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_ -, <br /> dreE��rrxrecn - �pNSTRUCTIOf� <br /> oT��Or <br /> everett PERMIT PERMIT NO. L� `-' � 7 <br /> CITV FIALL 259�07d5 <br /> EVERETLVJA9B201 ❑ COMBINATION ❑ BUILDING 7�1 MECHANICAL ❑ PLUMBING <br /> OWNER MAILAO�RESS CITY Z�P PMONE <br /> James Hopkins 1711 Rucker Avenue Everett _ °3201 <br /> PRCMrtECT OP�ESIGNER MAIL ApOBE55 GTY 2iP PMONE <br /> GENERAL GONTRPLiOii MAiL qDORE55 CITV ZIP PMONE UCENSE� <br /> MECMRNIC>L COKiRACTON MAIL ADDRE55 LITY ZIP PHONE LICENSE• <br /> Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br /> PLUMBING CONiRACiOR MAIL ADDNE55 CITY 21P PHONE LICF.NSE 1 <br /> C�A55 OF WORK <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUNTION OF WOPK <br /> S _ <br /> OLSCRI9E WORN <br /> PROPOSE�115E OF BUIlOiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXA'dINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iecn�oeseairnor+oFaaoaea*r�snowee�owoRnnnaiFavaeoaies� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_n�ocK_ov GOVERNING THiS TYPE OF WORK WILL BE COMFLIED WITH za <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRAPiTING OF A � <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY �O VIOLATE � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR m <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE " <br /> PERFORMANCE OF CONSTRUCTION. <br /> .IOB AD�RESS SiGNP RE OF LGNiHACTOR OR AUTHOPIZED RGENi DATE �...� <br /> 1711 Rucker X u,-�-(�.t L_(� �,� .�, 6/20/84 �� <br /> PLUMBING MECHANICAL N m <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE C v <br /> AIR COND.UNITS- H.P. EA. m O <br /> WATER CLGSEi�TOILETI n <br /> -I C <br /> BATHTUB REfRIGERATION UNITS - H.P. [A. O m <br /> LAVAIORYIWASH BASIN� BOILERS - M.P. EA. _ � <br /> SHOWER GAS FIFED A.C.UNITS-TONNAGE EA. r*1 <br /> Y.ITCMEN SINK 8 DISP. POHCED AIR SVSIEMS- B.T.U. M EA. .O Z <br /> DISHWASMER WALL MEATERS- d.T.U. M � _ <br /> LAUNORYTRAY UNIT HEAIERS- B.T.U. M �-" �-^ <br /> -1 N <br /> CLOTMESWASM6H EVAPONATIVE COOLERS � <br /> T <br /> WATER HEATER CLOTHES DFVERS <br /> „ a <br /> URINAL VENTILATION PAN � m <br /> DRINKING FOUNTAIN RANGE MOOD <br /> mN <br /> FLOOR ORAIN AIR HANDLING UNIT - C.F.M. <br /> VACUUM BREAKERS STOVE - WOOD O r <br /> ci m <br /> ROCF 09AINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY C N <br /> � � <br /> SINK�SERVICE- BAR,[TG) FIREPLACE INSERT m <br /> HEFT PUMP "'� r <br /> • m <br /> 1 {9ater Heater 4 50 A <br /> -a <br /> x <br /> � p <br /> SUB TOTAL S SUB TOTAL f �_� Z <br /> PEHMIT S PERMIT S ZO OO = <br /> TOTAL FEE S TOTAL FEE S ZQ SO N <br /> SIDE YAPD SETBAGK STREET SEl'BAf,K HEAR VARD SETOACK PLAN CHECK NUMBEfl PLAN CHECK FEE Z <br /> FEE RECEIPT NO. O <br /> --I <br /> USE ZONE LOT AREA VACANT SITE " <br /> . YES � NO FEES VALUATION FEE m <br /> TVPC OF GONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING f <br /> SIZE OF BLOG. NO.OF STORIES IdAX.OCQ LOAD - <br /> PLUMBING <br /> FIR[ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 1�} SO <br /> REOUIPED <br /> VES NO <br /> APPROVAI.S BY �ATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIuT PENAITY U.B.C. <br /> SEQ 903�a) <br /> 2.BllILDINGPLANS TOTA� 1Q SO <br /> 3.FIRE NVOPANT <br /> 4.FIRE PROTECTIDN SYSTEM PERMIT VAI.IDATION <br /> 5.GRADING WMEN PRO?ERLY VALIDATED�IN iMIS$PAC9 THIS�IS�'�f� P�IIv�1T_I�, <br /> I{ I �� <br /> 6.DRAINAGE � <br /> ZENVIRONMENTALIMPACTSTATEMENT M <br /> " 8.MEALTH DISTRIC7 . I �� .I I�1 � <br /> APPLICATION ACC. BY PLANS CNECKED BY APPR. FORISuUANCE BY <br /> '�� � :1 <br /> � <br /> � r <br /> 1 l". <br />