS URYERS <br /> URI4AL VENTIlAT10N FAN <br /> DRINI�ING FOUNTAiN RANGE�100D <br /> FLOOR ORAIN AIR HANOLING UNIT— GF.h1. <br /> VACUUM�REAKERS S10V[ <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK�SERVICE—BA�7.ETC.) <br /> SUB TOTAL SUB TO7AL 5 6 O 0_ <br /> PERMIT f PEHMIT 5 q(� <br /> TOTALFEE 5 TO7ALFEE S <br /> SIDE��RD SETBACK STR[ET SET�ACK REAR Y.RD SET�ACK PLAP!CHECK NUA78e�7 PLAN CNeCK FEE <br /> fE[ f7ECEIPi NO <br /> USE ZONE LOT AREA VACAN7 SITE — <br /> LiY[5 I.:NO FEES VALUATION FEE <br /> iYPE OF CONST. OCCUPANC�GROUP NO.OF OL4ELUNG U��ITS <br /> OUILDING $ <br /> 517E OF�LDG. NO.OF STORIES h1N(.OCG LOAD <br /> PIUMBING <br /> f`If7E ZO'JE ��SEA1ENi qEOUIR[D KLERS �����NANICAL LC) OO <br /> �. :YES LINO — <br /> APPPOVALS BY DATE OTHER <br /> 1. ENVI�ONMENTALCHECKLIST PF.NALTY UPC <br /> GEC 9i�3 WI <br /> : �UILOIN.�LAt.S <br /> TOTAL 1 G O 0 <br /> 3 FIRE HYDRAN7 ' <br /> n. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERCI VALIUnT[D pN IHIS SPACEI Th!IS IS YOUH PLH�11i <br /> 5 GRnDING � <br /> N <br /> 6. URAINAGE ( n <br /> 7. [NVIRONMENI4L IMPACT STATEMENT � � O 9 � O I v. O V ��� <br /> 8. HEALiH DISTRICT � r"'� <br /> APPLICATION ACC.[31' PIANS CMECK[D�Y APPR.FOR ISSUANCE�Y YO U R REC E 1 PT <br /> L.c. 7HANK YOU <br /> ,1C'i'", . . . I!_F .. .. ....., no <br />