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ihr 6�r�•rl'ri•cri �• �O N ST R U C T I O I� � <br /> everett PERMIT PERMIT NO. 1�192 <br /> CITY HALL 259�6745 <br /> EVERETT,iNA 98201 � COMBINATION ❑ BUILDING C�X MECHANICAL ❑ PLUMBING <br /> 01'MER �,1AiLADDRE55 CIT� Z�P PNONE <br /> Paul & Nancy Cobbs 1228 Wetmore Everett 98201 259-2448 <br /> ARCNIiECT OR�ESIGNER IdAIL ADOPE55 CITY 21P PNpNE <br /> GENERAL CONtHACiOF MAR ADOPESS CITV 21P PNONE LiCENSE� <br /> MECNANIGAL CONTRAGTOR MAIL ADOPE$$ GITV ZIP PMONE LILENSE♦ <br /> Same <br /> PLUMBiNG CONT9ACTOP MAR AODRESS CITY ZIP PMONE LICENSE� <br /> CLA55 OF WORK <br /> �NEVJ ❑ AODITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � VJOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF 1YORN <br /> S <br /> DESGRIBE 1NORN <br /> Install wood stove <br /> PROPOSEO U58 Of 6UILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESGNIPiION OF PqOPEHTV�SMOW BELOW OH ATTACH FOUR COPIE51 APPLICATION AND KNOW THE SAME TO BE TFUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOi_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT OOES 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 /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADOFE55 SIGNATURE OF CONTRlCTO�R]OR AUiMOP12ED AGEN7 OATE <br /> 228 X 1,;.� l".[��at/ Zl�Z��BI} <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTUflE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILE� !JR COND.UNITS— H.P. EA. <br /> BATMiUB REFRIGERAT!ON UNITS— H.P.EA. <br /> LAVATOFY(WASHBASIN) BOILERS — M.P. EA. <br /> SMOVJER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KITCMEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> �ISMWASHER WALL MEA7ER5— BT.U. M <br /> LAUNORY TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOiHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS 1 S10VE —WO00 � SO <br /> ROOF DRAINS— (IAINLEqDERS METAL f!REPLACE R CHIMNEY <br /> SINK�SERVICE— BAR, ETC� FIREPLACE INSERT <br /> MEAT PUMP <br /> SUBTOTAL a SUB TOTAI f % 7U <br /> PERMIT 5 PERMIT S 1O OO <br /> TOTAL FEE 5 TOTAL FEE f 1'I SO <br /> SIDE YAflD SEIBACK SiREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHF.Ch PE� <br /> FEE RECEIPi NO. <br /> USE ZONE LOT AREA VACANT SITE — <br /> VES . NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP N0.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBINC <br /> FIREZONE BASEMENT FIRE SPflINKLERS MECMANICAL 1� SO <br /> REOUIRED <br /> VES NO <br /> APPflOVALS BY DATE 07HER <br /> 1.ENVIRONMENTAL CHECK USi PENA�T� U 8 C. <br /> SEC.303(al <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL 1� SO <br /> 6.FIRE PRO1ECilON SYSTEM PEHMIT VALIDATION <br /> 5.GRADING \NMEN PROPERLY VALIOATED QN THIS SPACE)THIS IS YOUR PERMIT (V <br /> 6.DRAINAGE I � '- - � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.MEALTH�ISTRICT <br /> a"r <br /> APPLICAiION ACC.BV PLANSCHECKED 0Y APPR.FORISSUANCE BY ' ' <br /> I <br /> AUDRESS FlL[ ' ' <br />