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fhC (.�•Pr�rePn �O IV ST R U CT I O� <br /> G�YO� � � <br /> everett PERMIT PERMIT N0. 1EOOH <br /> CITY HALL 259�8745 <br /> EVERETT,1NA93201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> GWNER ROBERT WATKINS 7529 "itRPtdTt� DR °7L'RETT WA z'° PMONE ' <br /> ARCHIfEGT OR OESIGNER MAIL A�ONE55 qTY 21P PMONE <br /> GlNEFAL GONTdACTOR MAIL AUDRESS C�TV 21P PHONE LICENSE M <br /> Same <br /> MECHANICAL CONTRACiOF MAIL ApONE55 CITY ZiP PHONE LICENSE M <br /> PLUMBING JONTRAGTOR MAIL ApONESS CITY ZIP PMOhE LICENSE� <br /> GLA55 OF WORK <br /> C.] NEW ❑ ADOITION ❑ ALTEFIATION ❑REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> n <br /> VALUf.TION OF WOFK <br /> S <br /> DEECRIBE WORK <br /> Plumbing fixtiires <br /> PROPOSEO USE OF BUILOING <br /> Stfl 1 e family rr.sidence 1 HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 9 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCflIPTION OF PROPERTY�S�iOW BELOW OR ATfACH FOl1R COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT_BLOCK_.OF GO�/ERNING 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 QR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNATU E OF CONiRACTO N AUTHORIZEO AGENT DATE <br /> 7529 Rainier Drive X ��--� 1/29/86 <br /> PLUMBING MECHANICAL <br /> !�O. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�l11PMENT FEE <br /> WATERCLOSET(TOILET) AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS — H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS — H.F. EA. <br /> SHOWER GAS FIRED A.C.UNIiS— 70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS7EMS— B.i.U. M EA. <br /> DISHWASHER WALL HEATERS— B.i.U. M _ <br /> IAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER Z OO EVAPORATIVE COOLEFS <br /> � WATER HEATER Z OO CLOTHES DRYERS <br /> URINAL VENTILA710N FAN <br /> ORI��KING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR r1ANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS S70VE —WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREFLACE 8 CHIMNEY <br /> SINK�SERVICE— BAR, ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL + �O OO SUB TOTAL S <br /> PERMIT f PEHMIT S <br /> TOTAL FEE S �O OO TOTAL FEE S <br /> SIDE YARO SE7BACK STREE7 SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA VNCFNT SITE <br /> �. YES .-ND FEES VALUATION FEE <br /> TYPE OF CONS7. OCCUPANGY GROUP NO.OF DWELLING UNI75 <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAX. OCG. LOAD <br /> • PLUMBING �O OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS h�ECHANICAL <br /> REOUIRED <br /> YES . NO <br /> APPROVALS BY UATE OTHER _ <br /> 1. ENVIRONMEN7AL CH[CK LIST PENAL7Y U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS TOTAL � O OO <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHENPROPERLYVALIDATEDONTHIE G IG�)THISIS��aP�{iF�IT_ � <br /> � U UU <br /> 6.OFAINAGE � <br /> 7.ENVIRONMENTAUMPACTS7ATEMENT fr-� <br /> 8.HEALTH DISTRICT . �� � ;� � � � , <br /> � � ` <br /> APPLICATION ACC. BV PLANS CHECKED BY APPR.FORISSUANCE BY � - <br /> i� <br /> , <br /> �: i . � � ;, <br /> ADDRESS FILE <br />