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The EPO CITY OFF Cr N ST R U CT I O N <br />CITY <br />evereti PERMIT pEiMITNO. 08383 <br />CITY HALL 259-8745 <br />EVERETT, WA 9B201 ❑COMBINATION BUILDING LI MECHANICAL :"LUMBING <br />OWNER MAIL AUDRESS City !i' PHOIIE <br />Ken Salo 1806 Virginia Everett 98201 252-1923 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Same <br />MECHANICAL OONTFIACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHJNE LICENSE <br />PLUMBING CONTRAG OR <br />MAIL ADDRESS <br />Cltt <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR DEMOLITION ❑FENCE ❑SIGN EIGARAGE <br />s <br />WORK <br />aemoiish garage <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPER" (SHOW BELOW OR ATTACH FOUR COPIES) <br />3GX Everett <br />Div. P <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />— <br />SIGNATU F CONTRACTOR OR AUTHORIZED AGENT DATE <br />X' QILQ lO 6 80 <br />JOB ADDRESS <br />1806 Virginia <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />BOILERS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />GAS FIRED A . UNITS — TONNAGE FA. <br />SHOWER <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />KITCHEN SINK 6 DISP. <br />WALL HEATERS —BT.U. M <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />JRINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C F.M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />-- <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL s <br />PERMIT <br />$ <br />PERMIT F <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES DNIO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF DONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />i <br />OO <br />OO <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC, LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIP.ED <br />MECHANICAL <br />DYES <br />ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />OO <br />3 FIRE HYDRANT <br />PAP AA., <br />PERMIT OPERATION g <br />U <br />4. FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATED (IN THIS SPAC IS YO111RUPERMUIT <br />Y <br />K Y f? a <br />C <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />-4OCT 80 <br />ADDRESS FILE ' <br />1 I <br />I <br />I <br />I <br />I � <br />