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�he£�•erKreen ,i �N ST R U CT I 0 N • � <br /> C�iv OF <br /> everett p�ERMIT PERMIT NO. 15Q12 <br /> CITY HALL 259�87�5 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> O'NNER MRIL ADDRESS �ITY IIP P.iONE <br /> David Means 9330 let Avenue S.E. Everett 98204 347-4240 <br /> ARCMITECT OR DESIGNEP MRIL ApDFE55 CITY ZIP PHONE <br /> GENENR�GONiqqCTOR MAILApORE55 CITY ZIP PHONE LICENSE� <br /> Pac West Const. 10929 Highway 99 South Everett 98209 347-1491 <br /> MECNRNICRLCONTRRCTOR MAILAODRE55 CPV Z�p PMONE LICENSEI <br /> VLUMBING CONTflAGTOR M�IL AODRE55 CITY ZIP PHONE LICENSE� <br /> CLR55 OF WOPK <br /> ❑NEW ❑ADDITION ❑ A�TERATION ❑REPP�R ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALURTION OF WORK <br /> S <br /> DESGRIBE WORK <br /> PROPOSED USE OF BIIILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESGRIPfIONOFPROPERTY�SMOWBELOWORATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or__e�_ocK_oF GOVERNING THIS TYPE OF WORK WILL BE �OMPLIEG WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE dRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> ' JR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AOpPESS SIGNATURE OF CONTNqCTOR OR AUTHORIZE�AGENT OATE <br /> 9330 lst Avenue S.E. X 6/21/85 <br /> PLUMBIMG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND. UNITS— M.P.EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORVpNASM BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KIfCHEN SINh 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASMER WAIL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHESWASHER EVAPORATIVECOOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION fAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WO00 <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSEI'T <br /> MEAT PUMP <br /> SUBTOTRL 'a SUBTOTAL S <br /> PERMI7 S PERMIT 5 <br /> TOTAL FEE = TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARO SETBACK PLAN CMECN NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AHEA VACANT SITE <br /> . �.YES . �NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BL�G. N0.OF STORIES MAX.OCC. LOAD <br /> PLUMBING S OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> . .YES '. .NO — <br /> APPfl0VAL5 BY �ATE OTFIER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILUING PLANS SEC.J03(a� <br /> 3.FIqEHYDRANT TOTAL S OO <br /> d.FIRE PROTECTION SYSTEM pEHMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)iH15IS'.JUR PERMIT. .— � <br /> 6.�RAINAGE � <br /> 7.ENVIRONMENTILIMPACTSTATEMENT � <br /> B.HEALTMOISTRICT � ' � � <br /> i � <br /> APPUCATION ACC:.BY PLANS GHECKED BY APPq. FOR ISSUANCE BV <br /> ADDF::SS FlLE <br />