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III <br />- CETY NALL 259 8715 EVE' RMIT NO. <br />EVERETT, WA 9820T ❑ COMBINATION BLIILDING ❑MECHANICAL C PLU <br />OWNMBING <br />CR FbIF ADDPf55 <br />CITY <br />(.LNE PAL CONTRAOTOR MAII ApOPfSS <br />GTY ZIP PII@IE LICENSE <br />MICIfA N�pAI CORIIUCTOP MAII AOpRE55 <br />Self GTY 21P HONE ILENSEI <br />PLUMBING CONTMuon MAIL ADDRESS <br />CITY ZIP PHONE LICENSE <br />C LASS OF WORK <br />❑NEW []ADDITION 11Al1ERATION ❑REPAIR ❑DEMOLITION EkENCE ❑SIGN ❑GARAGE <br />VALUATION OF <br />S500.00 <br />Ufed cpalone f`nce 4211 Front 48a Side and rear <br />— PLa.IV i run UI PR )PEB1Y (SHOW BLLOW OP ATTAIN FOUR COPIES( <br />tOT UL K_OI Nh NI! 114 20-29-5 <br />size <br />!OP AOORLSS <br />PLUMBING <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 />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />WiESUME 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 />S+GNAIURE OF CONTMCTOR OF AUTHORIZED AGENT DATE <br />X ! r. . �', 1 8-23-79 <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />_ FEE <br />NO.=-H,P. <br />PE OF EQUIPMENT <br />WATER CLOSET (TOILET <br />_ <br />AIR S -- H P. EA. <br />BATHTUB <br />REFUNITS - N.P, FALAVATORY <br />(WASH BASIN) <br />ROI. EA.SHOWER <br />"FEE <br />GASUNITS - TONNAGE EA.KITCHEN <br />SINK A DISP. <br />FORSTEMS - p T UDISHWASHER M EA.WAL- <br />B T.U. M <br />UNIT HEATERS -BT.U. M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />_ _ <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />,11R HANDLING UNIT -CF.M. <br />VACUUM GREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC I <br />SUBTOTAL <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT S <br />70TAL FEE S <br />SLUE VAFU SET 13ACK SiRLET SETBACK NEAR YARD SETBACK <br />TOTAL FEE S <br />PLAN CHECK NUMBIiR <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />JSE ZONE <br />LOT AREA <br />VACANT S11L <br />('YLS L,NE, <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />iI71[ OF BIDE. <br />NO. OF STORIES <br />!,Iqx. OCC LOAD <br />BUILDING <br />S <br />PLUMBING <br />IRE ZONL <br />BASLMLNI <br />FIRE SPRINKLERS <br />MECHANICAL <br />REQUIRED <br />AYES LINO <br />BY <br />DATE <br />OTHER <br />ENVIRONMENIAL <br />_ <br />BUILDING PLANSSEC <br />PENALTY <br />UBC <br />30313) <br />FIRE HYDRANTTOTAL <br />FIRE PROTECTION_ <br />PERMIT VALIDATIONGRADINGWNCN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT <br />M <br />DRAINAGELNVIRONMENTAL <br />OHEALTH <br />I <br />DISTRICT <br />coPLICATION <br />ACC B <br />BY <br />APPR. FOR ISSUANCE BYO <br />0 <br />STATE AUDITOR <br />i <br />L <br />