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tlicErergreen rONSTRUCTION � � <br /> (;iiv OF < <br /> everett PERMIT PERMIT NO. 11405 <br /> GTY HALL 259�87a5 <br /> eveaEn.wn eezo� ❑ COMBINATION ❑ BUILDING �7�ECHANICAL FLUMBING <br /> GIiY ZIP �HONE <br /> I �vrt�ER rnnanoor+ess 98201 252-4431 <br /> Don Ringmar� 2607 23rd Street Everett <br /> PRCNItECT OR D[SIGNER MaIL AO�RE55 <br /> CIiY ziP rNONE <br /> GENEPA!C011iRACTOR h1AIL ADDNE55 <br /> CITY ZIP PMpNE LILENS`_� <br /> MECHANIGALGONiNAGTOR <br /> IdAILAD�RE55 QTV ZIP PNONE LICENSE/ _ <br /> Same PNONE LICENSE/ <br /> � IAAILA�DHE55 ��rY Z�P <br /> PWldBING CONiRAQOR <br /> CLA55 OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> v�wnnorv or woaK � <br /> b <br /> OESCRIBE YlOFK <br /> install wood stove <br /> PHO�'OSED USE OF BUILOIHG <br /> I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> �=_cn�oescnianor+oFaaoPeeTv�sHowoe�owoanrrnc��FouacoPiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior Bi��_aF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE f HO� <br /> � ViSIONS OF ANY OTHER STATE JR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> X n uaE or co i �� F�un a� o n�S'r�r onrE <br /> �oo nuoaess 10 S 3 <br /> 2607 23rd Street <br /> MECHANICAL <br /> PLUMBING FEE <br /> N0. TYPE CF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> AIR COND.UNITS—H.P.EA. <br /> WATER CLOSET j O�LET� <br /> FEFRIGERATION UNI7S—H.P.EA <br /> BATHTUB <br /> �OILLRS—�H.F.EA. <br /> IAVATORY I�VASH BASIN) <br /> GAS RFED A.G UNITS—TONNAGE EA, <br /> SHOWER <br /> PoRCED AIR SYSTEMS—B T.U. M EA. <br /> KITCHEN SINK&DISP. M <br /> WALL HEATERS—B T.U. <br /> DISHWASFIER M <br /> UNIT HEATERS—B T.U. <br /> LAUNDRYTFAY <br /> LVAPORATIVE COOLERS <br /> CLOTHcSN/ASHER CLOTHES DRYERS <br /> WATER HEATEri <br /> VENTILATION FAN <br /> URINAL qqNGE HOOD <br /> 7RINKING FOUNTAIN C.F.M. <br /> AIR HANDLING UNIi— <br /> FLOOR DRAIN <br /> VACUUM BREAKERS 1 STOVE <br /> METAL FIR[PI.�CE 8 CHIMNEY <br /> ROOF�RAINS—RAINLEADERS <br /> SINK(SERVICE—BP,R,EfC.I <br /> SUBTOTAL S 7 50 <br /> SUB TOTAL pERM1T s <br /> PERMIT S 70TAL FEE S 5 <br /> TOTALFEE S <br /> PLAN CHECK FEE <br /> SIOE VARD SETBACI! STREET SEiBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE f7ECE1PT NO. <br /> USE Z�NE LOT ARF.A VACANT SITE FEES VALUATION FEE <br /> (IYES ❑NO <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUII.DING 5 <br /> MA%.00C.LOAD � <br /> SIZE OF BL�G. NO.OF STORIES p�_UM81NG <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHPNICAL ].� S O _.' <br /> REOUIRED <br /> ❑YES ❑NO <br /> I_ BY DATE OTHER <br /> pPPROVALS <br /> t. ENVIRONMEN7AL CHECK LIST PENALTY U BC. <br /> SEC.303!a) <br /> 2. BUILDING PLANS TQTA� 17 S O <br /> 3. FIRE HYDRANT <br /> PEpMl7 VALIDATION � . e <br /> 4. FIRE PROTECTION SYSTEM WHE17 PROPERLY VALIDATED(IN THIS SPi COE)eT�IS IS YQU�P�:T�O 'lll� <br /> 77• � <br /> I_ 5. GRADIhG . ' � � � <br /> 6. DRAINAGE � � � . CI° <br /> s <br /> 7. ENVIFONMENTAL IMPACT STATEMENT y��D, ptC�''� � <br /> � M1 1�G <br /> p. HEALTH DISTRICT <br /> APPLICAT�ON ACC.BY PLANS CHECKED BY APPP.FOR ISSUANCE BY . : THA�K YO� <br /> � <br /> � 0 ,u� .83 <br /> ADDRESS FILE -� - ' ' � <br />