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- `'"� `"`.",`."' C O N ST R l�CT l 0'� <br /> ar; or ' <br /> e�erett PE�MIT PERMIT NO. 1397J <br /> CITY HALL 259�0745 <br /> EVERETT.WA 98201 � COMBINATION ❑ BUILDING �St MECHANICAL PLUMBIPlG — <br /> CITY ZIP PHOI:E <br /> �v�NER M;a�nooRess 98201 252-0088 <br /> Teresa King 1717 Maple Everett _ <br /> AflCMITEGT OR�[SIGNER MAIL ADORE55 <br /> CITY ZIP PMONE <br /> CTY Z�p PHONE LICENSEr <br /> GENERAL CONTRACTOR MAIL AODRESS <br /> MAIL AODNE55 <br /> GT1' ZIP PHONE UCENSE• <br /> MEGMANICALGONTRACTOF <br /> SLl�e Z�p PHONE IICENSE� <br /> FLUMBING GONTRAGTOfl <br /> Mall ADDRE55 CIT" <br /> GLA55 OF 1YORK <br /> ❑ NEW ❑ ADOITION Q A�TERATION ❑REPAIR ❑ DEIAOLI710N ❑ FENCE ❑ SIGN � WOO�STOVEIFIP.EPLACE INS <br /> VALUA710N OF WORN <br /> S <br /> DESGRIHE WORK <br /> Install wood burning stovc <br /> PPOPOSED USEOF UUIL�ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESGRIPTION OF PROPERTY ISHGW BELOW OR ATTACH FOUR COPIE51 CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> iot_e�ocn_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMI f DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVIS!ONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTIOK OR THE <br /> PERFORMANCE OF C NSTRUCTION. onre <br /> SIGNATU E OF GONTRACT R 0 AUIHORI'.EO AGENT 9/26/84 <br /> JOB A�DRESS � � <br /> 17?7 Maple <br /> - MECHANICAL <br /> PIUMBING FEE <br /> NO. TYPE OF FI%TUHE OR 1T6M _ FEE N0. TYPE OF EOUIPMENT <br /> AIR COND.UNITS- H.P. EF. �_ <br /> W ATER CLOSET�TOILE� <br /> REFRIGERATION 11NITS- M.P. EA� <br /> BATHTUB BOILERS - H.P.EA. <br /> �AVATORY(WAShIBASIN) <br /> GAS FIRED A.G.UNITS-70NNAGE EA. _ <br /> SHOWER FORCED AIR SYSTEMS- B.T.U. M EA. _ <br /> KITCMEN SINK 8 DISP. M _ <br /> WALL HEATERS- B.7.U. <br /> �ISHWASMER M <br /> UNIT HEATERS- O.T.U. _ <br /> LAUNDRYTRAY [VAPORATIVE COOLERS <br /> CLOiNES WASHER CLOTHES DRYERS <br /> WATEN MEATER <br /> VENTILATION FAN ' <br /> r <br /> URINAL qANGE MOOD -- ('` <br /> DRI`lM.ING FOUNTAIN C.F.M. <br /> t7 <br /> AIF HA�I�LING UNIT - <br /> fLOOR DRAIN STOVE-�'�'OOD <br /> VFCUUM BREAKERS <br /> METAL FIREPLACE g CHIMNEV <br /> RCOF DRAINS-- RAINLEADERS FIREPLACEINSERT <br /> SINK(SERVICE- BAR, ETC.) _ <br /> �-- HEAT PUMP <br /> _- - �i 1- <br /> � �] <br /> _ _ N �- <br /> _- ' N k. <br /> 'UB TOTAL S 7 50 � �. <br /> SUB TOTAI S p�RM1T S 10 O�_ <br /> P[RMIT S TOTAL FEE 5 17 SO '� �� <br /> TOTAL FEE 5 PLAN CHECK F°E � � I <br /> RFAR VARD SETBACK PLAN CHECK NUAIBER �i <br /> SIDE YARD SETBACK STREET SETECCK FEE FECEIPT NO. �-, <br /> � <br /> USE ZONE LOL AREA VACANT SI7E pEES _ VALUA710N FEE RL '� <br /> YES NO �' <br /> H Fi <br /> TYPE O��CONST. OCGUPANGY GROUP NO.OF DWELLING UNITS � C', <br /> BUILDING 5 �' <br /> NO.OF STORIES MAX.OCC. LOAD � �� <br /> SIZE OF BLDG. P�UMBING � �' <br /> �.7 $� � f-1 <br /> FINEZONE BASEMENT FIRF SPRINKLERS MECHANICAL F-� <br /> REOUIRED ��� <br /> YES N� OTHER r�7 <br /> APPHOVALS BY OATE U.B.Q C� <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV SEC.303(a) 6i <br /> 2.BUILDINGPLANS TOTAL 17 O � C� <br /> 3.FIRE NYDRANT — �� <br /> WHENITPROPERLYOVALIDATED I�N THIS SPAC�THIS I�VO�IR�PErRM1T"'-'LCl� . �' <br /> 4.FIREPROTECTICNSYSTEM � � <br /> S.GRADING � i� <br /> 6.ORAINAGE .�(Y') �- <br /> 7.EN:'IRONMENTALIIdPAGTSTATEMENT ., �i� �� <br /> B.HEALTH DISTRICT �� � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY ,,� , [� <br /> L <br /> M <br /> — r <br /> � . �� C <br /> .�nC'y'°" f-11� ' <br />