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if <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />"YONSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING XX MECHANICAL <br />PERMIT NO. 13775 <br />PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />Jp <br />PHONE <br />Riccardo's 3201 <br />Rucker Avenue Everett _ <br />98201 <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />CITY <br />21P <br />PHONE LICENSE A <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />1625 <br />East Marine View Drive <br />98201 <br />258P2oN41 <br />Natural Gas Equipment Co. <br />Inc. <br />LICENSER <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />CLASS OF WORK <br />❑ NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S <br />PROPOSED UBE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT -BLOCK -OF <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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT '.RE OF CONIBA R OR UTHORIZED AGENT B/rgE/84 <br />JOB ADDRESS <br />3201 Rucker Avenue <br />X <br />PLUMBING <br />MECH <br />NICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET JTOILET) <br />AIR CONO. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS — B.T.U. M <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />— <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />— <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />BREAKERS <br />STOVE — WOOD <br />VACUUM <br />AM <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />1 <br />Water Heater (Commercial <br />6 <br />00 <br />SUBTOTAL S <br />6 <br />00 <br />SUB S <br />PERMIT $ <br />10 <br />00 <br />PERMIT S <br />TOTAL FEE S <br />16 <br />OO <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEE" <br />VALUATION <br />FEE <br />❑YES ENO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />RIRE IREEQUISPR <br />RED SPRINKLERS <br />MECHANICAL <br />16 <br />00 <br />.'YES .. NO <br />APPROVALS <br />BY DATE <br />OTHER <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />16 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />1T U2 <br />WHEN PROPERLY VALIDATED (IN THI$ SPA 7) THISL/S jjq PTU <br />I b ll <br />5. GRADING <br />i D <br />_ M <br />•� -T' 'PTT--� <br />I ,� .� `. U <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />' I il�i'a U ll <br />Z <br />0 <br />n <br />m <br />L_ <br />