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,"e�`����YOF ^ONSTRUCTION <br /> everett PERMIT <br /> GiV HALL 259�8745 PERMIT NO. I O 9 H 5 <br /> ev�_aerr,wn sezai ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUM8ING <br /> UNN[H MAILAUOP[55 CITY ZIP PNONE <br /> � Gladys Currie 1420 Rucker Everett 98201 <br /> APCHIiECi OR pESiGNER MAII ADDRC55 CITY ZIP PHONE <br /> f.CqlBAL�JN�i9AC10R AIAILAOORCSa CIiY .A VHONE UCEN$[I <br /> hILCHANIGLCONTflACTOR MAi�qODPE55 CIiY Z�p <br /> PMON[ �ILENSE� <br /> Natural Gas Equipment 1611 Enst Grand Everett 98201 258-2441 <br /> PIUMNINGWNiRACiOF MA�LADD�E55 CRY ZIP FNONE IICENSEI <br /> CLFSS OF WORN I <br /> { <br /> ❑NEW ��ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARA6E <br /> VA��iAiIONOF WORK <br /> 4 <br /> OCSGRIBL WORk <br /> PR01'OSE�USE OF 6Uil01NG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecn�oescaicuorvoFvaovearrisr�owoe�owoan.TncNFouawPiesi PLICATION AND KNOW THE SAMF TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDIIJANCES GOVERNING THIS <br /> wr u�oc«_or TYPE OF WORK WILL BE CC�`.1PLIED WITH WHLTHER SPECIFIED <br /> I HEREIN OR NOT. THE GRANTING OF A PEHMIT DOES NOT <br /> PRESUME TO 61VE AUTHORITY TO VIOLATE OR Ci1NCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR IOCAL LAVJ REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �09AUDPE55 S�GN 1 I�tO1�CCNi� ' RORAU��IOH12CDPGCNi UAiE <br /> 1420 Rucker X QY�.L' �l4`j�1G1U�v 9/10/82 <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF FIXTU�'t OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> l:'ATER CLOSET(TOII ci) _ AIR COND UNiTS—11 P GA <br /> BA7HTUf7 RCPRIGERAfION UNITS—M P.EA <br /> _ LAV�IOPV�WASM BASIN) pOILERS—H P EA <br /> SHOWER CA5 FlpLD AC UNITS— <br /> TONNA6EGA. <br /> KITLHEIJ SINK P.OISP. FOHCE�:IR 51BiEM5—�T.U. M EA. <br /> DISHWASN_A 17ALlH[N[RS—uT�l M <br /> IAUNC�R�TRAV UNI711EATERS—pT.U. M <br /> _ CLOTNGS WASHER EVAFOqATNEC00LER5 <br /> WATEP HEATER CLO7HF5 URVEHS <br /> Uf�INAL VEN11lATION FAN <br /> CRINHING PoUN7AIN f�nNGE HOOD <br /> FLOOR DH41N AIR HANDLING UNIT— C F.M <br /> VACUUM17�REAKFRS STOV[ <br /> ROOF ORAINS—PAINIEADERS METAL FIREPLACE R CHIMNEI' <br /> siNK�ser�vice—�an.�rc� 1 Conversion Burner 4 50 <br /> _ SUB TOTAL SUBTOTAL S Q <br /> __ PERMIT S PERMIT 5 <br /> 'OTALFEE S TOTALFEE S <br /> '.I�i: YARD$EIBACN 5TqEET SE1tlACK R[AR YARD SETBhCK fIAN CHECK NUMOF(1 P�AN CHCCH FEE <br /> FEE FECBPT NO. <br /> USE ZONE l0T AREA VFCANT SITE <br /> :�.VES [1N0 FFES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV G170UP NO.OF DWELLING UNITS <br /> OUILDING g <br /> J SqE OF DLDG NO pF STOH¢5 61A% OCC LOAD _ <br /> PLUM�ING <br /> PIRF ZON[ �3ASEMEM FlRE SfRINKLERS <br /> RWUIP[D MECHANICAL '] SO <br /> IIYE$ � N0 <br /> APPROVAIS BY DATE OTIIER `ii <br /> i. ENVIRONMENiALLHGCKIJ51 p[NALTY U.BC. <br /> 2. BUILD'NG PL4N5 SEC.303(a� <br /> 3. FIRE hIYDRANT TOTAL 7 S O <br /> n FlRE PROTECTIGN SVSTEM PERMIT VALIDATION <br /> WHEN PqOP[RLY VAIIDATED�IN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADING �(''� <br /> fi. DNAINAGE 7 3 N 9 t O 0 7. �Q ��� .. <br /> L L • � Y <br /> L ENVIRONMENTAL IMPACT STAT�AIENT � � � <br /> 8. HEALTH DI�TRICT � 1t Q <br /> APPLICATION ACC.BY PLAN$GHECKEU BY APPR.FOR ISSUANCE BY 11 O1U� 'REC E I Pt� <br /> 7HANl; YO U <br /> ACDRESS FILE I O � gZ <br />�, <br />