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N:rLl'er4rern . �ONSTRUCTIO�� <br />CiTr OF <br />everett PERMIT PERMIT N0. --' - - <br />CITV NALL 259�d745 <br />Fveaerr, �vn �e�o� [] COMBINATION � BUILDING ❑ PJIECHANICAL I� PLUMBING <br />ov .eH rnni� aoeaess cin na ❑r;cue <br />Wid J. t9ise 1602 blcDougall Everett 98201 <br />ARCMITECT OR DES�GNER IdPiL ADDRE55 GTY 21P PHONE <br />GENERALCONTRACiOR MAIL A�DRE55 CITY ZIP PMONE LICENSE � <br />MECMANICRL GONiRFCTOR MAIL ADDRESS CITY 21P PHONE LICENSE N <br />Natural Gas Equipment Co. Inc. 1625 East hfarine View Drive 98201 258-2441 <br />PlUM81NG CONiRACTOF !dAll ADOPE55 CITY Zlo PHONE LIGEI�SE a <br />❑ NEW ❑ ADDITION O ALTERA710N ❑ REPAIR O DEMOLI710N G FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S <br />PROPOSED USE OF O111L�ING <br />LOT _ BLOCN _OF <br />1G02 McDougal <br />PLUMBING <br />NU. TYPE OF FIXTURE OR ITEM <br />WATEF CLOSET (TOI�ET) <br />6ATHTUB <br />LAVAtORV(WASHBASIN) <br />SHOWER <br />KITCHEN SINH 8 DISP. <br />DISH1'JASMER <br />LAUNDRVTRAY <br />CLOTHES WASNER <br />WATEF HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.1 <br />PERMIT <br />� TO7AL FEE <br />SIDE YAHD SEl'PACK STPEET SE7�ACN <br />;� <br />APPFOVALS <br />L ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLFNS <br />1 FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5 GRADING <br />6. DRAINAGE <br />ZENVIqONMENTALIMPACTSTATEMENT <br />B. MEALTH DISTflICT <br />APPLICATION ACC. BY PLANS CHE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES� COFRECT. ALL PROVISIONS OF LAWS AND ORDINNNCES <br />GOVERNING THIS TYPE OF WORK WILL BF. COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGU�ATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGN0.IURE OF COtrtHAG10F OR AUTMOfiQEO AGENT UAtE <br />S <br />� <br />REAR VARD SET[ <br />VACANT SITE <br />VES NO <br />NO. OF DWELLIN <br />MA%.00C.LOAD <br />FIRE SPRINKLER <br />REOUIRED <br />YES NO <br />BY DA' <br />ISSUANCE BY <br />N0. � TYPE OF EOUIPMENT <br />AIP GOND. UMTS — M.P. EA. <br />REF�RIGFRATION UNITS — H.P. EA. <br />BOILERS — N.P. EA. <br />GAS FuiED A.C. UNITS — 70NNAGE EA. <br />FOFCED AIR SYSTEMS — B.T.U. M EA. <br />WALI HEATERS — B.T.U. �d <br />UNIT MEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIP HANDLING UNIT — QF.M. <br />STGVE — WOOD <br />METPL FIREPLACE & CHIMNEY <br />FIHEP:.ACE INSERT <br />HEAT PUMP <br />CHECKNUM�ER <br />SUB 70TAL S <br />PERMIT S <br />70TALFEE f <br />PLAN Ci <br />FEE 1 <br />FEES I VALUA710N <br />1��25�84 <br />RECEIPT NO. <br />FEE <br />�UILDING E <br />PLUMBING <br />MECHANICAL 14 SO <br />OTHER <br />PENALTY U B C. <br />SEC. 303 �a) <br />Totn� 14 50 <br />PEHMIT VALIOATION <br />\4MEN PROPEPLV VALIDATED (IN THIS SPP.CE� THIS IS VP4fi PERMIT al <br />1 I _ _ � <br />r�'� <br />'' • _ <br />Z <br />0 <br />� <br />n <br />m <br />—1 T <br />�--� --� <br />�n s <br />m <br />co <br />m o <br />f') <br />—1 C <br />O 3 <br />-1 2 <br />2 --i <br />m <br />.O Z <br />C <br />r -+ <br />rx <br />---I Vt <br />< <br />-+'I <br />O .� <br />�, a <br />-i m <br />2 <br />mN <br />o r <br />(") nl <br />C N <br />� N <br />m <br />z c� <br />--i r <br />• m <br />? <br />A <br />� <br />2 <br />n <br />z <br />-� <br />._-� <br />N <br />Z <br />O <br />--I <br />n <br />m <br />