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`,,``"r""�„ _ �ONSTRUCTION <br /> �,r��. � <br /> eve�ett PERMIT PERMIT NO. 125�i� <br /> GiV MALL 259�87a5 <br /> EVFRETT.1VA99201 ❑ COMBINATION ❑ BUILDING c�X MECHANICAL ❑ PLUMBING <br /> OWNER MPILPppREiS GIiY ZIp PNONE <br /> Paul R. Andrews 4401 Thompson Avenve Everett 98203 252-3394 <br /> NRCHREGi OR OLSIGN[P NAR ADORE55 CItY 21P PnONE � <br /> G[NENAL GONiRACLON MAR ApORE55 CITY 21P PMONE LIGENSE� <br /> Seme <br /> MECNANIGL GONiPAGTOR MRIL ADDPE55 dTY 21P PHONE LICErvSE� <br /> VLUMPINGGONiRRGTOR MAILRDDRE55 CIiT ZiP PMONE LIGENSE� <br /> CLP55 OF WORN <br /> ❑NEW ❑ ADDITION ❑ ALTEFATION ❑REPAIR ❑ DEMOLITION ❑ FENLE O SIGN � WOOD STOVEIPIFEPLAGE IhSERT <br /> VRLUAl10N OF WORN <br /> 5 <br /> DESGRIOE WORN <br /> Install fireplace insert <br /> PROPOSE�USE OF 6UiLDING <br /> I HEFFBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> AF'PLIG.OiI��N AND KNOW THE SAME TO BE TRUE AND <br /> �er.>�oesceienoHovaaovEnrr�sHawi«owoeannerwuacoaies� CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WOliK WILL BE COMPLIED WITH <br /> ior_e�ocn_or WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHEA STPTE OR <br /> LOCAL LAW REGULATING CONSTfiUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB 40�RE55 SIGNAZURE OF CONIRRCTO OA ALTj�ORIZED.AGENi DRiE <br /> � ( / / <br /> 4401 Thompson Acenue X �.0 -E' .r rL' 10 20 83 <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET�TOILET) AIR COND.UNITS—H.P.EA. <br /> BATNTUB REFRIGERATION UNITS—H.P.EA. <br /> �AVATO'iVIWASH BASIN� BOILERS— H.R EA. <br /> SMOWf R GAS FIRED f.G.UNITS— TONNAGE EA. <br /> NITCMEV SINKB�ISP. FORCED AIR SYSTEMS— 0 T.U. M EA. <br /> DISHW45MEP WALL HEAiEfiS— B.T.U. M _ <br /> LAUI.OFY TfiAY UNIi HEATEqS— B .U. M <br /> GLOTHES WASMER EVAPORATIVE COO\ERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN _ <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOF ORAIN AIP HANOLING UNIT— C.F.M. <br /> JACUUM BREAKEFS STOVE—WO00 <br /> ROOF DRAINS— RAINLEADEPS MEiAI FIREPLACE 8 CHIMNEY <br /> SIYK�SERVICE—BAR,ETG) FlREPIACE INSEflT <br /> MEAi Pl1MP <br /> 1 Fire lace Insert 7 50 <br /> SUB TOTRL 5 SUB TOTRL f 7 50 _ <br /> PERMIT S PERMIT f lO OO <br /> TOTALFEE f TOTALFEE S <br /> SI�E YAFD SETBACK STREET dETBACK REAF YAfl�SETAACK PIAN CHFGN Nl1MBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE FF.ES VALUATION FEE <br /> YES NO — <br /> TYPE OF CONSi. OCCUPANCY GFOUP NO.OF OWELLING I1NIT5 <br /> BUILOING 5 <br /> SIZE OF 9LDG. NO.OF SiORIES IdA%.OGC.ll 1C <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL ].� O <br /> REOUIRED <br /> VES NO <br /> APPROVALS BY OATE OTIIER <br /> L l2NVIpONMENTAL CMECK LIST PENALTY U.B C <br /> SEC.903�a� <br /> 2.BJILDING PLANS <br /> TOT.1L 1� 0 <br /> 3.f�RE NYDRANT <br /> 4.FIHE PROTEGTION SYSTEM PEPMIT VALIDATION <br /> S.GRADING WNEN PROPERLY VALIDATED�IN TM,S�PlSE)TH1613��R CEaM1T •af' <br /> 7 � 11 / J 61 <br /> 6.DRAINAGE � , <br /> LENVIRONMENTALIMPAC75TATEMENT p <br /> �.. <br /> B.MEALTH DISTFICT �I ^lI n f`C C C I P I � � <br /> APPLICA?ION ACC.BY PLANS CMECKED BV .4PFR.FOR ISSUANCE BY <br /> ir;'�\i�K ��(:,� <br /> � 9 OLT 3� <br /> �.00��_i:ts rui <br />