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�, <br /> d�eEvergreen �7NSTRUCTION - <br /> CITY OF p ERM IT <br /> everett PERMIT N0. OS7OH <br /> CITV HALL 259�8745 � COMBINATION ❑ BUILDING �xMECHANICAL ❑ PLUMBING <br /> EVERETT.WA 98201 <br /> R!AIL 4DUPE55 <br /> crtr zir anoue <br /> ownea 1117 Walnut Everett 98201 252-7836 <br /> William Deahn P�,o�,E <br /> MAIL AD�RE55 <br /> GITY ZIP <br /> ARGHITECT CR UESIGNEH <br /> MAIL AODRE55 <br /> CITV ZIP PHONE IIGENSE 1 <br /> GENERFLfANTRACTOR <br /> MAIL PDOF:55 <br /> GITY ZIP PNONE UGENSE� <br /> ldFC114NIGAL CANTPACTOR <br /> �IJReT =�p pMONE LIGENSE� <br /> MAIL ADDRE55 CITY <br /> PLUM�ING G�NTR4C70R <br /> LWSSOF WO�K <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR C�DE��OLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATiON OF WORK <br /> b <br /> OESCRIpE WORN <br /> Install wood stove <br /> 4'ROPOS[DV�EOFOUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> l[GAL OESGRIPTION OF PROPERTY ISHOW BELOW OR ATfAGH FOUR GOPIE51 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> `oT BL��_aF TYPE OF V/0RK WILL BE COMPLIED 1YITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCELTHE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCTION. <br /> SIGNAIURE^0�ti� �TORORA 110�12ED�GENT <br /> JOB AODRESS � �.Z�ZZ�BO <br /> 1117 Walnut, Everett X <br /> MECHANICAL <br /> PLUMBING TYPE OF E�UIPMENT FEE <br /> TYPE OF FIXTURE OR ITEM fEE N0. <br /> NO. qIR GOND.UNIiS--HA EA. <br /> WATER CLOSEi(TOILET) qEFFiIGERATION UNITS—H.P.EA <br /> pATNTUO BOILERS—H.P.EA. <br /> LAVATORY(WASH BASINI G�S FIRED A C UNITS—TaNNAGE EA. <br /> SNOWER FORCED Alfl SYSTEMS—8 T.LL M EA. <br /> KITCHEN SINK 8 OISP. �yq��HEATERS—B T.U. M <br /> DISHWASHEH UNITHEF7ER5—BT.U. �`� <br /> LAUNDRYTRAY EVAPORATIVE COOLERS <br /> CLOTNeS WASHER CLOTHES DRYERS <br /> WALfR HEATER VENTILATION FAN <br /> UFINAL RANGE HOOD <br /> DRINKING FOUNTAIN qIR HANDLING UNIT— QF.hI. <br /> FLOOR DRAIN STOVE <br /> VACUUM 6REAKE�S METAL FIREPLACE 8 CHIMNEY <br /> ROOF DRP.�NS—AA�NLEAOERS d St SO—' <br /> SINK�SERVICc—BAR,ETCJ <br /> suerorn� S 3 0 <br /> SUB TOTAL pEHM1T 5 <br /> PEHMIT S TOTAL FEE S 7 0 <br /> TOTAI FEE S PLAN CH[CK FEE <br /> SIDE YARD SETBACK 5T'�F@7 SETOACK REAR YARD S[TOACK PLAN CHECK NUAIBER FEE RECEIPT NO <br /> LO7 AREA VACANT SI7E FEES VALUATION FEE <br /> USE ZONE LJYES L7N0 <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.OF DWELLING UNITS <br /> �UILDING S <br /> SIZE OF�LDG. N0.OF SiORIES MA%.OCC.LOAD � <br /> PLUMBING <br /> OASEMENT FIRE SPRINKLERS MECHANICAL 7 SO <br /> FIRE 20NE REOl11RED <br /> 1!YES i �.NO <br /> - BY DATE OTHER <br /> pPPROVALS U.BG. <br /> L ENVIROtlMENTALCHECKUST <br /> PENALTY SEC.3031a) <br /> :. BUILDINGPLANS TOTAL 7 SO <br /> 3. FIRE HVDRANT PERMIT VALIOATION <br /> a. FIRE PROTECTION SYSTF:M WHEN PROPERLY VALIDATED(M THIS SPAi E,�HI'IS YOU�F���O���. , � _� � <br /> 1 <br /> , GPADING � <br /> 6. DRAINAGE ~ <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � � ' ;� � ' . '. I� <br /> p HEALTH DISTRICT -� " � � �� '„ U <br /> �Pf`L�C�TION ACC.�� PLANS CHEG<ED�Y PPPR FOR ISSUANCE�1' - <br /> � UC <br />