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`'" `'c,�"�° CONSTRUCTIG �+I <br /> ��,� �� � <br /> everett PERMIT PERMIT NO. �3134 <br /> CITY MALL 159�8745 <br /> EVERETT,WA9B201 ❑ COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING <br /> OWNER MRILADORE55 dTY ZiP PMONE <br /> Rnlph �1cCarty I718 Rucker Avanue Everett 98201 355-4680 <br /> RPGHITEGI OR DESIGNER MAIL RO�RE55 CITV ZIP PHOYE <br /> GENERPL CONTPAC'OR MRII RDDRE55 GITY ZIP PMONE UCEHSE/ <br /> MEGH�NIGILCONiRAGTOR MRILADDRE55 GITY Z�P VMONE L�CENGE� <br /> Gas Appliance Service 1103 North 36th Seattle 98103 632-5000 <br /> PWMBING CONTRPQOR MNIL AD�RE55 Q7Y ZIP PMONE UCENSE� <br /> GA SA PI 371 NT <br /> CU55 OF WORN <br /> ❑NEW O aD01TI0N O AITERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSERT <br /> VALU�TION OF WORK <br /> f <br /> oEscaiee wonn <br /> � <br /> PROPOSED USEOF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �f"�' <br /> APPL�CATION AND KNOW THE SAME TO BE TRUE AND l+7 <br /> LEG�L DESGPIPTION OF FROPERTY�SNOW BELOW OH ATTACM FOUR COPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF 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 STPTE OR <br /> LOCAL LAW EGULATING CONSTRUCTION OR THE H '~*1 <br /> PERFORMA E F�ONSTRUCTION. N � <br /> JOBRODRE55 SIGNRTUREC� TR TOPfORAUTMORIZE�AGENT DATE � <br /> ].718 Rucker Avenue X � � Y ,{l� � _ 3/20/84 y� <br /> � � � <br /> PIUMBINO MECHANICAL y <br /> O <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATERCLOSET�TOILET) AIR COND.UNITS- N.P. EA. <br /> BATHTUB REFRIGERATION UNITS- M.P.EA. Z <br /> LAVATORY(WASM BASIN� BOILERS- H.P.EA. � <br /> SHOWER GAS FIRED A.C.UNITS- TONNAGE EA. <br /> f+ <br /> KITCHEN SINK d DISP. FORGED AIR SVSTEMS-B.T.U. M EA. fA <br /> DISMWASNER WALLliEATERS- BT.U. M <br /> LAUNDRY TAAY UNIT MEATERS- B.T.U. M � <br /> CLOTHESWASMER EVAPORATIVECOOLERS <br /> CLOTHES DRYERS �"� <br /> WATER MEATER — fA <br /> URINAL VENTILATION FAN � � <br /> �RINKING FOUNTAIN RANGE MOOD <br /> FLOOR DRAIN AIR MANDLING UNIT - C F.M. <br /> VACUUM ePEAKERS STOVE- WOOD , � <br /> ROOF DPAINS - RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK(SEFVICE-BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP � <br /> iping 2 00 <br /> x <br /> H <br /> SUB TOTAL i SUB TOTAL f 32 00 N <br /> PERMIT S VERMIT S LO OO � <br /> TOTALFEE S TOTAL FEE � H <br /> SIDE YAHD SETBACK STREF.T SETBACK REAR VARD SF.TBACK PIAN CHECK NUM6ER PLAN CMECK FEE (� <br /> FEE RECEIPT NO. ��� <br /> USE ZONE LOT AReA VACFNT SITE FEES VALURTION FEE <br /> YES ' NO <br /> TVPF.OF GONST. OCCUPANCY GROUP NO.OF DWELIING UNITS <br /> BUILDING s <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT qE0U5RED+KLEPS MECHANICAL 42 00 <br /> VES NO <br /> APPRCVRLS BY DATE OTMEH <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENAi.fY SEG.30]la� <br /> 2.BUILDINGPLANS 42 00 <br /> — TOTAL <br /> 3.FIRE HVORANT <br /> d.FIRE PRO i ECTION SYSTEM oEflM�T VRLIDATION <br /> WNEN PROPERLY VALIOATE�pN TH�S,$P��E)TMI�I^�VpUR7 P�F�.11T � <br /> S.GFADING .S �� L L �� <br /> 6.DHAItJAGE c—� <br /> 7.ENVIRONMENTAL IMPACT STATEMENT r M <br /> 8.MFALTH DISTRICT ' . , , , , . �,r I 1 I � <br /> APPLICATION ACC.BY PLANS CMECKED BY APPR. FOR ISSUANCE BY <br /> i l U <br /> i <br /> i <br /> PD!iRG55 I ILE <br />