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�hr£�r�,¢rcen + �ONSTRUCTIO� ` <br /> �VCr��� PERMIT PERMIT NO. 15819 <br /> GTY HALL 259 B7d5 <br /> EVERETT,WA99201 � COM6INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MhIL A[IORF55 CIiY Z�P PMONE <br /> Richard Olaen 4730 SQahurst Everett 98203 259-1364 <br /> ARCNrtEGT OP�ESiGNEN MAIL A�DRE55 GTV ZiP PMONE <br /> GENENPL GONTRFGTOR MIIL ADORESS C�TY ZIP PMONE UCENSE� <br /> MEGNFNICAL WNTPAGTOR MAIL AODRE55 CITY :iY PMONE LICENSE� <br /> PLUMBING GONTRAGtOR MAII ADDRESS QTY ZIP PMONE UCENSE� <br /> Same <br /> CLA55 OF WOIiR <br /> ❑NEW ❑ ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br /> V/LUAiION OF WORN <br /> 5 <br /> �ESCPIBE WORK <br /> Replace water line <br /> PP]POSED USE OF BUIL�MG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ccnioescnianor+aFvaoaeaTr�s�+owee�owoennncMFouecovies CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocn_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHEF 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 REGULATING CONSTRUCTION OR THE <br /> PERrORMANCE OF CONSTHUCTION. <br /> J06 ADDRE55 SIGNATURE OF CONiF CTOP OP iN0 ED A E T DATE <br /> 4730 Seahurst X � � -�- 6 S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND.UNITS — H.P.EA. <br /> BATNTUB REPRIGERATION UNITS— M.P. EA. <br /> LAVATORV(WASH BASIN� BOILEHS— H.P. EA. <br /> SHOWFfi GAS FIREO A.C. UNITS—TONNAGE EA. <br /> KIiCHEN SINK 8 OISP. FORCED AIR SVSTEMS— B.T.0. M EA. <br /> DISHWASHER WALL MEATERS— B.T.U. M <br /> LAUNDRYTRAV UNIT HEATERS— BT.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DflVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FLOOR DRAIN AIR MANDLING UNIi— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> flOOF DHAINS— RAINLEADEflS METAL FIfiEPLACF 8 CHIMNEV <br /> SINK�SEflVICE— 6AR,ETC.) FIREPLACE INSERT <br /> MEAT PUMP <br /> SUBTOiAI i SUB TOTAL S <br /> PEHMIT S PERMIT f <br /> TOTAL FEE S iOTAL FEE 5 <br /> SIDE YAH�SETBACK STREET SET�ACK REAR YARD SETBACK PLAN CNECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> VES NO FEES VALUATION rEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BWLDING 5 <br /> SIZE OF�LDG. N0.OF STORIES MA%.OCQ LOA� <br /> PLUMBING � <br /> FIflE ZONE BASEMENT FIRE SPRINNLERS MECHANICAL <br /> qEOUIREO <br /> YES NC <br /> APPROVALS BY DATE OTMER <br /> L ENVIRONMENiAL CHECK LIST PENALTY U B.C. <br /> SEC.9D3(a) <br /> 2.BUILOINGPLANS TpTAL S OO <br /> 3.FIFE HVDRANT <br /> d.FIFC PROTECTION SYSTEM PERMIT VALIOATION <br /> WNEN PROPERLY VALIDATED�1N THIS SPACE)THIS IS YOUR PERMIT (f� <br /> 5.GRADING � <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.HEALTH DISTRICT � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FORISSUANCE UY <br />