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Ute Errrerrrii <br />(:ilY O� <br />everett <br />GTY HALL 259�8745 <br />EVERE77, WA 98201 <br />'� �ONSTRUCTIOI� � <br />PERMIT PERMIT N0. .�-445H <br />❑ COMBINATION �E BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OLVNER MAIL Ap�RE55 CITY 21P PMONE <br />KNIGHTS OF COLUMBUS 2913 W MARINE VIEW DRIVE E4ERETT WA 259-1218 <br />ARCMITECt OR pE51GNEF MAIL AOORESS C�TY ZIP PHONE <br />BRAD CALDART 2913 W MARINE VIEW DRIVE EVERETT WA 252-4107 <br />GENERALCONTFAGTOR MpILADORE55 CIiV ZIP PHONE LICENSE� <br />Owner <br />M1tEGHANICAL CONTqACiOR MAIL ADORE55 CITV 21V PHONE LICENSE I <br />PLUMBING CONTRACTOR MAI� AD�RE55 CI7V ZIP PHONE LICENSE � <br />❑ I,EW ❑ ADDI710N M� ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD 570VE/FIREPLACE INSERT <br />VALUAiION OF WORN <br />S a��.�� <br />�ESCRIBE WORK <br />22' partition wall <br />t Day Health Center <br />Ofl ATTACH FOUR COPIE51 <br />LJT_BLOCK_OF <br />�oeg��A�ssW Marine View Drive <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WA7ER CLOSE7 (TOILET) <br />BATH7U8 <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINKS DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEA7ER <br />URINA� <br />DRINKING FOUNTAIN <br />FLOOR OFAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEFOERS <br />SINK (SERVICE — BAR, ETQ) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE YAR� SETBACK STREETSETBACK <br />USE Z��.VE LOT AREA <br />TVPEOFCONST. OCCUPANCY GROUP <br />SIZE OF BLOG. N0. OF STORIES <br />FIRE 20NE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRO7ECTION �VSTEM <br />5. GRADING <br />6. DRP.�NAGE <br />7.ENVIRONMENTALIMPAC�dTATEMENT <br />B. HE:.LTH DISTRICI <br />APPLICATION ACC. BY PLANS CHECKED BY <br />FEE <br />S <br />S <br />IEAR VARD SETE <br />'ACANT SITE <br />YES NO <br />IO. OP DNJELLIN <br />1A%. OCQ LOA� <br />BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF QON�RUCTION. , <br />X JS'1eti.� �a�.i <br />e <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TOIJNAGE EA. <br />FORCEO AIR SYSTEMS — B.T.U. M EA. <br />WALI HEATERS — B.T.U. M <br />11N17 HEATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN CHECK NUA <br />FEES <br />BUILDING <br />PLUMBING <br />KLERS I MECHANICAL <br />DATE OTHER <br />PENALTY <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE 5 <br />PLAN C <br />FEE <br />VALUATION <br />s 800.00 <br />U.B.C. <br />SEC. 303 la) <br />2/14/S`�'E <br />rtt <br />RECEIPT NO. <br />FEE <br />14 150 <br />TOTAL � 4 O <br />PERMIT VALIOA710N <br />WHEN PROPERLV VALIDA7ED pN THIS SPACE) 7HIS IS VOUR PERMIT •�) <br />i I _ _ tr.l <br />C; <br />_ �j <br />rl <br />FOR ISSUANCE BY . I <br />ADDRFSS FIIE <br />