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`�"`"�F�`�� � - CONSTRUCTIO; : <br /> everett PERMIT PERMIT NO. �L734 <br /> GITY HALL 259B7d5 <br /> EVEREtT.WA 96201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MPILADpPE55 LItV ZIP PNON[ � <br /> Madrona Apartments 2632 Rucker Avenue Evezett 98201 _ <br /> PRGNIiECi OR OESIGNER MRR AD�PE55 GITY 21P PNONE <br /> GEHERALCONiRACiOR MAILr1DDRE55 LITY ZIP PMONE ULENSE� <br /> MECHANIGAL CONiRRGTON MAIL ADORE55 GIiY ZIP PNONE LICENSE� <br /> Natvral Gas Equipment Co. Inc. 1625 East Marine View Drive 98201 258-2441 <br /> PLUMBING GONiRPGiOP MAIL ADDflE55 LITY ZIG PMONE LICENSE� <br /> LLA55 OF WORK <br /> O NEW ❑ ADDITION O ALTERAiION ❑PEPAIR ❑DEMOLITION ❑ PENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSEFT <br /> VAWRTION OF WOCK <br /> S <br /> DESCHiBE WORrc <br /> PROPOSEO USE OF BWLDING <br /> I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br /> APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br /> � -iecn�oescaivnonoFaaoacan�snowaE�owoaanncnFoueeoa�es� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> wT_e�ocK__cr _ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> 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 '_AW REGULATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOBRODRE55 YIGNAtUR[OFCONt P TOROR NOpIZFO�AGENt �ATE <br /> 2632 Rucker Avenue X / 11/28/83 <br /> PLUMBINU MECHANICAL <br /> N0. TYPE OF FI%TUNE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEFCLOSET�101LET� AIR COND.UIJITS—I..P.EA. <br /> BATHTUB REFPIGERATION UNITS— H.R EA. <br /> LAVATORV pNASH BASIN) 9011ERS—H.P. EA. <br /> SHGWER GAS FIRED PA.UNITS— TONNAGE EA. <br /> KITCHEN SINN 8�ISR FORGEC P�:/SYSTEMS— BS.U. M EA. <br /> DISMWASMER WALL NC�ATERS— B.T.U. M <br /> LAUN�RYTRRY UNIT HEATERS—BT.U. id <br /> CLOTHES WASHEP EVRPORATIVE COOLERS <br /> WATER MEATEH CLOTHES URYEPS <br /> URINAL VENTIIATION FAN <br /> URINNING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BPEAKER: STOVE—WOOD <br /> ROOP DRAINS— RA.VL!�DERS METAL FlPEPI ACE 8 CNIMNEY <br /> SINN�SERVICE—BA�,',�Q� FIFEPLACF.INSERT <br /> HEATPUMP <br /> 1 Water Heater 4 50 <br /> SUBTOTAL 3 SUBTOTAL 5 Q SO <br /> PERMIT f PERMIT S O OO <br /> TOTALFEE S TOTALFEE S <br /> SIOEYARDSETOAf.K STREETSETBACK PEAR VApD SETBACN PLAN GHECK NUMBER PLAN GHECKFEE <br /> PEE RECEIPL N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> � YES � NO FEES VALUPTION FEE <br /> TYPE OF WNST. OCGUPANCY GR0�1P NO.OF DJJELLING UNlis <br /> BUILD�I:G f <br /> SIZE OF OIDG. NO.OF STORIES M�X,OCC, LOAD — — <br /> PLUMBING <br /> FIRE ZONE BASCMENT REOIISRED NLERS MECMANICAL ,LQ SO <br /> YES NO <br /> APPPOVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CMECN LIST pENALTY U B.C. <br /> SEC.70J la� <br /> 2.BUILDING PLANS LQ SO <br /> J.FIPE MV�RANT TOTA� <br /> a.FIRE PROTECTION SVSTEM FERMIT VALIDATION <br /> 5.GRADING VMEN PNOPERLY VALIDATE���N THI�S��Cg THIS Q�O�IF�P�R1�1 T�—� , <br /> 8.DR.IINAGE <br /> 7.EHVIAONMENTAL IMPACT STATEMENT � <br /> B.HEALTNDISTRICT � . '; �.:���IPT� <br /> APPLICATION ACC.BY PLANS CMECKEO BV APPR FOR ISSUANCE BY ,, , �., �,�-, �J <br /> I <br /> �' � �v� Ui <br /> ADDRC55 FIIC <br />