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"1 <br /> `',`. `"`.,`"�`�„ �p N ST R U CTI O I� <br /> �:�,, o� � <br /> everett PERMIT PERMIT N0. 12544 <br /> CITV MALL 259�P745 <br /> EVERET7.WA90207 ❑ COMBINATION ❑ BUILDING �ti} MFCHANICAL ❑ PLUMBING <br /> OWNER MAILApOPEJS CIiY ZIP PHONE <br /> Peter Steckler 912 East Mnrine View Drive 98201 258-3128 , <br /> APGNRECT OA OESIGNER MAIL AOORE55 GTY 21P PHONE <br /> GENERAL WNiRACTOP MAIL AOOBESS CITY ZIP PMONE LICENSE R <br /> Same <br /> MEGMAWCALCONTRACTOR MAILAODRESS CITY ZIP PHONE ��CENSEI <br /> PWMBING CONTRAGTOR MAIL FOORESS CITY 21P PHONE UCENSE N <br /> � <br /> CLASS OF\YORK <br /> ❑NEW ❑ FDDITION ❑ AL7ERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF\YORN <br /> S <br /> OESCRIBE WORN <br /> PROPOSED USE OF�111LDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTY�SMOIYBF.LOIYORAT7ACMFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_e�ocK_oF_ WHETHER SPECIFIED HEREIN OR NOT.THE GRANTIhG OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGN 1W� TRACTOR n ENT OATE <br /> 912 East Marine vi w X � 10/11/83 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> \YATER CLOSET�TOILET) AIR COND. UNITS— H.R EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASM BASIN) DOILERS— HP. EA. <br /> SHOWER GAS FIRED A.C.UNITS — TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— 0.7.U. M EA. <br /> C�SMWASHEF N'ALL MEA7ER5— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTNES\VASHEP EVAPORA7IVE COOLERS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOO� <br /> FLOOR DRAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREAKERS 1 STOVE—WOOD <br /> ROOF DRAINS— RRINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR.ETC 1 FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TO7AL 5 7 SO <br /> PEHMIT S PERMIT S 10 <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE VAflD SETBACK STREET SETBAGH REAR VARD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA �ACANT SITE FEES VALUATION FEE <br /> VES NO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DYlELLING UNITS <br /> BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> i_ FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 1 <br /> REOUIRED �,� <br /> YES NO <br /> APPflOVALS BY DAlE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEG 903(al <br /> 2.BUILDINGPLANS TOTF� 1'] SO <br /> 3.FIRE HVORANT <br /> 4.FIRE PROTEC710N SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED pN THIg�'��T���SOSlYWqP[fielT�� ' 4 ' <br /> S.GRADING .D U 1 � l . <br /> 6.ORAINAGE . � <br /> 7.ENVIRONMcNTALIMPACTSTATEMEN7 � <br /> e.HEAL7H DISTRICT Y'�.'• �J 1� R E C E I PT , ' <br /> APPLICATION ACC. BV PLANS CHECKED BV APPR.FOR ISSUANCE BY �;I�{I-\I`I K Y G U <br /> I Z CCr �J <br /> ADDRESS FILI <br />