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�hr�berxreen �O N ST R U CT I O �• <br /> C.i�Y GF <br /> everett PERMIT PERMIT NO. 13745 <br /> a <br /> CITY HALL 25987 5 <br /> EVERETT.V7A9F201 ❑ COMBINATION ❑ BUILDING �'J MECHANICAL PLUMBING <br /> 01VNER <br /> MAIL ADORE55 ��T� Z�P PN���t <br /> GLADYS QUEEN 2306 Maple Everett WA 98201 cTY 259-451 ZP pMONE <br /> ARLMREGT GR pE51GNER MAIL AODRESS <br /> GENERRL CONiRRCTOP IdAIL ADDRE55 <br /> GTY ZIP PNONE LICENSE• <br /> Everett WA 98201 259-4517 � <br /> GLADYS QUEEN 2306 Man1e c�iY z,P PHONE ��cer+se. <br /> MECMANIGIL f,ONTRAGTOR MAIL AD�HE55 <br /> PLUMBING CANTRAGTOR MAIL AODRESS <br /> GTY 21P PHONE LICENSE� <br /> LUSS Of WORN <br /> QIXNEW O ADDITION O ALTERA710N ❑RLPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ �'�'OOD STOVE/FIREPLACE INSER <br /> VAWATIOH OF WCNN <br /> S <br /> OESCRIOE WOFK <br /> Install v+ood stove and chimney box <br /> PFOPOSEO USE OF�UIL�ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence qppLICATION AND KNOW 7HE SAME TO BE TF�UE ANC <br /> LEGRI DESGRIPTION OF PPOPERTY�SMOW BELOW OH ATTACM FOUR COPIESI CORRECT. ALL PROVISIONS OF LA�"+� AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK\'lILL BE COMPLII=D WITH <br /> �p7__BLOGK__OF WHETNER SPECIFIED HEREIN OR iJOT.THE GRANTII�G OF A <br /> PERN�T DOES NOT PRESUME TO GiVE AUTHORITY TO\�IOLATE <br /> �OCA� LAW HREGU�LAITINGS COONSTRUOCTTION SO i T�E <br /> ?ERFOR ANCE OF CONSTRUCTION. 8/8�� <br /> SIGNAIU �CO RACT R�/•���EN� <br /> �0�3�8`�E�a Pl e X -- <br /> MECHANICAL <br /> PLUMBING FEE <br /> NO. TYPE OF FI)CTURE OH ITEM FEE N0. TYPE OF EOUIPMENT � <br /> AIR COND.UNITS — H.P. EA. — <br /> IYA.TEN CLOSET�TOILEn <br /> REFRIGERATION UNITS— H.P.EA. _ <br /> BATHiUB <br /> LAVATOHY�WASHBASIN) BOILERS — H.P. EA. — <br /> GAS FIRED A.G.UNITS—TONNAGE EA. _ <br /> SHOWER <br /> KITCHEN SINK 8�ISP. FORCED AIR SYSTL!AS— B.T.U. M EA. �. � <br /> WALL HEATERS — B.T.U. M — <br />, DISH\NASHER <br /> UNIT HEATEPS— B.T.U. M -- <br /> LAUNOFYTRAY <br /> EVAPORATNE COOLERS — <br /> CLOTHES WASHER CLOTNES�RYERS _ — <br /> WATER HEATER <br /> VENTILATION FAN — <br /> URINAL <br /> RANGEMOOD — <br /> DRINKING FOUNTAIN C.F.M. <br /> AIR IIANOLING UNIT— — <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE — Wa�� — <br /> ROOF DRAINS— RAINLEAOERS METAL FIREPL4CE 6 CHIMNEY 5�L <br /> SINK(SERVIGE— BA(i,ETC.) <br /> FIREPLACEINSERT — <br /> HEAT PUMP — <br /> SUB TOTAL S SUB TOTAL S J SO_ I <br /> PEFMIT S �O OO_ I <br /> PEflMI7 S 70TALFEE f �J SO_ I <br /> TOTALFEE S PLAN CMECK FEE I <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PIAN CHECK NUMBER FEF RECEIPT NO. , <br /> USE ZONE LOT AREA VACANT SITE fEES VALUATION FEE <br /> .-VES -�.NO <br /> IYPE OF CONST, OCCUPANCY GROUP NO.OF DWELLING UNITS - <br /> OUIIDING s - <br /> SIZE OF BLDG. NO.OF STORIES tdA%.OCC. LOAD pLUMBING <br /> FIHEZONE BASEMENT R OUSRED NLERS �J,ECHANICAL �� 5O <br /> YES . NO <br /> BY DATE OTNER <br /> APPNOVALS U.B.C. <br /> 1.ENVIRONMENTAL CIIECK LIST PENALTY SEC.J03(a) <br /> 2.BUILDING PLANS TOTAL �� 5O <br /> 9.FIRE HYDRANT � <br /> PEFMIT VALIDATION <br /> 4.FIREPROTECTIONSYSTEM WHEN PROPERLY VALIDAtEO�M THIS SPAGEI THIS I$YpUP ERM!T LL7 � <br /> 5.GRADING ! , , .. i ,f I �. .� „ "_—Q-'�^,L <br /> � <br /> 6.DFP.INAGE m <br /> 7.EN\9RONMENTALIMPACTSTATEMENT <br /> I fi'�–{ <br /> 8.MEALTH DISTRICT ' � ' �� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY , ,, � ; � <br /> — o � . <br />