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1helicrilrrPrt � -� -����'TRUCTIOP' <br /> pic C' <br /> everett PERMIT PERMITNO. 1Z7� -1 <br /> CITY NALL 2598]d5 <br /> EVERETT.lYA98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> owr�ea Mai�aooecss arv nc vHo�+c <br /> Dale Bly 1321 Rucker Everett 98201 <br /> ' ARCHRELi OR DESIGNEP M<IL A�OPESS GITY Zi� aMONE <br /> GENEPAICOHTNALiOP M41L�ODRL55 LRY Z�P PHDNE LICENSE� <br /> MECMNNIL4L GONiPAGiOR MPIL ApORE55 GIiY ZIP PHONE LICENSE� <br /> Natural Gas Equipment Co. Inc. 1625 East Marine View Drive Everett 98201 258-2491 <br /> PI.UN91rvG GOrviNACiOR MAIL a0�AE55 QiY ZIP PMONE LICENSE� <br /> f,LA55 OF WORF <br /> ❑NEW ❑ ADDITION ❑ ALiERATION ❑REPAIR ❑ UEMOLITION ❑ FENCE ❑SIGN ❑ VJOOD STOVFJFIREPLACE INSEPT <br /> VAIWiION OF WORN <br /> f <br /> DESCRiBE WORN <br /> PPOPOSE�USE OF BURDirvG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG4LOESCRIPilONO(PPOPENTYISN0IYBFLOWORRTTACMFOUPGO%E5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> l01_BLOGn_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br /> PERFORMANCE OF CONSTRU TION. <br /> JOBFOORESS SIGNATUREOFC NLRA i RORAUiMOR E AGENh OATE <br /> 1321 Rucker X 11/28/83 <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FI%TUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEL <br /> WATEflCLOSET�TOILET� AIP COND.UNITS— H.P.EA. <br /> BATMTUB PEPRIGERATION 11NIT3—M.P.EA. <br /> LAVATORV(WASH BASIN� BOILERS—H.P.EA. <br /> SMOWEP GAS FIRED A.C.UNITP —TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCEO AIF SYSTEMS— B.T.U. M EA. <br /> OISNWASHER V7ALL NEATERS-- B.T.U. M <br /> LAl1NOR1"PAY UNIT MEATERS— B.T.U. M <br /> CLOTMES WASHEfl EVAPORATIVE GOOLEFS <br /> WATER MEATER CLOTHES ORVERS <br /> URINAL VENTILATION FAN _ <br /> DRINNING FOUNTAIN PANGE MOOD <br /> FLOOR ORAIN Alfl MANDLING UNIT— C.F.M. <br /> VAGUUM BREANERS STOVE—WOO� <br /> ROOF DRAINS— RAINLEA�ERS METAL FIREPLACE 8 CHIMNEY <br /> SINN�SERVICE—BAF.F.TC) FIREPLACEINSEPT <br /> HEAT PUMP <br /> Water Heater 4 50 <br /> SUB TOTAL S SUB TOTAL f 4 50 <br /> PERMIT f PERMIT f LO OO <br /> TOTAI FEE f TOTAL FEE f Q <br /> SIDE YARO SETBACK STREET SETOACK PEAR VARD SETBACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> USC ZONE l0T AREA VACANT SITE <br /> - VES I-.NO FEES VALUATION FEE <br /> TYPE OF LONST, OCGUPANCY GROUP NO.OF DWELLING 11N1T5 <br /> BUILDING 8 <br /> SIZE OF BLDG NO.OF STORIES IAA%.OCC lOAO — � <br /> PLLIMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKIERS MECHANICAL ],Q� 57 <br /> REOUIREO _ <br /> Y[5 NO — <br /> APPROVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CHEGK LIST PENALTV U B.C. <br /> SEC.303 la� <br /> 2.Bl11lDING PLANS <br /> ipTp� 14 SO <br /> J.FIRE HVOHANT <br /> 4 FIRE PROTECTION SVSTEM PEPMIT VAlIOATION <br /> S.GRADING WHEN PHOPERLY VALIDATED pN TM16$PqC,�)TMI5�15n1'QU[j P�Fi�}IT � <br /> 461t� .DU 1 9 7U <br /> � 6.ORAINAGE � <br /> 7.ENVIRONMENTALIMPACTSiAiFMENT N <br /> 8.HEALTH DISTRICT '!('�; � n� ��r�PT�--� <br /> APPLICATION ACC.BV PLANS CHECNED BY APPR.FOR ISSUANCE BY -I r� ���� <br /> � . , �.� <br /> . . ,. ..� �i �_: <br /> . , �, li l'�J <br /> iiL'C'.i.iS i��"�I <br />