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tlir Evergreen �7 NST R U CT I O N <br /> CITY OF <br /> everett PERMIT PERMIT NO. OH7OH � <br /> CITY HALL 259�8745 1 <br /> EVFPETT.WA 9d201 ❑ COMBINATION ❑ BUILDING C�]tb1ECHANICAL ❑ PLUMBING �� <br /> OWNER MAILADORESS CIiY ZIP PMONE <br /> William Deahn 1117 Walnut L�erett 98201 252-7836 <br /> APCNITECT OR DESIGNER MAIL ADDriESS CIiY ZIP PMONE <br /> GtVERALCONTNACTOR AIAILADDRE55 CITY ZIP PHONE IICENSE/ <br /> AILCNANiCALCANTRACTOF MFILAD�RE55 QTY 21P PMONE LICENSEI <br /> Ovmer <br /> PLUMBING CONTRnCTOR MAIL ADDRE55 CItt ZIP PHONE LIGENSE� <br /> ClASS OF WORK <br /> ❑NEW ❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEdOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VPLUATION OF 1VOPK <br /> £ <br /> DESCRIBE WORK <br /> Install wood stove <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oescaianoNOFrao�entt�sNowoeiowoRnnneNvouacoaies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF lA4VS AND ORDINANCES GOVERNING THIS <br /> ior BLOC�OF TYPE OF WORK WILL Bt 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 LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTIOM <br /> J0�/DOPE55 SIGNqTURE OF CANLyy CTOR OR ALL IION12ED 4G[NT DATE <br /> 1117 Walnut, Everett X �,�� 12/22 80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—H.P.EA. <br /> HATNTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY IWASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B TL. M EA. <br /> DISHWASHE(i WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEPS <br /> WATER HEATER CLOTHLS DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN �7ANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VAC W M11 BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPtACE 8 CHIMNEY <br /> SINK(SERVICE—AAR,ETCJ _ <br /> SUB TOTAL SUBTOTPL 5 <br /> PERMIT S PERMIT S 3 0 <br /> TOTAL FEE S TOTAL FEE S 7 0 <br /> SIDE YARD SETBACK STPEET SETBACK REAR YARD SET�ACK PIAN CHECK NUMBEfi PLAN CHECK PEE <br /> FEE RECEIPT N0. <br /> US[ZONE LOT Af�EA VACANT SITE <br /> L'YES ❑NO FEES VALUATION FEE <br /> TYPE UF CONST. OCCUPANCY GROUP NO.OF DWELUNG UNITS <br /> BUIL�ING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FI(7E ZONE BASEMENT FIRE SPRINKLEFS <br /> REOUIRED MECHANICAL 7 50 <br /> fIYES ❑NO _ <br /> APPqOVALS BY DATE OTHER <br /> t. ENVIRONMEN7AL CHECK LIST PENALTY U.B.C. <br /> SEI;.303(a) <br /> 2. BUILDINGPLANS <br /> 3. FIRE HYDRANT TOTAL � SO <br /> .t. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACEI7HIS IS YOU�.R(P�ERM7IT n � <br /> 5. GflADING I i i� I V U O 1. � ��1 �� � <br /> G. DRAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 0. HEALTHDISTRICT � �,,j j� j�..��. '. �� <br /> APFLICATION ACC.BY PLANS CHECKED 3v APPR FOR ISSUANCE�Y • � � � �\ V l� <br /> VC <br /> i <br /> � ^ i .� 0'J <br /> nonaEss r-t�e <br />