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ihe £rer�recn � �C�N ST R U CT I 0� • <br /> 0:•�O� � <br /> everett PERMIT PERMIT N0. 15HH9 <br /> CITY HALL 259�87d5 <br /> EVERETT. NA98201 � COMBINATION ❑ BUILDING 3E�'Xl MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRESS CITV ZIP PNONE <br /> Thomas Grenier 1503 Rucker Avenue Everett 98201 252-1276 <br /> ARGNIIELi OR OESIGNER MAIL RDONE55 LITV ZIP PNONE <br /> GENERPLCONTR/GTOF MlILFDORE55 CITY ZIP PMONE LICENSE• <br /> MEGHANILAL CONiRACIDN MAIL AD�RE55 CITY ZiP PHONE LICENSE� <br /> Same <br /> PLUMBING GONTFACTOR M/IL F�ORE55 CIiY ZIP PHONE LICENSE I <br /> GLASS OF WORR <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ]{�I WOOD STOVFIFIREPLACE INSEHT <br /> VALUATION OF WOPK <br /> S <br /> DESCRIBE WORK <br /> install wood stove <br /> PROPOSED U�E OF BUILDING <br /> 1 HERFBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCPIPTION OF PROVERTY�SNO\Y BEL01Y OH ATTAGM FOUR GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BLOCK,_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHEI�HEH 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 THE <br /> PERFOR ANCE OF CONSTRUCTION. <br /> JOB RpDFE55 5 OF GONTqAC OR AUT RREO RGENT� DAtE <br /> 1502 Rucker Avenue X 1/3/86 <br /> PLUMBING MECMA ICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR CONO.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATOPV�WASH BASIN� BOILEHS— M.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS — TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCE�AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TFAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASMER [VAPORATIVE COOLERS <br /> WA�ER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SR1K(SERVICE— BAR,ETC.1 FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUBTOTAL f � 5 <br /> PEflMIT S PERMIT f lO <br /> 1 OTAL FEE S TOTAI FEE f 17 50 <br /> SIDE YAflD SETBACK STREET SETBACK REAR YARO SETBACK PLAN CHECK NUMBER PLAN CHeCR FEE <br /> FEE RECEIPT NO. <br /> USE ZO^:E LO�AREA VACANT SITE <br /> : YES �NO FEES VALUATIUN FEE <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.OF�WELLING UNITS <br /> BUILOING S <br /> SIZE OF B;DG. N0.OF STOFIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BNSEMENT FIRE SPRINKLERS MEG�1<NICAL 1� SO <br /> REOU�fiED <br /> VES NO <br /> APPflOVALS BY DATE OTMER <br /> 1.ENVIRONMENTAL CNECK LIST PENALTY U.B.C. <br /> 2.BUILJ'�NG PLANS SEG.303�a) <br /> 3.FIREHYDRANT TOTAL 1� SO <br /> d.FIRE PROTECTION SYSTI:M PERMIT VALIDATION <br /> 5.GRADING WHEN PROPEFLV VALIDATEO pN THI6 BP�CE)TNIS(iSryQUl�P[iip1T Q'H <br /> r � b dil I / Jll cE <br /> 6.ORAINAGE � <br /> 7.ENVIRONrv1ENTALIMPACTSTATEMENT � <br /> B.MEALTH DISTRICT � �-�I� I � <br /> APPLICATION ACC.BV PLANS CHECKED DY APPR.FOR ISSUANCE BY '� '� - " � � <br /> � � �. � ' `.��_�� U <br /> - :; , �I �u <br /> ADDRESS FILE <br />