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the EcC rveen - ♦iO N ST R U CTI O N <br />OF <br />everett PERMIT PERMIT NO.OQ468 <br />CITY HALL 2598745 <br />EVERETT, WA mm ❑ COMBINATION ❑ BUILDING ®C MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Steven C. Gish P.O. Box 780 Everett 98206 258-2467 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />PLUMBING CONTRACTOR A <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />OF WORK <br />DESCRIBE WORK <br />Install wood stove <br />PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK _OF <br />PHONE LICENSE 1 <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED 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 STATE OR LOCAL LAW REGULATING <br />CONSTRU . ON OR THE PER. MANC <br />SIdNATURE ONTRACTOR OR HORI 'GENT <br />X. � <br />F CONSTRUCTION. <br />DATE <br />10/5/81 <br />JCB ADDRESS <br />2121 McDougall <br />PLUMBING <br />MEC ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA, <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILA110N FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — CF.M <br />VACUUM BREAKERS <br />1 <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />SUB TOTAL <br />S <br />7 <br />50 <br />PERMIT <br />$ <br />PERMIT <br />$ <br />TOTAL FEE <br />S <br />TOTAL FEE <br />$ <br />17 <br />50 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK 14UMBLH <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />❑YES LINO <br />MECHANICAL <br />17 <br />50 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2, BUILDING PLANS <br />TOTAL <br />17 <br />50 <br />3. FIRE 4YDRANT <br />4. FIRE PROTECTION SYSTEM <br />6. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VAUL UED (IN THIS SPACE) THIS IS YOUR <br />' <br />PERMIT <br />—�� <br />cn <br />00 <br />ICr) <br />O <br />6. DRAINAGE <br />_ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. L'Y PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />