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-�; <br /> .rkj <br /> { r -. <br /> J <br /> 'r <br /> � <br /> !�l�' �L 1 i/[i i'C/: ��.: <br /> t.'.�� l:i �� �� � �� ���� �Y .-.. <br /> `; %/�r��� PElRI�IiT PERMIT NO. - '� i �' '- <br /> �. ."'� HALL259�87d5 <br /> �+err.wn�szoi ❑ COMBINATION ❑ BUILDING Cj�gMECHANICAL ❑ PLUMBING <br /> — Ma1L A)ORE55 GiTY 21V PHONE <br /> lirmma P. Skorstad 1512 42nd Street Everett 252-6395 <br /> �,"CnItEGT OR D[SIGNFR MFIL AODFESS CiTV ZIP PHONE <br /> ��L"�EHALCONTRACTOR MAILAOOI1E55 CITY ZIP PHONE LICENSEN <br /> Valley Natural Gas 11323 Highway 99 Everett 98204 355-7730 <br /> •.tEGMANICAL CONTflACTOR MAII ODRESS CITY ZIP PHONE LICENSE M <br /> VALLENG 153LI <br /> ��UMBING COHTRAGTON IdAIL AODRE55 CITY 21P PHONE LICENSE x <br /> CLA55 OF WOflN <br /> ❑NEW ❑ ADDITION O AITERATION ❑fiEPAIR O OEMOLITION ❑ FENG[ ❑ SIGN ❑ WO00 STOVFJFIREPLACE INSEHT <br /> VALUAiICIJ OF WORN <br /> S <br /> DESCPI9E WORK <br /> O <br /> —i <br /> PROPOSEDUSEOF Bl11LDING I HENEBY CeRTIFY THAT I HAVE READ AND EXAMINED THIS m <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND „ <br /> �.ecnioesceiaTionoFanoveair�snoweeiowoenrrncnFouecoaiEs� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES ., <br /> LOI_BLOCK__OF GOVERNING THIS TYPE OF WORK WI..L BE COMPLIED WITH .. � , <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � � <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIQLATE N - <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR o r � <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � � i.� <br /> PERFORMANCE OF CONSTRUCTION. �" � <br /> JOIi ApDRE55 SIGNATURE(�F:ONiRACiOR AIRMOFIZEO AGENT �AtE —� C <br /> 1512 42nd 3treet X . � j� 12/3/85 � m <br /> -i z <br /> s --i <br /> PLUMBING ME HANICAL m <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. 7YPE OF EDUIPMENT FEE � z <br /> WATERCLOSET�TOILEn .4�R COND.UNIlS — H.P. EA. � _ <br /> BATHTUB REFRIGERATION UNITS—H.P. EA. � V <br /> �.AVATORY�WASH 9HSIN� BOILERS— H.P. EA. '� <br /> '�7 <br /> SHOWER GAS FIRED N.Q 11NITS— TONNAGE EA. � A <br /> '�l :3 <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. ' <br /> DISHWASHER 1 VJALL NEATERS— B.T.U. CS M G OO_ m �� <br /> LAI:NDRYTRAY UNIT HEATERS— B.T.U. �+� � <br /> O <br /> CLOTHES WASHER EVAPORATIVE COOLERS � � <br /> n r� <br /> WATEri HEATER CLOTHES ORYERS C v. <br /> 3 � <br /> URIPIAL VENTILATION FAN <br /> �91NKING FOUNTAIN RANGE HOOD ,� r <br /> m <br /> FLOOR DRAIN .4�R HANDLING UNIT— QF.M. � <br /> A <br /> VACUUM BRFAKERS STOVE —WOOD _.� <br /> ROOF DRAINS— RAINLEADEPS METAL FIREPLACE 8 CHIMNEY =� <br /> r <br /> SINK(SERVICE— BAH,ETC.1 F:REPLACEINSEF7 _ _ z <br /> HEAT PUMP � <br /> 4 50 � <br /> -- ]. Water Heater V <br /> `c <br /> -i <br /> SUB 70TAL S GUB TOTA4 S 12 50 �^ <br /> r <br /> PERMIT 5 PERAiIT S r <br /> ' TOTAL FEE 5 TOTAL FEE 5 <br /> SI�E YARD SETBACK STREET SETBP.CK PEAR YARD SETBACH PLAN CHECK �JUh1BER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SIiE FEES VALUAT�ON FEE <br /> YES NO — <br /> TiPF OF WNST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> Bl11LDING b <br /> SiZ[OF BLDG. NO.OF STORfES MA%.OCQ LOAD <br /> PLUMBING <br /> FIREZOtJE BASEMENT pEQUSRED KLERS MECHANICAL 22 SO <br /> VES NO <br /> OY OATE OTHEF _ <br /> APPROVALS U.B.C. <br /> 1. ENVIFONMENTAL CNECK LIST PENALTY SEC.303(a) <br /> 2.8UILDINGPLANS T�TA� 22 SO <br /> 3.FIRE HV�RANT <br /> 4.FIHE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED!IN THIS SPACE)THIS�(�'O�1i�P�fl�IT_ �.-_^ <br /> S.GRACING b I L 1 U G L ) � <br /> 6.ORAINAGE <br /> 7.ENVIFONMENTALI�dPAC7STATEMENT � ' <br /> 8.HEALTH DISTRICT � r�'^��� �- • �. � <br /> APPLICATION ACC. BY PLANS CHECKED BY QPPR. FOR ISSUANGE BY , '�� ��; <br /> �� - � _..� �. ,� <br /> .� ._ .._.-. . .____ . . .. .. .. . . . . . . .._ _._ .._._�_ �`Y <br />