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rheE�•ergrcen C7NSTRUCTION � - <br /> CITY OF — <br /> everett PERMIT pERMIT NO. 09531 <br /> CITY HAIL 259�8745 <br /> EVER�TT,WA g8201 ❑ COMBINATION ❑ BUILDING X�` MECHANICAL ❑ PLUMBING <br /> OWNEi MAILqUDRF55 CIiY ZIP PHONE <br /> REGINALD ANDERSON 8520 E Xavier 41ay Everett 98204 353-6223 <br /> ARCMIi[CiORDE5IGN[R MAIL/DDRE55 CIiY Zip PHONE <br /> GCNFPALCONiPAC10R MAILRWPE55 GiY ZIP PMONE IICEN5E1 <br /> Owner <br /> MECIIANICnL CqNiRACiOP MqIL ADDRE55 CITY $IP PMONE IICENSE I <br /> PLUAIBiNGCANTRRCiOR MAILAODR[55 CITY (IP PNONE �IC[NSE� <br /> CLAS$OF WORN <br /> K�IJEW ❑ADDI110N ❑A�7ERATION ❑q[pqlR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE <br /> VALWiION Df WORK _ <br /> S <br /> OESCRIBE WORK <br /> Install air-ti ht stove <br /> PROPOSED USE OF BUIlOING <br /> Resi dence I H[REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�oeseAianonoFraoreAtr�s�iowoe�owonnnncHFouaeoaies� PLICATION PND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oi e�ocK_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE CR CANCEL THE PRO� <br /> VISIONS Of ANY OTHER STATE OR LOCAL LA6N R[GULATING <br /> C UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB RDDRE55 SIGN R[OF CANiRACtO UiH iZED NGEki DniE <br /> 8520 E. Xavier Way X � 7/22/81 <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF FIXTURE OR li EM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOII,En AIR COND.UIJITS—H.P.EA <br /> BATHTUB REPRIGFRATION UNIiS—HP.EA <br /> _ L4VATORV�1YASH BASIN) BOILFRS—HP.EA. <br /> SHOwEP GAS FIRCD A.C.UNITS—TpNNAGE EA. <br /> KITCHEN SINK 8 DISR FORCED AIR SYSiEMS—B T.U. M EA. <br /> DISHWASHEF V����_L HGATERS—�.T.U. M <br /> LAUNDRV TRAY UNT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPOf7ATIVE COOLERS <br /> WATER HEATER CLOTHESORVERS <br /> URINAL VLNTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> __ FIOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> _ VACUUM 9REAKERS STWE <br /> ROOF DRAINS—RAINLEADERS METAL FlREPLACE 8 CNIMNEV <br /> SINK�SIRVICE—OAR ETQ) <br /> SUB TO7AL SUBTOTAL f <br /> PERMIT f PERMIT S <br /> TO7AL FEE S TOTALFEE S <br /> SIDE VARD SETBALK STRE[T SETBACK REAR YARD ScTBACK PLAN fHECK NUM�ER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE �OT AREA VACANT SITE <br /> LiYES f1�0 FEES VALUATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP N0.OF D\YELLING UNITS <br /> DUILDING g <br /> SIZE OP BLDG. NO.OF StOR1ES MA%.pCl;.LOAD <br /> PLUMOING <br /> FlRE ZONE BASEMENT FlRE SPRINNLERS <br /> f7�Y�E3"CDNO MLCHANICAL 14 5� <br /> APPROVALS BY DqTE OTi�ER <br /> L ENVIRONMLtJTALCHECKLIST <br /> PENALTY U B.0 <br /> 2. BUILOING PLANS SEC.303(a) <br /> 3. FIREHVDRANT TOTAL �4 5� <br /> 4. FIRE PROTECTION SYST[M PEqMIT VALIDATION <br /> 5. GRADING WHEIJ PROPERLY VALIDATED pN THIS SPACE)TNIS IS VOUR PERMIT <br /> 6. DRAINAGE a--{ <br /> 7. f:NVIRONMENTALIMPACTSTAiEMENT <br /> � � Ir . � �i .', i'. _ � <br /> 8. HEALT!'DISTflICT � <br /> n;,;.i_._ .,.. . .. , . ' ... <br /> � . l <br />