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1hc61'fr;rren - 10NSTRUCTIOn � <br /> ��,;o� i <br /> ever�tt PERMIT PERMIT NO. 12520 <br /> GTY HALL 259�8705 <br /> EVERETT,WA 98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNEN MnIL RD�RE55 GITV ZIP PHONE <br /> Ross 6 Judp Rettenmier 1802 Wetmore Everett 98201 252-9603 <br /> ARGXIiECT OR OESIGNER MAq pDORE55 GITY ZIP VMONE <br /> GENERPLCANTN�GTOR MPIL�DDHE55 GTY ZIP PMONE LICENSEI <br /> Satne <br /> MECM�NICAL GONLRRCTOR MRR AODRE55 CITY ZiP PMONE LICENSE� <br /> PLUMBING CONTN�CTOH MRIL ADORE55 CITV 21P PNONE IIGENSE/ <br /> CUSSOF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN SIC W00�STOVEIFIREPLACE INSERT <br /> VRLUATION OF WORN <br /> f }2� <br /> DESCRIBE WORN Y <br /> install wood burning stove — H <br /> PROPOSEO USEOF BUILD�NG ! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND <br /> IEGRL�ESGRIPTION OF PROPERTY�SMOW BEIOW OR ATTAGN FOUP COPIFS� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �oT_e�c _oF WMETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PFESUMETO GIVE AUTHORITV TO VIOLATE y � <br /> OR CPNCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � � <br /> FcRFORMANCE OF CONSTRUCTION. � <br /> JOB AODRE55 5 TURE Oi CO ACTOR OR AUTNOR12ED PGENT 10/6/83 gg <br /> 1802 Wetmore � � <br /> PLUMBIN6 ME 11NI L � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> 1NATERCLOSET�iOILET) AIR COND.UNITS— M.P. EA. Z <br /> BATHTUB REFqIGERATION UNITS— M.P.EA. y <br /> LAVATORY(VJASM BASIN� BOILCRS— H.F. LA. T <br /> H <br /> SMOWER GAS FIRED A.C.UNITS— TONNAGE EA, tA <br /> KITCHEN SINK d DISP. FORCED AIR SYSTEM�— B.T.U. M EA. � <br /> DISHWASMER <br /> WALL HEATERS— B.T.U. M '�*J <br /> LAUNORY TRAV UNIT HEATERS— B.T.U. M <br /> CLOTMES WASMER EVAPORATIVE COOLERS N <br /> WATER HEATER CLOTMES DRYERS [? <br /> URINAL VENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR MANDLING UNIT — C.F.M. (� <br /> VACUUM BREAKERS STOVE—WOOD � S� • � <br /> ROOF DRAINS— RAINLEAOERS METAI FIflEPLACE 8 CMIMNEV <br /> SINK(SERVICE— BAP.ETC.) FIREPLACE INSERT � <br /> HEAT PUMP <br /> — S <br /> M <br /> — N <br /> SUB TOTAL i SUB TOTAL f 7 SO y <br /> 6 <br /> PERMIT S PERMIT = ZO 00 H <br /> TOTAL FEE f TOTAL FEE f 1'J SO (] <br /> SIDE YARD SETBACK STflEET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER <br /> PLAN CHECK FEE M <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VAWATION FEE <br /> VES NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWLLLING UNITS <br /> BUILDING s <br /> SIZE OF BL�G. NO.OF STORIES MPY..OCC. IOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT qE0U5RED HLEI75 MECMANICAL 1� SO <br /> Y[5 NO <br /> APPROVALS BY DATE OTHER <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK�IST PENAITV SEC.30J la) <br /> 2.BUILDING PLANS TOip� 1] SO <br /> J.FIRE HYDFANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VRLIUIITION __. <br /> WHEN PROPERLV VALIDAiED IIN T�S�Sg 3 E�THI$�O YI 7 5 OMIT �; <br /> 5.GRADING � <br /> 6.OflA1NAGE ' <br /> 7.ENVIRONMENTAL IMPACT STATEMENT 1��: <br /> APPL CATION ACCTBV PLANS CMECKED BV APPR. FOR ISSUANCE BY 1� '�-' '-� (` ';C�.E I PT � � <br /> 71-;:^,IdK YO U <br /> '" 1 U.I U J <br /> nDDHF55 f�llf� <br />