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;,. ,_�,, �;� ���� �►� ��-Y�' '�� <br /> C�`��rett PERMIT PERMIT NO. <br /> CITY HALI 259�8745 <br /> eveaerr.wn 3e2oi ❑ COMBINATION `� BUILDING � MECHANICA! ❑ PLUMBING <br /> MAIL ApURE55 uHONE <br /> "`'"�IUN 1211 - 39th St �verett l4A 9���1 258-:��03 <br /> t.i�GHITEGi OR�ESIGNER MAIL AO�RE55 CITY ZIP PNONE <br /> GE':E ALCONTRACTOR MAILAOORESS GITY ZIP PMONE LiCE'.`_ <br /> �ame <br /> . JHANICAL CONTRACTOA MAIL AD�RESS dTY ZIP PMONE LICENSE� <br /> P W IA�31NG CONTFACTOR MAIL POOFESS CITV ZIP PMONE LICENSE� <br /> C��.SS OF WORI( <br /> ❑ N:W ❑ ADOITION ❑ ALTEPATION O REPAIR ❑ OEMOLI710N ❑ FENCE ❑ SIGN WOOD STOVEIFIREPLACE INSER7 <br /> VAWATION OF WORK <br /> 5 <br /> p.SLRIGE WORK <br /> Ir.stall wood stove <br /> rao�oseo use oF em�uu+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence qppLICATION AND KNOW THE SAME TO BE TRUE AND Z <br /> 0 <br /> LEG�ll �ESGRIPTIONOFPFOPEFTV�SHOWBELOWORARACHFOURLOPIES� CORRECT. ALL PROVISIOIJS OF LAWS AND ORDINANCES -i <br /> GOVERNING THIS TYPE OF'WORK WILL BE COMPLIED WITH m <br /> ,_or__e�ocK._oF_ WHFTHER SPECIFIED HERcIN OR NOT.TriE GRANTING OF A ,. <br /> PERMIT DOES NOT PRESUNETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVIS'ONS OF ANY OTHER STPTE OR y T <br /> LOCAL LAW RE ULATING CONSTRUCTION OR THE <br /> PERFORMANCE CONSTRUCTION. "" � <br /> cn x <br /> ��� 1211 - 39t}i X ru.ruae oF cor+1 broa noaizeo aeer+� oare m <br /> June 28, 1985 � o <br /> mo <br /> c� <br /> PLUMBING MECHANICAL _ -i � <br /> � <br /> NO. TYPE OF FIXTLRE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE r'*� <br /> WATERCLOSETITOILEn AIR COND. UNITS - H.P.EA. _ '� <br /> m <br /> BATHTUB RCFRIGERATIOIJ UNITS - H.P. EA. Q Z <br /> LAVATORY�WASH EASIN) BOILERS - H.P.EA. <br /> SHOWER GAS FIRED A.G.UNITS-TONNAGE EA. r = <br /> r-i r. <br /> KITCHEI!SINK 8 OISP. FOFCED AIR SYSfEMS- B.T.U. M Ei�. � N <br /> DISHWASMER WALL HEA7ERS- B.T.U. M T <br /> O 7J <br /> LAUNDRYTRAY UNIT HEATERS - E.T.U. N� T D <br /> L <br /> CiDiHES WASMER EVAPORATIVE COOLERS � �" <br /> 2 <br /> WATER HEATER CLOTHES DRYEF$ m� <br /> � <br /> URI4AL VEN7ILATION FAN - � <br /> RANGE HOOD o � <br /> DRINKIMG FOUNTAIN � N <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. N <br /> m <br /> VACUUM BREAKERS STOVC - WOOD z n <br /> --i r <br /> ROOF ORAINS- RAINLEADERS METALFIREPLACL 8 CMiMNEY m <br /> D <br /> SINK(SERVICE - BAR, ETC.) FIREPLACE INSERT _ A <br /> � <br /> HEAT PUMP =• <br /> a <br /> z <br /> � <br /> x <br /> SUB TOTAL i SUB TOTAL 5 � <br /> PEHMIT 5 PERMIT S � c <br /> TOTAL FEE S TOTAL FEE 5 � <br /> PLAN CHECK FEF r <br /> SIDE YARD SETBACK STREET SCTBACK REAFi VARD SETBAGH PLAN CHECK NUMBER m <br /> FEE RSCEIPT NO. <br /> USE ZONE LOT AREh VACANT SITE FEES VALUATION FEE <br /> I.YES .NO <br /> T'/PE OF GONST. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> BUILOING S <br /> SIZE OF BLDG. NO.UF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT REOl1SRED KLERS MECHANICAL 1� SO _ <br /> � -.VES -:NO <br /> BY DATE �THER <br /> APPROVALS U.B.C. <br /> 1. ENVIRONMENTAL CHECK LI57 PENALTY SEC.303(al <br /> 2.BUILDING PLANS TOTAL <br /> 3.FIRE HYDRANT <br /> a.FIRF FFO7ECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)TF11S IS YQl1R PERMIT O, <br /> S.GRADING � � � � � r" <br /> 6.DRAINAGE O <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �`� <br /> B.HEALTHDISTRICT � ' <br /> APPLICATION ACC. 5Y PLANS CHECKED BY APPR. FOR ISSUANCE �1" <br />