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-� • • ; r-�, . � <br /> � <br /> d�clvergmen �" �p��TRUCTION � <br /> CITY OF <br /> everett �ERMIT QERMIT NO. 06219 <br /> CITV HALL 259-87a5 <br /> ever�en.wn sero� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNLN MAiLA��RE55 CiIY ZIP PMONE <br /> Dr. Dxumheller <br /> ARCNRECT OP DESIGNEN MAII ADDPESS CITY ZIP PMONE <br /> GE'vF.ML CANTIUCTOR MAIL AODRE55 QiY 21P PMON[ LICENSE t <br /> M[LHANKAL fANTPACTOR MAIL ADDRE55 GTY ZIP PHONE UCENSE� <br /> PLI�MHMGCANtRACfOR MAILADDRESS CIiY 21P PNONE L�GENSE� <br /> Rucker Avenue Plumbing <br /> LlASSOF WOPK <br /> ❑NEW ❑ADDITION ❑ALTERA7ION ❑P[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f <br /> GESCRBE WOPN <br /> PROoOSCD USE OF Bl11LDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> iEcn�oescaianor+ovvAoaeR*r�sxoweE�owonnnncNrouecoaies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior__eiocK_oF TVPE OF WORK WILL B[ COMPLIED WITH WHETHER SPECIFlED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHEf�TAT OR LOCAL LAW REGULATING <br /> _�J CONS R TIO R T � ERF ANCE OF CONSTRUCTION. <br /> JOAA�DRL55 ' SiGNAt � GON aoa . ,��oaiz cer+r 6q19�79 <br /> 1SY4— PaclYic (2n Floor) X � <br /> PLUMBIM6 ME H NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> \VAIER CLOSET QOILET) AIR COND.UNITS—H?.EA <br /> BATNTUB REFRIGERATION UNITS—H.P.EA <br /> 4 LAVA'iORY(WASN BASIN) B OO BORERS—H P,EA. <br /> SHOW ER GAS FlR[U A C.UMTS—TONNAGE EA. <br /> 1 KITCHEN SINK 8 DISP. Z OO FORCED AIR SYST[MS—�.T U M EA. <br /> DISHWASHER �wPLI HEATERS—8 i U. M <br /> LAUNDFY TRAY UNIT HEATERS—�SL. M _ <br /> CLOTHc;;�yqSHER EVAPoRATNE COOL[FS <br /> WATER HEATER CLOTHCS DRVERS <br /> URINA� VEN7'ILATION FAIJ <br /> DPINKIN�i�OUNTAII� RANGE HOOD <br /> FLOOR CRAIN AIR HAIJDLIIJG UIJIi— C F.M. <br /> VACUWA OREAKERS STOVE <br /> ROOF DRAINS—RAMLEADEPS METAL FIREPIACE B CHIMNEY <br /> SINK IS[RVICI_—F1AR.[TC) <br /> SUB TOTAI 12 00 SUB TOTAL S <br /> PERMIT S 00 PERMIi S <br /> TOTAL FEE f OO TOTAL FEE S <br /> SIDE YARD SETBACK STAEET SET�ACK REAR VAR�SET�AGK PIAN CHECK NUMBER PIAN CHECK FEE <br /> FEE RECEIPT N0. <br /> I USE 20NE LOT AfiEA VACANT SITE <br /> L7VES GNO FEES YALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT REOUIRED KIERS MECNANICAL <br /> ClYES ❑NO <br /> APPROVAlS . BY UATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST pENALTY U B.0 <br /> SEC.3031a) <br /> 2. BUILOINGPU+NS — <br /> /• ' TOTAL <br /> �` �3.�FIRE HYDRANT ; <br /> � <. fIRE PRO7[CTION 5 M PERMIT VALIUATION <br /> �'• ' WMEN PROPERLY VALIDATED�IN THIS SPACE)THIS I$YOUR PERMIT , <br /> � � 6. DR . . . O �V 6 • O � `.o� „�`t"'�� <br />� 1 � 7. EN NWNTAL IM�T STATEMENT N <br /> �r e. "�'o���°T � YOUR REG�I�'P <br /> �t APPLIC.�O C.�Y � PLANS CHECKED BY APPR.FOR ISSUANCE BV + <br /> ►'� o �„ �; ' T�t�N�E yi�11 ,.' <br />