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L <br />r <br />L <br />The 6vOf <br />"-' CONSTRUCTION' <br />CITY <br />CIiY OF <br />everett <br />PERMIT <br />PERMIT NO. <br />1i 362 <br />CITY HALL 25&SI4S <br />❑ COMBINATION ❑ BUILDING Lx' MECHANICAL <br />PLUMBING <br />EVERETT, WA 98201 <br />CWNER <br />MAIL ADDNk SS ut` <br />:'I' <br />PHONE <br />Ken Salo <br />1806 Virginia Everett <br />98201 <br />ARCHITECT ON DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LK NSE E <br />_;-CHANICAL CDNTRACTON MAIL ADDRES CITY <br />Natural Gas Equipment 1611 East Marine View Drive <br />ZIP PHONE LICENSEE <br />Everett 98201 258-2441 <br />PLUMBING CONTRACTOR <br />MAIL AJDRESS CITY <br />ZIP <br />PHONE LICENSE E <br />CIAbS OF WORK <br />❑NEW ❑ADDITION GALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />1'HVfVJ[V VM 4F OVrtVnu <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND 'SNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL OESCRIPTKM b' PBCR M)SHOW BELOW OP ATTACH FOUR COMES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT %OCK OF <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 />SIGNATURE FCO RACTO AUTROHIZED ACLNY DATE. <br />/' 12 / 2 2 / B 2 <br />X <br />JOB ADDRESS <br />1806 Virginia <br />PLUMBING <br />MECHANICAL <br />NG. T <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE r_ <br />E'[ <br />LAVATORY ASH BASIN <br />ewILIP. ter, I <br />GAS FIRED AC. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B T.U. M EA, <br />KITCHEN SINK A DISP. <br />WALL HEATERS —BTIU. M <br />DISHWASHER <br />UNIT HEATERS — OT.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATED <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />—a <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C F.M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />_I <br />RCOF DRAINS — RAINLEAUERS <br />1 <br />Water Heater <br />amK(SERVICE — BAR. ETC <br />SUB TOTAL <br />f 2 <br />00 <br />SUB TOTAL <br />PERMIT <br />$ <br />PERMIT f <br />TOTAL <br />FEE <br />f <br />TOTAL FEE SI <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CLIECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LAREA <br />LOT <br />TE <br />OYES T DI NO <br />FEES <br />VALUATION <br />FEE <br />TYPE Of CONSL <br />OOCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX CDC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />KLERS <br />FIEOURE <br />MECHANICAL <br />12 <br />— -- <br />00 <br />RYES FIND <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1, ENVIRONMENTAL CHECKLIST <br />PENALTY <br />UBC <br />SEC 303(a) <br />12 <br />]E] <br />00 <br />2. BUILDING PLANS <br />TOTAL <br />3, FIRE HYDRANT <br />WHEN PROPERLY VALIDATED (IN THIS JPQC�) HIS IS 0�1HN'MOE O <br />a. FIRE PROTECTION SYS fEM PERMIT VALIDATION _A <br />— `'A <br />S. GRADING 33 UU LL <br />— E <br />6. DRAINAGE <br />_ <br />7. ENVIHONIAENTAL IMPACT STATEMENT FOUR RECEIPT <br />B. HEALTH DISTRICT <br />,,f ,yam <br />APPLICATION ACC. BY PLANS CHECKED BY MIUANCEFOR T`'{AN Ry I YOU <br />E <br />ADDRESS FILE <br />I <br />J <br />L. J <br />