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� <br /> r',� e�.�TY�cF �ONSTRUCTION � <br /> everett PERMIT PERMIT NO. 10465 <br /> CITY HALL 259�Bia5 <br /> EVERETf.W� ��zai ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMB:VG <br /> OWNER MPILAL9PE55 CIIY 21P PMONE <br /> Hendrik Huivinga 2022 Rockefeller Everett � <br /> A4iCNRECi OR OkSiGNER MAIL AO�RE55 CITY ZIP f NOIJE <br /> GENERAI CONiIiAGiJ� AIAIL ADDR[SS CITY 21P P110N[ lIC[NSL� <br /> MEGNRNILALCONTRACLOR MRILApDRE55 CITV ZiP PMONE IIGEN5E1 <br /> 1— Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> f LUMOIHG CANLiACiOF AIAR ADDRlSS pTY ZIP PMONE UCENSE e <br /> C�ASS OF WORK <br /> ❑NEW ❑A�OITICN ❑ALTEFATION ❑F7[PAIR ❑DEIAOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VnLWTIpN OF\YORK <br /> �ESCRIBE M'ORK <br /> PROPOS�D USE Of BUIL�ING <br /> I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�oescaicnoruoFaaoaeatv�sNowoeiownnnnscNvow�..�.00�rs� PLICATION AND KNOW THE SAME TO RE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �o* BLOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED <br /> H'cREIN OR NOT. THE GRANTING OF� A PER��IT DOES NOT <br /> PRESUME TO GIV[AUTHORITY TO`JIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATWG <br /> CONSTRUCTIO� OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAt �iEOFCONiRACiORORAUIMORIZLDAGENT �Fi[ <br /> aoo nooaess � 4/2 0/8 2 <br /> 2022 Rockefeller X � i `�lb � � . <br /> PLUMBING MEC ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEF <br /> WATER CLOSET ITOILET) AIH COND.UNITS—HP.EA <br /> 6ATHiU� FEFRIGERATION UNITS—HP.EA <br /> LAVATORV(WASN BASIN) �OILERS—N P.EA. _ <br /> SHOWER GAS FIR[D AC. UNITS—TOI�NAGL EA. <br /> KITCHEN SINK 8 DISP. FORCED r.IR SYSTEMS—B T.U. M EA. <br /> UISH\YASHEP WALL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—�.T.U. M <br /> CLOTHES WASMER LVAPOHATNECOOI.ERS <br /> WATER HEATER __ CLOTHES�RVGRS <br /> URINAL VLNTILATION FAN <br /> DRINKING FOUNTAIN _ RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.h1. <br /> VACUUM BREAKERS STWE — <br /> ROOF ORAINS—R41NlEADERS METAL FlPEPLACE 8 CHIMNEV <br /> SINK�SEPVICE—BAR.ETC) 1 Water e e <br /> SUBTOTAL SUBTOTAL f � <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTAIFEE S <br /> SIDE VAflD SETBACK STREET SL7��CK REAR YAPD S[T�ACK PLAN CHECK NUMBER PIAN CHECK F[F <br /> FEE RECEIPT NO. <br /> USC ZONE LOi AREA VACANT SITE FEES VALUATION FEE <br /> IIYES ❑NO <br /> TVPE GF CONST. OC%CUPANC�GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BL�G. NO.OF SiORIES h1A%.OCC. LOAD — - <br /> PLUMBING <br /> RRE TONE BASEMENT qEpUIRE�KIC�� MECHANICAL S OO � <br /> I]YES I1N0 <br /> I <br /> APPHOVALS BY DATE �''TH;R <br /> 1. [NVIRONMENTAL CHECK UST pENA�TY U B.0 <br /> SEC,303(a) <br /> 2. BUILOINGPIANF S OO <br /> TOTAL <br /> 3. FIPE HVDRANT <br /> a. FIRE PROTECTION SYSTEM PEPMIT VALI6ATION <br /> WHLN PPOPERLY VALI�ATED�IN THIS SPACE)THIS IS YOUR PERMIT I <br /> 5. GPADING -� � 4 � a E � O J. O O — � J <br /> fi. DRAINAGE . . ' <br /> 7. ENVIRONMENiAL IMPACT STATEMENi � <br /> 0. HEALTH DISTRICT YO�U'� REC E I PT O <br /> APPLICATION ACC.OY PLANS CNECKED�Y APPR.FOR ISSUANCE BY T�1 A 1 V K Y O U <br /> C � f�R S� � <br /> ACDRFSS FILE <br />