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dieEeergreen � ' w -^.ONSTRUCTION - � �� <br /> CITY OF ` <br /> everett PERMIT PERMIT NO. 10195 <br /> CITY HALI 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDIN6 �MECHANICAL PLUMBING <br /> OWNhH MAILNUOOESS CITY ZIP PHONE <br /> Donald F. Hampton 2415 Maple Everett 98201 <br /> ARCHITECTOROESIGNEP MPILADDRE55 CITY ZIP FMONE <br /> GENCRPLCONLNACTOB IAAI�ADOflE55 Cltt ZIP f'MONE L¢ENSEI <br /> MECNNNICALCONLRACTOR MPILApDRES$ CIiY ZIP NIONE UCENSE� <br /> Same <br /> PLUMBINGCANTflACTOF MAILPp�PE55 GITY ZIP PMOP'E LICENSEI <br /> � CtA550F WORK <br /> ❑NEW OADDITION �ALTERATION ❑RLPAIR ❑DEMOLITION ❑FlNCE SIGN GARAGE — <br /> VPWATIDN OF WORK <br /> S I <br /> DESCFI9E WOR[ ' <br /> Iil5td11 WOOC� StOVO ' <br /> 1 <br /> PROPOSEO USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCRIPiIONOFPPOPEFTY�SHOW�ELOWOPATir1CNFOVPCOFIES) PLICATION AND KNOW THE SAME 70 Be 7RUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDIIJANCES GOVERNIN('i THIS <br /> �or e�ceK_oF TYPE OF WORK WILL BE COMPLIED WITH NlHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRP.'ITING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOL.4TE OR CAN:EL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW �EGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONST��UCTION. <br /> SIGNATUlI�;WN[NAQOAORAUIH 11 pAGENi �A�� <br /> JOBADDPE55 � �fjj) �y,� 1/29/82 <br /> 2417 Maple X��� <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATEfl CLOSET rOILET) AIR CAND.UNI1S—H.P.EA. <br /> — REFRIGEPATIOG UNITS—HP.EA <br /> BATHIUB <br /> IAVATORY IWASM B/SIN� BORERS—H.R EA. <br /> G�S FIRED AL.UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN SINK 6 DISR FORCED AIR SVSTEMS—B T.0 Id EA. <br /> WAIL HEATERS—�T.U. 'M <br /> DISHWASIIER <br /> UNITHEATERS—BT.U. M <br /> LAUk�RY T::Y <br /> EVAPORATNECOOIEFS <br /> CLOTHES WASHER CLOTHES DRYEPS <br /> WATER NEATEfl <br /> VENTILATION FAN <br /> URINAL <br /> RANGENO�D <br /> DRINKING FOUNTAIN <br /> AIR NANDLING UNIT— C.F.M. <br /> FLGOP OflAIN STOVE <br /> VACUUM BREAKERS <br /> ROOF DFAINS—PAINLEADERS METAL FlREPLACE b CHIA7NLY <br /> SINK(SERVICE—�AR ETQ) <br /> SUB TOTAL <br /> SUB TOTAL f � S O <br /> PERMIT f PERMIT S <br /> TOTALFEE S TOTALFEE _ <br /> SIDE VARD SETBACK STREET SETBACK REAR YAflD SETBAGK PLAN CHECK NUMB[R PLAN CHECK F�ECEIPT NO. ' <br /> FEE <br /> USE ZONE LOT ARFA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS � <br /> BUILOING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKL[RS 1] SO <br /> REOUIHED MECNANICAL <br /> ❑YES ❑NO <br /> ppPROVALS <br /> BY DATE OTHER <br /> 1. ENVIFONMENTALCHECKL15T P[NAITV UBC. <br /> SEC.303�8) <br /> 2. BUILDING PLANS TOTA� 1� S O <br /> 3. FIRE HYDRANT <br /> a. FIRE PROTECTION SYSTEM PERMIT VRLIDATION <br /> WHEN PROPERLY VALIDATED(IN TNIS SPACE)THIS IS VOUR PERA7IT <br /> 5. GRADING � - I � � I �. �' � — �� <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> B. HEALTH DISiRICT .. ��, ,i II' I � <br /> �� � APPLICATION ACC.�Y PLANS CHECKED OV APPR.FOR ISSUANCE BV , . <br /> - . . . .. � �. �� <br /> ' � Yfa �2 <br /> ADDRESS FILE <br />