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! <br /> - ,,,���.�.A���° � ► �ONSTRUCTION <br /> CI1Y OF <br /> everett PERMIT pERMIT N0. 09787 <br /> CITV HALL 259�0745 <br /> eveaert.v✓a �ezoi ❑ COMBINATION ��UILDING � MECHANICAL ❑ PLIiMBING <br /> OWNER MLi�A0�RC55 piY 21P PMONE <br /> Laxry Franks 2009 Rucker Everett 9E3201 � <br /> RRCNRECT OR pC51GNEP MAIL AODRE55 CIiY ZIP PIIOY[ <br /> GENERNLCONTRACiOH MAI�qDDRE55 CIiY ZIP PnONE LIC[NSCI <br /> Natural <br /> MLC11ANiCALCqNiRAC10N MAILAD�RE55 p7Y 21P PMONE IICENSE� <br /> Naturat Gas Equipment 1611 �ast Grand Everett 98201 258-2441 <br /> PWIABiNGCONTRRGTOR MAILAODRESi CITY ZiP PHOt�E UCENSE� <br /> CLA55 OF WOnK <br /> ❑NEW ❑ADDiTION DALTERATIOH ❑REPAIR ❑DEMOLITION ❑Ff:NCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 5 <br /> DESGRI�E WORK <br /> PROPOSED USE OF BVILOMG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iec>i oescr�ivr:or+oFraocearvtsNoweE�owoanrTacHrouacormsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> iot_—e�ocK_cv TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GfiANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMA`JCE OF CONSTRUCTION. <br /> JOB AOCRF55 513NAi RL OF CANTRACTOP OF AUTIIORk'E�AGENT DAiE <br /> 2009 Rucker X L � 9/16/81 <br /> PLUMBIN6 MECHANICA <br /> NU. TVPE OF FI%TUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLO^ET QOILET) AIR fAN�.UMTS�—H.B EA <br /> BATHTUB REFRIGERATI04 UNITS—f1.P.EA <br /> L4VATOPY(WASH BASIN) UOIL[RS—HP.EA. <br /> SNOWER G�S FlRL')Af.UNITS—WNNAGE EA. <br /> KITCNEN SINN R DISR POV CF.�AIR SYSTEMS—B TL. ��BA. <br /> CISHWASHER Wl�LHEAiERS—E3T.U. M <br /> LAUNDRY iRAY UNIT HEATPPS--U T U. M <br /> CLOTHES WASHER EVAPORATWE COOLERS _ <br /> WATER HEhTER CLOTHESDRYERS <br /> URINAL VENTI'J�TION FAN <br /> �RINKING POUNTAIN RANf,E HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GEId. <br /> VACUUU BREAKERS STOVF <br /> RCOF DRAINS—RAMLEADERS METAL FlREPLFCF 8 CHIMNEV <br /> SINK(SERVICE—BAP [TCJ <br /> 1 Water Neater <br /> � <br /> �� — SUB TOTRL SUB TOTAL S 1 O S O_ <br /> PERMIT S PERIAIT f 00 <br /> TOTAL FEE t TOTAL FEE S <br /> ( SIDE YARD SL79ACK STREET SET9ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 1 FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �_IYES L7N0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.OF DWELLING UNITS <br /> DUILDING S <br /> SIZE O°BLDG. N0.OF STORIES M41(.OCG.LOAO <br /> PLUNBING <br /> FIRE ZONE BASEMENT FIHL SPRINKLERS <br /> REOUIRED MECNANICAL 13 SO <br /> ❑VES I1N0 <br /> � APPROVALS BY ORTE OTHER <br /> 1. ENVIRONMENTALCHECKLISi pENALTY U.BC. <br /> ? 2 6UILDING PLANS SEC.3031e) <br /> 3. FIREHYDRANT TOTAL 13 SO <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLV VALICATED(IIJ THIS SPACE�THIS IS YOUF PERMIT <br /> 5. GRhDING <br /> 6. ORAINAGE ' , i .. � I 7 :. '_ :� <br /> :. ENVIRONMENTALIMPACTSTATEMENT � <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PL4NS CHECKED PY APPR.FOR ISSUANCE BY ' ' j O <br /> � <br /> ADDRESS FILE � � <br />