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, . <br /> everett PERMIT PERMIT NO. �9Q?•"t <br />� CITY HALL 259�9745 <br /> EVERETT.WA 9ezo, ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> O\'INER NAILADDRE55 GIiY ZIP PMONE � <br /> William Low YHZ2XH7iK8X�8YK� 1113 Maple Everet-t 98201 � � <br /> �RCMItECi CR CE8IGNER MAIL a00FE55 CITV 21P PHONE <br />/ <br /> IGENERAL GONTRALTOF MAIL ADDRE55 CITY ZIP PMOhE LICENSE I <br /> MECHANICAI CAN19F! ' MAIL ADDRE55 Qtt 21P PM9NE UGENSE• <br />� 1611 East Grand Everett 98201 258-2441 <br />� Nafnr3l C.aa Frtnirmont <br /> PLUM�INuLONTRA:IOR MAllA00RE55 piY ZIP PNONE LIGENSEI <br /> I1 GLA55 OF WORN <br /> f ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> Y YALUATIONOf WO�K <br />� s <br /> DESCRIBE WORK <br /> PROPOSED USE OF BWLDMG <br /> I HEREBY CERTIFY TIIAT I HAVF READ AND E):P.MINEU THIS AP• <br /> ieoA�oescaivr;or+oFvaoaeerr�sNowee�owor+nnneHFouawviEs� —' PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALl PROVISIONS OF Lr1WS P.ND ORDINANCES GOVERNING THIS <br /> �oT e�a�oF TYPE OF WORK WILL BE COA1PLIED 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 gTATE OR LOCA� LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JC3 ADDRE55 SIGNATUflE OP CONiPAGTOR OR AUIMORIZED PGENi �ATE <br /> 1113 Maple X � � 3/26/81 <br /> FLUMBING MECH NICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAiER CLOSET(TOILET) AIR COND. UNITS—NP.EA. <br /> BATHTUB REFRIGERAiION UNiiS—H.P.EA <br /> LAVATORY�VJASH BASIN) 701LERS—H.P.EA. <br /> SHOWFR GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SII:K f.DISP. FORCED AIR S1'STEMS—E7.T.U. M EA. <br /> DISHWASHER W�.LL HEATEFS—B T.U. M <br /> LAUNDRY TRAV UNIT HEATEI75—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DR�ERS <br /> URINAL VENiIIATION FAN <br /> DRINKING FOUN7AIN F�ANGE HOOD <br /> FLOOR DRAIN Alfl HANDLING UNIT— CF.M. <br /> VACUUh1BREAKER$ ST��� <br /> ROOF DRl+INS—RAW LEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) 1 Water Heater 4 5� <br /> SUB TOTAL SUB TOTAL S 4 S O <br /> PEflMIT S PERMIT S 3 00 <br /> TOTALFEE f TOTALPEE S I <br /> SIDE YARD SETBACK STREETSE7BACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE I <br /> FLE RFCEIPT NO. , <br /> USE 20NE � LOT AREA VACANT SITE I <br /> GVES ❑NO FEES VALUATION fEE i <br /> TVPE OF CONST. OCCUPANCY G90UP NO.OF UWELLING UNITS I <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD i <br /> PLUId�ING <br /> fIR[ZONE BASEMENT FIRE SPRINKLERS <br /> HEOUIRED MECHANICAL 7 50 <br /> ❑YES ❑NO <br /> APPROVALS BY �ATE OTHER � <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U B.G. i <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 7 5 O <br /> 3. FIRE HYDRANT <br /> 4. FIR[PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADIt1G <br /> � <br /> 6. DRAINAGE � . I 7 C� ,� `, �- � _("� <br /> 7. ENVIRONMENTALIIdPACTSTATEMENT � �� �� �� �� <br /> 8. HEALTH DISTRICT � <br /> � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR�SSUANCE BY : I(�� <br /> I <br /> ..� i L U <br /> �DDRESS FILE � � •� ;; � <br /> �--- . <br />