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,,��. �,�.T�����, �- �ONSTRU�TIO � ' <br /> everett PERMIT PERMIT NO. 12554 <br /> qTY HALL 259�87d5 <br /> EVE(iETT,WA98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Evelan Vannier 1302 East Marine View Drive 96201 252-7183 <br /> ANCHITECT OR OESIGNER MPIL A�ORESS ��T� 21P PHONE <br /> GENERAL CONTRACTOfi MAIL ADORESS CITY ZIP PXONE UGENSE� <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE M <br /> Snme <br /> PLUMBING CONTRACTOR MR1L A��FE55 CITY ZIP PMONE LICENSE� <br /> ' ' CLA55 OF WORK <br /> ❑ NEW O ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAll1AT10N OF WORK <br /> S <br /> DESCRIOE YIORK <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY ISNOW BELOW OR ATTACH FOUN COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HERE�N OR NOT.THE GRANTING OF A <br /> PERh11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JO�ADDRESS SIGNFT E OF CONTRACTOP OR AUTHOfl2ED AGENT DnTE <br /> 1302 <br /> , x � "� 10/12/83 <br /> PLUMBING MECNANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATiON UNITS — H.P.EA. <br /> LAVA70RYIWASH BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED AA.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVS7EM5— B.7.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNI7— C.F.M. <br /> VACUUM eREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADEFiS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAF, E7C.) FIREP�ACE INSERT <br /> HEAT MUMP <br /> SUB TOTAL 'a SUB TOTAL S � <br /> PENMIT S PERMI7 S <br /> TOTAL FEE S TOTAL FEE S <br /> SIOE VARD SETBAGK STREET SETBACK REAF YARD SEiBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE REGEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E <br /> ;;YES . .NO FEES VALUATION FEE <br /> TYPE OF CONST. OGCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUI.IBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL ].�J SO <br /> REOUIRED <br /> I l'ES .NO <br /> APPROVALS BY DATE OTHEF <br /> 1.E�VIRONMENTAL CHECN LIST pENALiY U.B.C. <br /> SEC.90J 1a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL �.7 50 <br /> 4.FIRE PRO7EGTION SYSTEM WH NIiPROPIER YOVALIOATED(IN THIS SPAC2�Y}1q IS VOU�P�RMIT• � <br /> 5.GRADING � �f <br /> 6.ORAINAGE tt r��P 1 � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT \��{1 � {\�- � 11 � <br /> B.HEALTHDISTRICT � � �r v ' <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY , ,����1�� 1 <br /> 1 � QC� U J <br /> ADDRESS FIIE <br /> � <br /> I - <br />