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na� E,r•e,,,�n <br />everett <br />(;ITV /1FLL "159�N7C5 <br />EVERETT, l4A 9d201 <br />�orvs-r�ucTior� <br />PERIiAIT <br />L i COMBINATION �� BUILDING �X' MECHANICAL <br />PERMIT NO. 152�6 <br />�J PLUMBING <br />OIVNEA MFIL ADDR[5$ GITY Z�P PMONE <br />334-2692 <br />Patricia J. Smith 5305 t9etmore Ave Everett c' Zip pHohE <br />ARGHITECI OR D65iGNlR MAIL RD�RESS <br />GCNEHPICONiRPGNN MFILADDRESS UTY ZIP PMONE LIGENSE� <br />MEGM�NiGAL CORTR�CiOP <br />KAIL ADDRE55 GTY i.iP PNONE IICENS[ Y <br />Valley Natural Gas 519 S.E. Everett Mall Way Everett 98204 355-7730 Vi,LLENG L <br />PLUMBING CO��1AACiOR <br />MRIL NUOR[55 CITY ZIP PMONE LICENSE M <br />CLA55 OF WOFn <br />� NEW ❑ NODITION 0 ALTERATION ❑ REPAIP O DEMOLITIOIJ ❑ FENCE ❑ SIGN ❑ W000 STOVFJFIREPLACE INSER <br />VALUATION OF WOPN <br />s 140.19 <br />DESCA�9E WORN <br />installinq A.O. Smith water heater, running relief line through siding & providing Piping. <br />family residence <br />lOT _ BIOCh __OF <br />5305 Wetmore Avenue <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />W A1 ER CLOSET (TOILE <br />BATIITUB <br />LAVATORV IVJASH BA: <br />SHOWER <br />Y,ITCHEN SINK 6 �ISP. <br />�nur+oRr Tanr <br />CIOTHESWASHER <br />WATER HEATER <br />URINAL <br />DR�NKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS – RA�NLEADEFiS <br />SINK (SERVICE – �AR, ETC.� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />517E Of° <br />APPROVALS <br />1. ENVIRONIdENTAL CHECK LIST <br />2. BUILDING PLANS <br />9. FlRE HYDRANT <br />4 FlRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />$.HEALTH DISTRICT <br />e[�ni if.aT10N ACC. BV PLA' <br />M.M. <br />ECN[D <br />FEE <br />I HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND JRDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />PERMIT DOES NOl'IPRESUME TO G�VE AUTHORITY TO VIOLATE <br />L�OCALN LAW H EGU�AITI�GSC�ONSNRU�CTHONSORT THE <br />PERFORMANCE OF CONSTRUCTION. pq E <br />sicr+ar RE OF GONiRACTpa oa aurnoa¢eo ncen* 8�12/85 <br />.. iY _ fi _ . /` !! .. �,. . 0-- <br />NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEPATION UNITS — M.P. EA. <br />BOILEFS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FORCr.D AIR SVSTEMS — e.T.U. M EA. <br />WALL NEATEHS – Bi.U. N' <br />UM7 NEA7ER5 – B.T.0 M <br />EVAPORATIVE COOLERS <br />CIOTHES DRVERS <br />VENTILATION F.\N <br />RANGEMOOD <br />pIR HANO.ING UNIT – C.F.M. <br />STOVE – WOOD <br />METAL FIREPLiCE & CHIMNEY <br />FIPEPLACE IN1iERT <br />HEAT PUMP <br />S <br />s <br />f <br />',EAR YARD SETBACK PLAN <br />'ACANT SITE — <br />YES NO <br />OCC. <br />1J0 <br />FOR <br />DAiE <br />BUILPING <br />PLUMBING <br />MECHANICAL <br />OTHEP <br />P[NALTY <br />SUB TOTAL t <br />PEflMIT f <br />TOTAL FEE f <br />PLAN CI <br />FEE <br />VALUATION <br />i <br />U.B.C. <br />SEC. 903 �a) _ <br />z <br />0 <br />� <br />� <br />m <br />�-i '*1 <br />.. -i <br />N 2 <br />m <br />co <br />mo <br />-i c <br />O 3 <br />m <br />2 –1 <br />m <br />�-. <br />.o z <br />D –I <br />rx <br />r-r ... <br />� N <br />K <br />T <br />O A <br />� 3 <br />=m <br />m� <br />or <br />c� m <br />C f/� <br />i N <br />2 t� <br />-i r <br />. m <br />A <br />A <br />' _ <br />� <br />U. <br />6 $0 z <br />1� 0� C <br />� <br />16 50 � <br />K FEE r" <br />RECEIPT NO. <br />FEE <br />TOTAL � I <br />PERMIT VALIOATION <br />WMEN PROPERL� �ALIOAiED �W TNIS SPACE� THIS IS YOUP PEHMIT <br />DY <br />i,Dnp� F�� !-IIS: <br />50 <br />