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�he£rrrereen <br /> ���� °� � �ONSTRUCTIO� � <br /> everett PERMIT PERMIT NO. 13362 <br /> CITY HALL 259�8745 <br /> EVEfiETT.WA90207 ❑ COM9INATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNEP MAIL P��FE55 LIiY ZIP PMONE <br /> Marie P. Olson 9219 SSth Avenue N.E. Seattle 98105 485-9029 <br /> nRLMREGi OR OESIGNEF MAII ADORE55 CIiY ZIP PMONE <br /> GENERnI CONTRALTOR MAIL AODRE55 CITY ZIP PMONE LIGENSE• <br /> MEGMANiGAI CONiFAGTOR MAIL ADDRE55 CITY 2iP PHONE LIGENS[• <br /> PLUMBiNG CONTRpGiOR MAIL ADDRE55 QTY ZiP PHONE LICENSE� <br /> Same <br /> c�nss oF v+oarc <br /> ❑ NEW O ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAWATION OF WORN <br /> S <br /> OESCRIPE WORK <br /> install water closet <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ecn�oescNirTioNOFrAoaearvisHoweewwoanrTncNFouacoaies� CORRECT. ALL PROVISION3 OF LAWS AND ORDINANCES <br /> ior 1 e�ocK 5 oF Lakeview $�ibdi i ' GOVERNING THIS TYPE OF WORK WILL 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 <br /> LOCAL EGULATING CONSTRUCTION OR THE <br /> PERF RMANC � CONSTRUCTION. <br /> J06 ApDRESS SIGN F C iqA,T[_k�OR AUTMOPIZED AGENT pAiE <br /> 1822 t�est Silver Lake Drive X � � 5/11/84 <br /> PLUMBING M L <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE <br /> WATERCLOSET�TOILEn Z OO AIR COND.UNITS– H.P.EA. <br /> 9ATHTUB REFRIGERATION IINITS– H.P. EA. <br /> LAVATORV�WASM BASIN) BOILERS– H.P.EA. <br /> SHOWER GAS PIRCD A.C.UNITS–TONNAGE EA. <br /> NITCHEN SINK 8 DISP. FORCED AIP SYSTEMS– B.i.U. M EA. <br /> DISHWASHEFi WALL HEATERS– B.T.U. M <br /> LAUNDRYTRAY UNIT MEATERS – B.T.U. M <br /> CLOTHESWASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTMES DRYFRS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HO00 <br /> FIOOF DPAIN AIR HANOLING UNIT– C.F.M. <br /> VACUUM BREAKERS STOVE– WOOD <br /> ROOF ORAINS– RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE– BAR, EiCJ FIREPLACE INSERT <br /> HEAT PUMP <br /> SUBTOTAL 3 Z QQ SUB TOTAL S <br /> PENMIT S PEflM1T f <br /> TOTAL FEE S TOTAL FEE 1 <br /> SIDE YARD SETBACN STREET SETBACK REAR VARD SETBACN PLAN CHECK NUMBER PIAN CHECK FEE <br /> FEE HECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO. OF STORIES MA%.OCC. LOAD <br /> PLUMBING S OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> 1'ES NO <br /> APPROVALS BY UATE OTMER <br /> 1. ENVIRONMENTAL CHECK LI57 PENALTY U B.C. <br /> SEC.3031a1 <br /> 2.�UILDING PLANS — <br /> 3.FIREHYDRANT TOTAL S OO <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATEO(IN THI PA6E�THISi15,Yq l�fi PERMIT— ^ <br /> 5.GRADING �� . : . , y �, .. . ,'S <br /> 6.DRAINAGE ' <br /> 7.ENVIRONMENTALIMPACTSTATEMENT - � <br /> 8.HEALTH DISTRICT , - i �� <br /> � I I <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY , . � � <br /> �� <br /> � I [ : <br /> ADDRESS FlLE <br />