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the AA4>P " <br />t 11A 111 <br />everett <br />259-8745 <br />CINSTRUCTION <br />PERMIT <br />PERMIT NO. 21256 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />XX MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />ONNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Bernice Hayes <br />3502 Rockefeller <br />Everett <br />98201 252-2910 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL. ADDRESS CITY ZIP PHONE LICENSE <br />Valley Nat. Gas 2605 McDougal Ave. Everett 98201 259-5492 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY III` PHONE LICENSE F <br />VALLENG153LI <br />❑ NEW ❑ ADDITION :C-jt ALTERATION ❑ REPAIR 0 DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Install furnace & water heater <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />SFR <br />I HEREBY CERTIFY "i HAT 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 COMPLIEn OATH <br />WHETHER SPECIFIED HEREIN OR NOT. THE CRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURL. OF CONTRACTOR HO C AG ENT. OR OWN ER DATE <br />X ryul <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ of <br />JOB ADDRESS <br />3502 Rockefeller Avenue <br />PLUMBING <br />MECHA CAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILETI <br />A. C — A/HNDLG UNITS — H P <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ( WASH BASIN) <br />BOILERS -- B T U'H P <br />SHOWER <br />GAS FIRED AC UNITS --B.TU <br />KITCHEN SINK d DISP <br />FORCED AIR SYSTEMS — B.TU M EA <br />900 <br />DISHWASHER <br />WALL HEATERS -- B T U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B TU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />6 <br />SO <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE -- BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PPIPUMP <br />GAS ING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />15 <br />50 <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />$ <br />TOTALFEE <br />in <br />rn <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />11/17/88 12:4 <br />RECEIPT NO. <br />PH 00DA43455 **I <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />T1 <br />FEE <br />BUILDING <br />.50 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />�91ME�CH$ <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />30 <br />50 <br />FIRE SPRINKLERS REOUIRED El YES NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />SH <br />PLANSCHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />30 <br />50 <br />PFRMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Cm <br />LO <br />N <br />N <br />ADDhL;S FILE <br />