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� � <br /> Nir Llrrqreeii . � <br /> �����°F � CC►NSTRUGTiC,V � <br /> ev�rett PERMIT PERMIT N0. 14� 1 � <br /> CITV MALL 7.59�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING S�X MECHANICAL ❑ PLUMBING <br /> 0\4NER MAILADOFE55 CITY ZIP PHONE <br /> JOE CARRIERRI 1913 - 23rd Everett WA 98201 <br /> ARCNRECi OR DESIGNER MAIL ADDflE55 CItY ZIP PHONE � <br /> GENERAL CONTFFCTOR MAIL A�ORE55 CITV Z�P PHONE LICENSE M <br /> NGE 162� E. Marine View Drive Everett WA 96201 258-2441 <br /> MECHANICAL CONT9ACTOR NAIL ADDPE55 CItY Zip PMONE IICENSE M <br /> PLUMBING CONTRACTOR MAIL A�GRESS QiY Zip PHONE IICENSE N <br /> CLASS OF WORN <br /> C�NEIN ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD S70VE/FIREPLACE INSERT <br /> VALUAiION UF WORK <br /> S <br /> �ESCRIBE WORK <br /> Z <br /> PROPOSE�USE OF BUILOING � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS c <br /> APPLICATION AND KiVOVV THE SAME TO BE TF'JE AND �" <br /> LEGAL OESCRIPTION OF PROPERTY�SMOW BELOW OR ATfACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> lOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH .. .-. <br /> WHETHER SPECIFIED HEREIN OR NOT.'fHE GRANTING OF A 'i �' <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE � -i <br /> OR CANCEL Tf1E PROVISIONS OF ANY OTHER STATE OR �' m <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE c o <br /> _ PERFORMANCE OF CONSTRUCTION. m o <br /> JOB AODRESS SIGNqTO E OF/;ONiRAfTOfl OR AUTHORIZEO AGENT pATE � <br /> 1913 - 23rd <br /> X �� 2/4/85 o m <br /> PLUMBING MECHA ICAL = � <br /> m <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE p Z <br /> WATERCLOSET(TOIL"cn AIR CONO. IINITS - H.P. EA. p _{ <br /> BATHTUB REFRIGERATION UNITS-- H.P. EA. H �_.. <br /> 1 N <br /> LAVATORY�WASH BASIN) BCILERS - H.P. EA. .� <br /> SHOWEF GAS FIRED A.G.UNI75 - TONNAGE EA. O � <br /> KITCHEN SINK&DISP. 1 FORCED AIR SYSTEMS- B.T.U82 M EA. 6 00 � 3 <br /> 1m <br /> DISHWASHER WALL HEA7ER5- B.T.U. M = <br /> LAUNDRYTRAY U41T HEATERS - B.T.U. M m v� <br /> CLO7HES WASHER EVAPORA7IVE COOLERS � <br /> _ O f' <br /> c� m <br /> WATER HEA7ER CLOTHES DRVERS C N <br /> URINAL VENTILATION FAN — 3 N <br /> m <br /> DRINKING FOUNTAIN RANGE HOOD �r <br /> FLOOR DHAIN AIR liANDLING UNIT - C.F.M. � � <br /> —_ � <br /> VACUUM BREAKEFS S70VE-WOOD <br /> ROnF ORAINS- RAINLEADERS METAL FIFEPLACE 8 CHIMNEY =• <br /> SINK�SEPVIL'E- BAR,E7C.) FIFiEPLACE INSER7 z <br /> _ HEAT PUMF -I <br /> S <br /> _ � <br /> Z <br /> O <br /> -i <br /> SUB TOTAL i SUB TOTAL 5 fi OO �-' <br /> PEFMIT S PERMI7 E ],0 00 �T <br /> TOTAL FEE E 707AL FEE 5 16 00 <br /> SIDE VARD SETBACK STHEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHGCK FEE <br /> FEE RECEIPT NG. <br /> USE ZONE LOT AREA VACANT SITE _ <br /> . YES .:NO FEES VALUATION FEE <br /> 1YPE OF CONST. OCCUPANCY GROU? NO. OF DWELLING 11NiTS <br /> _ BUILDING S � <br /> SIZE OF BL�G. NO.OF STORIES MAX. OCC. LOAD ._ <br /> PLUMBING <br /> FIRE ZONE BASEMEIJT FIRE SPFINKLERS MECHANICAL LE� OO <br /> REOUIRED <br /> YES ,NO <br /> APPAOVALS BY DATE OiHER <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> 2.BUILDING PLANS __ SEC.303(a) _ <br /> 3.FIRE HYDRAN7 TOTAL ZE OO <br /> 4.FIRE PqOTEC710N SYS7EM11 pERM1T VALIDATION <br /> S.GRADING WHEN PROPEALY VALIDATED(IN THIS SPACE)THIS.IS YqUB PERMIT . � <br /> 6.DRAINAGE ' � �--� <br /> 7.ENVIRONMENTALIMPACTSTATEMcNT � <br /> B.HEALTH OISTRICT � <br /> APPLICATION ACC. BY PLANS GH[CKED BV AF9R. POR ISSUANCE BY . . � <br /> P.DDRESS FIIE � <br />