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�, <br /> 1 <br /> i <br /> ` <br /> � <br /> theErergreen �+ /NSTR�� ■ 'ON ' � I <br /> CITY OF � <br /> evere�t PERMIT PERMIT NO. O979H � <br /> GTY HALL 259�8745 <br /> EVEPETT.WA 9azo� ❑ COMBINATION ❑ BUILDING �..�} MECHANICAL PLUMBING <br /> 0\YNEfi <br /> AIAILADOPE55 LITY 21P PHONE <br /> Robin Strandell lUl9 Maple Everett 98201 252-6382 <br /> lRCNITECT OR OESiuNER <br /> MAII A�CRE55 CITY 2iP PIIONE <br /> GENER4L GONTRAGTOF <br /> MAIL ADDR[SS CITY ZIP PNONE LICENSE 1 <br /> Same � <br /> MECNARICAL CANTRACTOP <br /> MAIL AOORE55 GTV ZIP FNONE IIGENSE 1 <br /> PLUTABiNG CONiRACTOF <br /> MAIL ADDRE55 Cltt 21P PHONE UCENSE t <br /> CLASSOF WOPK <br /> ❑NEV! ❑ADDI710N ❑A�TERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GAMGE <br /> VALU/.T�ON OF WORK � <br /> E <br /> OkSCRiBE WOFN <br /> Znstall v:ood stove <br /> PROPOSEO USE OF BUIlDIN3 I <br /> I HEREBY CERTIFY THAT I H.4VE READ ANU EXAMINED THIS AP- <br /> LEGALDESCPIPTIONOFPROPERTY(SHOWBELOWORATTACHFOURCAPIES) PLICA?ION AND KNOW THE SAME TO BETHUE AND CORRECT. I <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS <br /> ioT e�oc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OH NOT. THE GRANTING OF A PERMIT U�ES NOT <br /> PRESUME TO GIVE AUTHO:iITY TO VIOIATE OR CANCELTHE PRO� <br /> VISIGNS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � <br /> 51. TURE OF CANiRRC10R OR AVTHORIZF�/GENT OATE <br /> JOBADDRE55 X ��� 9Q � 9/17/81 i <br /> 1019 Maple i <br /> MECHANICAL i <br /> PLUMBING FEE � <br /> N0. TYPE OF FIXTUflE OR ITEM FEE N0. TYPE OF EOUIPMENT j <br /> AIR COND.UNITS—H P.EA. <br /> WFTER CLOS[i(TOILCT� <br /> REFRIGLF7�.�ION UNITS—N.P.EA <br /> BATHTUB <br /> BOILERS—H.P.EA. <br /> LAVATORY(WASH BASW) <br /> G�S FiR[D A.G UNITS—TONNAGE EA. <br /> SIIOWER <br /> FORCED FIR 51'ST[MS—B T.U. M EA. <br /> KITCHEN SINK 8 DISP. • <br /> WALL HEATERS—B.i.U. M <br /> DISHWASHER <br /> UWT HEATERS—O.T.LL M <br /> LAUNDRY TRAV <br /> EVAPOiiATNE COOLERS <br /> CLOLHES WASHCR CLOTHES DfiYERS <br /> WATER IiEATER _ <br /> VENTILATION FAN - <br /> URINAL qANGE HOOD <br /> DRINKINC FOUNTAIN pIR HANDLING UNIT— C F.M. <br /> FLOOF DRAIN 1 STOV[ WOOCI <br /> VACUUM BREAKERS METAL PIREPLACE 5 CHIMNEY <br /> i100F DRAINS—�AINLEADERS <br /> SINK(SERVICE—6AR.ETQ) <br /> SUBTUTAL f �i <br /> SUB TOTAL PERMIT 3 � <br /> PERMIT s � <br /> TO7ALFEE S <br /> TOTAL FEE S pV.N CHECK FEE I <br /> SIDE YARD SETBACN STREET SE7BACK REAR YARD SETBACK PLNN CHECK NUMBER FEE RECEIPT NO. I <br /> USE ZONE LOT FREA VACANT SITE FEES VALUATION FEE <br /> f]YES ❑NO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> OUILDING $ � <br /> SIZ[OF DLDG. NO.OF STORIES MA%.OCC.LOAD , <br /> PLUMBING <br /> FIRE ZONE BASEMEN7 REOUIRED KLERS MGCHANICAL L�I S O � <br /> [IYES ❑NO I <br /> BY DATE OTHER <br /> APPROVALS I <br /> 1. ENVIRONMEN7AL CHECK LIST PENALTV U B Q �� <br /> SEC.303(a) <br /> 2. BUIIDING PIANS TOTAL 14 S O <br /> 3. FIRE HYDRANT <br /> PEHMIT VALIDATION <br /> 4. FIRE PROTECTION SYSTEM WHBN PROPERLY VALIDATED(W THIS SPACE)THIS IS YOUR PERMIT <br /> � <br /> 5. GFAOING � � <br /> 6. DRAINFGE ._ - , . .. . I . r- <br /> b � � .—__ � <br /> 7..ENVIRONMENTAL IMPACT STATEMENT • . - � <br /> 8. HEALTH DISTRICT � <br /> APPLIGATIOI�ACG BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> i <br />