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,,��., ��.,"`.`.,� GONSTRUCTIO�' , <br /> :�,, ��, <br /> everett pERMIT PERMIT NO. 13OH3 <br /> pTV HALL 259�B7d5 <br /> EVERETT,WA98201 � COMBINATION ❑ BUILDING �JXPlIECHANICAL ❑ PLUMBING <br /> 01YNEP MAIL AODFE55 GIiY ZIP PHONE <br /> . Rarold Christensen 2017 Lake Heiahts Drive hVerett 98204 337-6790 <br /> APG�JiEGT OR DESiGNER MAIL nOpPESS Gli'. ZiP PfJNE <br /> GEHERAL GONTRACTOR MAIL AOOflE55 CITY ZIP PNONE UGENSE• <br /> MECMPIlIGRL CONiRACTOR MAIL RODRE55 CITY ZIP PHONE LIC:NSE� <br /> Same <br /> PLUMBING GONTRnCiOP MAIL AODRE55 GITV ZIP PMONE LIGENSE• <br /> CLA55 OF WORK <br /> O NEW D ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN '� WOOD STOVEIFIREPLACE INSERT <br /> VFLURTION OF WORK <br /> S <br /> �ESCRIBE WORK � <br /> install wood stove <br /> PPOPOSED USE OF flllll�ING <br /> I HEREBY CERTIFY (HI1T I HAVE READ AND EXAMINED THIS <br /> APF'LICATION AND KNOW THE SAME TO BE TRUc AND <br /> LEGfLDESGRIPiIONOFPROPEPlY�SHOWBEIOWORATTAGNFOORLOPI[5� CORRECT. ALL PROVISIONS OF LAbVS AND ORDIP;ANCES <br /> lOT__BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIEC IVITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING UF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> � OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> PE FORMANC F CO STflUCTION. <br /> J00/�ORE55 SIGf iU6EOFGONT4C0 H . DAiE <br /> 1407 Rockefeller � l 3/6/84 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNIT$ —H.P. EA. <br /> BATHTUB REFRIGERATIGN UNITS— H.P. EA. <br /> LAVATORV(WASH BASIN� BOILERS—H.P. EA. <br /> SHOWER GAS FIflED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINKB�ISP. FORCFO AIR SVSTEMS— B.T.U. A1 EA. <br /> DISHWASMER WAIL HEATERS— B.T.U. M <br /> LAUNORV TflAY UfvIT HEATERS— B.T.U. M <br /> CIOTNES WASMEP EVAPORATI\'E COOlERS <br /> WATEfl HEATEfl CLOTNES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOF DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADEflS METAL FIR[PLACE A CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SI18 TOTAL f SUB TOTAL f 'I SO <br /> PEflMIT S PERMIT S 10 OO <br /> TOTAL FEE 5 TOTAL FEE S 17 5� <br /> SIOE YARD SETBACH STREET SETEACK REAR YAHO SETBACK PLAN CMECR kUMBER PLAN CMECK FEE <br /> FEE RECEIPT NU. <br /> USE ZONE LOT AREA VACANT SITE — --. — <br /> .YES . NO FEES VAWATIJN FEE <br /> iYPE OF CONST. OCCUPANCY GRCUP NO.OF DWELLING UNITS <br /> DUIL�IN6 S <br /> SIZE OF BL�G. NO.OF STORIES MAX.OCG LOAD <br /> aLUMeING <br /> FIRE ZONE BASEMENT FIRE�PRINKLEPS MECHANICAL <br /> � REOUIREO 1� SO <br /> YES NO <br /> APPHOVAL^u BY DATE OTHER <br /> 1.ENVIRONMEN�AL CNECK LIST U B.C. <br /> PEYALTY SEC.303(a) <br /> 2 BUILDING PLANS <br /> 9.FIREMVDRANT T�TA� 1� SO <br /> d.FIRE PROT[CTION SYSTEM PENMIT VALIDATION <br /> 5.GRAOING bVHEN PROPERLV VALIDATED QN iHl$SPACB THIS 6 A�OUKfiFJ�M1T_(1� <br /> 6.ORAINAGE �I ! ,l �l 1 I J ll �. <br /> 7.ENVIPONMENTAL IMPACT STATEMENT � <br /> B.MEALTHDISTFICT � � ,;_.Cf'JPT.� ' <br /> APPLICATION ACC.BY PlANS CHECKED 9V APPR.FOR ISSUANCE BY - <br /> ` i`��: 1 ' U <br /> _ � in:� o I <br /> .IUL'I,;.-55 I�.Ll- <br />