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lheEve�green �ONSTRUCTIOI�' � � <br /> CITY OF <br /> everett PERMIT pERMIT NO. 1.OQ�G7 <br /> CITY HALL 259�8745 <br /> EVERE7T.VJA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICPL ❑ PLUMBING <br /> i <br /> owuerr rsnanooaess cirr ziP v��or�e <br /> Charles Evans 222 98th Street S .W. Everett <br /> FRCHREGT OR DESIGNER MA�L ADORE55 CIiY 2iP PHONE <br /> GENEPAL CONT9ACiOF hiAIL ADORESS CI1Y 21P PHONE LICENSE/ <br /> NECHANiCNLCO��TRAC70P IAAILAODRESS CIiY ZIP PHONE LICENSEI <br /> Natural Gas Equipment 1611 Eas� Grand Everett 98201 258-2441 <br /> , PLUMBING fpNifiACTOP MAIL FODRE55 QTY 21P PHONE LICENSE� <br /> GLA55 OF\40RK <br /> ❑NEN! ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑G.�PAGE <br /> VALUATION OF WORH <br /> E <br /> D[SCRIBE wORK <br /> P�OPOSED USE OF�UILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF'- <br /> �ecn�oescnirnoNOFPeoacarr�sHowaE�owoannneNFouaeowes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVtRNING THIS <br /> �or e�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHE3 SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PRO� <br /> VISIONS OF ANY OTHER STP.TE OR LOCAL LAW REGULATING <br /> CONSTRUCTIGN OR THE PERFORMANCE OF CONSTRUCTIUN. <br /> JOB ADDRE55 SIGNAT E OF CONTRACi01GR Al4HOFIZED AGENT 4�2 O�H 2 <br /> 222 48th Street S .W. X �,; �,� �rU <br /> PLUMBING - MECH NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TY�E OF EOUIPMENT FEE <br /> WATER CLOS'n�(TOILET� AIR COND.UNITS—H.P.EA. <br /> BATHTUB FEFRIGERATION UNITS—H.P.EA <br /> LPVATOFY�WASH BASIN� �.OILERS—H.P.EA. <br /> SROWeR GAS FIHED A.C.UNIT$—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B i.U. M EA. <br /> OISHWASHER WALL HEATERS—B T.U. M _ <br /> L4UNURY TRAY UNIT HEATERS—B.T.U. M <br /> CLOiHES WASHER EVAPORATIVE rOOLEPS <br /> WATER HEATER CI.OTHES DRYERS <br /> URINAL VENTILATION f AN <br /> DRINKING FOUNTPIN RANGE HOO� <br /> PLOOR DRAIN NIR HAIJDLING UNIT— QF.M. <br /> VACU�M BREAKEfiS STOVE <br /> ROOF DRAINS—RAML6�DERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR.ETC.) 1 Conversi <br /> SUB TOTAL SUB TOTAL t 4 5 0 <br /> PENMIT S PERMIT f <br /> 707ALFEE S TOTALFEE S <br /> SNE YARD SETBACK STREET SETBACK REAR YARD SEIBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AqEA VACANT SITE <br /> UYES ❑NO FEES VALUATION FEE <br /> iYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UPIITS <br /> BUIL)ING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD _ <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEf15 <br /> flEOUIRED MECHANICAL 7 S O <br /> ❑YES ❑NO _ <br /> �_ APPROVALS BY DATE OTHER <br /> t. CNVIRONMENTAL CHECK LIST PENA�Ty U.B.C. <br /> 2. BUILDING PUINS SEC.3031a) <br /> 3. FIRE HYDRAN7 T�TA� 7 S O <br /> 4. FIRE PROTECTION SYSTEM PEPMIT VALIDATION <br /> 5. GRADING WHEN PROPEFLY VALIDATED(IN THIS SiA�f�,T�IS IS�Y���I�� �� � � <br /> 6. DRAINAGE ' ' ' � <br /> 7. ENVIRONt.1ENTAL IMPACT STATEMENT . � <br /> B. HEAITHDISTRICT Y�UR RECEIRt o <br /> APPL:CATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUAtICE BY �.��/,jV� Y��U � <br /> y <br /> .t :::�. •_ , . <br /> w,,,, <br /> � � r� s2 <br /> ADDRESS F(I_E __ - . <br />