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_ . , <br /> � - <br /> � <br /> iheErc!ivoF � �7NSTRUCTION � � <br /> everett PERMIT pERMIT NO. OS31O <br /> CITY HALL 259�87d5 <br /> eveReTT.wA 4ezo� ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ pLUMBING <br /> OWNEq MAILRDDPE55 (;IiY 21P PIIONE <br /> L. MAkK STRAIGHT 1516 Wetmore Everett WA 98201 252-0824 <br /> ARCHIiECi OP DESIGNLR MAIL ADDRE55 CITY 21P PIIONE <br /> GEN[RPLCANiRACTOR MAILADDRE55 CITY 21P PHONE UCF.NSEI <br /> MCCMANICALCqNTRACTOR MAILADDRE55 pTY 21P PNONE UCCNSE� <br /> Self <br /> VLUMBINGfqNTRALTqi MAILR�DRE55 CITY ZIP PMONE LICEHSEI <br /> CtA55OF WORK <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VRIURT10N OF WORR <br /> s SDD� OQ <br /> OESCRIBE WORK <br /> Air tight stove <br /> rnor�sEo u5E oF eulLoiNc <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEC THIS AP- <br /> iecn�oescaivnor+oreaoreArv�sNoweEiowoaanncHwuneoaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. <br /> �or ZB e��oF Rett�in tons lst Add. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS <br /> 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 OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW 17EGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB RD�RE 5 SiGNATURE Of CONIRACTOR OR aUT110RIZC�AGENi DAiE <br /> 516 Wetmore, Everett x 10/6/80 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(rOILET� AIR COND UNITS— HP.EA. <br /> BATHTUB pEFRIG[NATIpN UNITS—HP.EA <br /> LAVATORY(WASH BASIII) OOILER$—HP.F.A <br /> SHOWER GAS F'IRED A C UNITS— <br /> TONNAGEEA. <br /> KITCHEN SINN 8 DISP. _ FORCED AIR SVSTEMS—�.T.0 Id EA. <br /> DISHWASHER WALL HEATERS—B 1 U M <br /> LAUNDRV TRAY UNIT H[ATERS—B T.U. M <br /> CLOTHES WASNER EVAPORATiVE COOLC;5 <br /> WHTER HEATER CLOTNES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNiAIN RANiE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GP.M. <br /> VACUUM BREAKERS STOVf: <br /> RUOF DRAI4S—RAMLGADERS META�FIREPLACE ft CHIMNEV <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTRL SUB iOTAL : <br /> PERMIT S PERMIT s <br /> TOTAL FEE TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBAL'N REAR VARD SETOACK PLAF CH[CK NUM�ER P�AN CHECK FEE <br /> f[E HECEIPTNO <br /> USE ZONE LOT ARCA VACANT SITE <br /> CIYES CNO FEES VALUATION FEE <br /> TVPE OF CqNST. OCCUPANCV GROUP NO,OF DWELLING UNITS <br /> BUILDING E <br /> SIZE OF OLDG. NO.OF STORIES MA%.00C.LOAD <br /> PLUMBING <br /> FIf1E ZONE BASEMENT FIRE SPRINHIEliS — <br /> REOSIREDNO MECHA4ICAL SOO.00 7 SO <br /> APPROVALS !Y DATE OTHER <br /> LENVIRONMENTALCHECNLIST PE4ALTY LLBL. <br /> 2. BUILOING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL <br /> � 50 <br /> 4 FlRE PROT[CTION SVSTEM PERMIT VALI�ATION <br /> 5. GRADINCa WHEN PROPERLV VAUDATED QN THIS SPACE)THIS IS YOUR PERA9IT <br /> 6. ORAINAGE � <br /> Z ENVIRONMENTAL IMPAf.T STATEMENT fi 14 5 $ 0 � 1. 5 0 � Q <br /> 8. HEALTH DISTWCT <br /> APPLICATION ACC.BY— P�pNS CH[CK[D�Y APPR.FOR ISSUANCE 9Y 0 <br /> - _� F �;�.ci:IPT <br />