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tBr£rer¢rern <br /> ���erett � �ONSTRUCTION <br /> PERMIT PERMIT N0. 1352� <br /> CITY HnLL 259�B7d5 <br /> EVERETT,WA9tl201 ❑ COMBINATION ❑ BUILDING �t MECHANICAL ❑ PI.UMBING <br /> OWNER MqiL ADORE55 CItV ZIP PMONE <br /> Thomas Trevon 2003 Wetmore Everett 98201 <br /> nRCHITECT OR DES.GNER MaIL AODRE55 CITV 2�P PHONE <br /> GENER�L GONIR�CTOP MAIL 4pOPE55 GTY 2iP PNONE LiCENSE� <br /> MECMANIGeI GONiRRCTOR IAR4\DONE55 CITY 21P PMONE LIGENSE• <br /> Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br /> VLUMBING CONTR4GTOR MAII AOORESS GIiY Zlp PHON[ LICENSE� <br /> CUSS OF WORK <br /> ❑NEW O ADDITION G ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN O WOOD STOVFJFIREPLACE INSERT <br /> VPLUATION OF WORR <br /> S <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILDiNG y <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �" <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND �+ <br /> �Ecni oescaianoN ov rnoveATr isnow ee�ow oa nrTncn Foua coriesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF INORK W�LL BE COMPLIED WITH <br /> WHETHER 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 H H <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE H ro <br /> PERFORMANCE OF CONSTRUCTION. .� <br /> JOB ADDRE55 SiG RE OP CONTRRCTOF OR RUiMORIZED RGENT DATE � � <br /> � W <br /> 2003 Wetmore X ( � �..1 'v 6 20 84 <br /> PLUMBIN6 MECHANICA y � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE d <br /> WFTERCLOSET�TOILEn AIR CONO.UNRS— H.P. EA. � <br /> BATMTUB REFRIGERATION UNITS— M.P.EA. �y <br /> LAVATORY(lNASH BASIN) BOILERS— H.P.EA. — � T' <br /> SHOWER GAS FIRED A.C.UNITS—TON(�AGE EA. � <br /> KITCNEN SINK 8 DISP. FORCE�AIR SYSiEMS— B.T.U. M EA. y <br /> DISHWASHER WALL MEATERS— P T.U. M � <br /> _ LAUNDRY TRAV UNIT HEATERS— B.T.U. M rQj <br /> CLOTHES WASMER EVAPORATIVE COOLERS � <br /> WATER HEATER CLOTHES DRYERS H <br /> URINAL VENTILATION FAN N�+ <br /> DPINKING FOUNTAIN RANGE MOOD � �f7 <br /> FIOOR DRAIN AIR MANOLING UNIT— G.F.M. Uj <br /> VACUUM BREAKEHS STOVE— WOOD — , � <br /> ROOF DRAINS— FAINLEADERS METAL FIFEPLACE 8 CHIMNEV <br /> SINK�SERV'CE —BAR,ETC.) FIREPLACE INSERT <br /> MEAT PUMP � <br /> T <br /> SU9TOTAL i SUB TOTAL f 4 50 N <br /> PEHMIf f PERMIT f lO OO � <br /> TOTAL FEE t TOTAL FEE S 14 SO <br /> SIDE YARD SETBACK STREET SETBACK PEAR�AHD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE n <br /> FEE RECEIPi IJO. ��� <br /> USE ZONE LOT�qF.A VACANT SITE FEES VALUATION FEE <br /> YES NO <br /> TYPE OF CONST. OGCUPANCY GROUP NO.GF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCG LOAD - <br /> PLUMBING <br /> FIRE ZONE BASEMEIIT FIRE SPRINKLERS MECNANICAL <br /> REOUIRED S4 SO <br /> YES NO <br /> APVROVALS BY DRT[ OiMER <br /> 1.ENVIROHMENTAL CHECK UST PENALTV U B C. <br /> 2.BUII.DING PLANS SEC.303�a) <br /> 3.FIREHY�PANT T�TA� 14 SO <br /> 4.FIRE PROTECTION SYSTEM PEflMIT VALIDRTION <br /> 5.GRADING WHEN PflOPERLY VALIDATED pN THI ZSPf�CFj THIS 161(O�R�P��T_[[�, <br /> (J r i� I LI <br /> 6.DRnINAGE ` � �V� <br /> 7.ENVIRONMENTAL IMPACT STATEMENT � <br /> 8.MEPLiM DISTRICT TM <br /> _ ' � � .-Ir"' <br /> APFLICATION ACC.BY PLANS CHECKED B1' PPPR.FOR ISSUANCE BY '` ' ' <br /> . i . i� <br /> f . , <br /> nme�ss r w <br />