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:� _ <br /> ._ �F� � _C STRUCTION . +. � : �, . <br /> everett � PERMIT PERMIT NO: 0-���4: .� : <br /> Cltt HALL 25Y-0715 . . . - . :. ' � _ <br /> EVERETT.WA 98201 ❑ COMSINATION ❑ /IMLDINO �-MECHANICAL � : O R.UMlINO ' . <br /> . R YA0. � Cm' � • � � � <br /> laobin Fzeeman 2215 Wetmcre � <br /> �RGHITEGT OR DESIGNER MA.R RDDRE55 CITY 21P PIiONE <br /> GENEP�t CONTR�CTOR M�II ADDIiE55 CITY 21P PMONE LIGENSE� <br /> MECMRNICALCANTPAGT01i MAIIADDRE55 CITV 21P PHONE LICENSE� <br /> Natural Gae Equipment 1611 Eaet Grand 98201 258-2441 <br /> FLUMBiNG CANTR�CTOR 1.MIL AOORE55 CITY Zlf�ONE LICENSE� <br /> CLPSS OF WORK <br /> ❑NEW ❑ADDIiION ❑ALTEMTION ❑REPAIR ❑DEMOLI?ION ❑FENCE ❑SIGN ❑GARAGE <br /> V�LU�TION OF WORN <br /> f <br /> DESCRiBE WOHN <br /> FROPOSfD USE OF BUIIDiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TtiIS AP• <br /> iecnio[scnmrioNovraovcarr;anoweeicwoaannc��rouacovics� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS <br /> wr__eiacK_oc 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 OF LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> J09 AppFE55 SIGNRT R[OL C041RACi0P GR AUTHOR12ED nGENi DRIE <br /> ' 2215 Wetmore X - ��•. ' � 2/27/80 <br /> PLUMlINO MEC ANIC <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) FIR COND.UNITS—M.R EA <br /> BATHTUB REFRIGEflATION UNIiS—HP.EA <br /> LAVATORY(WASM BASIN) BOI�ERS—HP EA. <br /> s SHOWER GAS FlFED Af,.UNI75—TONNAGE EA. <br /> KITCMEN SII�K 8 DISP FORCED AIR SYSTEMS—B T U M EA <br /> DISHWASH[R WAIL HEATERS--�i U M <br /> LAUNDRY 1RAY UNIT HEATERS—�S.U. M <br /> CLOTNES\NASHER EVAF'OPATNECOOLERS <br /> WA7ER NEAIER CIOTHES DRYERS <br /> UPINAL VENTILATION FAN <br /> DRINKING FOUNT.41N RANGE HOOD <br /> FLOOR DRAIN AIR IIANDLING UNIT— C F.M. <br /> VACUUM BREAKERS STOVC <br /> R(lOF ORAINS—RAINLEADERS MLTFL FlREPLACE 6 CHIMNEY <br /> SINK(SERVICE—BAR ETC! 1 Water Heater <br /> SUB TO7AL SUB TO7AL S 2 <br /> PERMI7 f PERMIT f <br /> TOTAL FEE f TOTRL FEE f <br /> SI�E VARD SETOACK STREET SETUACK R[AR YARD SETOACK PLAN CHLCK NUMBEP PU+N CHECK FEL <br /> FEE �7ECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TYPE OF fANST. OCCUPANCY GROUP NO.OF DW[LLING UNITS <br /> BWi01NG E <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAO <br /> PLUMDING <br /> FIRE ZONE BASEMENT FIRE SPRINKL[RS <br /> REOUIRED MECHANICAL S OO <br /> LlVES i 'NO <br /> �PPROVALS BY DATE OTHEP <br /> t. ENVIRONMENTAL CHECK LIST pENALTY U B C <br /> SEC.303(e) <br /> 2. BUILDING PLANS <br /> 3 FIqE HYDRANT TOTAL S OO <br /> a. �IRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IH TMIS SPACE�THIS IS YOUR PERMIT <br /> i CaRADING w <br /> 6. DRAINAGE E H �S �O O S.O O ����4 <br /> L ENVIRONMENTALIMPACTSTATEMENT fN� <br /> d. HFi1LTM DISTRICT Y�U� 'r�^ � <br /> APPLICATION ACL.BY PLANS CHECKED BY APPP,FOR ISSUANCE BV t , �' <br /> THANk Y - <br /> � , <br /> ADDRESS FILE 2 1 � •Q ' � ,w <br />