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� <br /> thrE�cgvoF rONSTRUCTION <br /> everett PERMIT PERNlIT N0. 11Z67 <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98207 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILAppRE55 GITY ZIP PMONE <br /> Lorraine Spence 1312 26th Street Everett 98201 <br /> RRCHIiECTORDE5IGNER 4FILAODRE55 CIiY ZIP PHONE <br /> GENERALGONiRAC70R m.01LA00RE55 CITY ZIP PHONE LICENSF.1 <br /> Natural Gas Equipment Co. Inc. 1312 26th Street Everett 98201 258-2441 <br /> MECHANICAIGONTRAJTOR MFILADDRESS GTY ZIP PNONE LIGENSEI <br /> PLUAIbINGCONiqACLOP l,1AlI.ADDRE55 CITY 21P FHONE LICEFSEt <br /> C�ASS OF WORK � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMULITION ❑FENCE ❑SIGN ❑GARAGE <br />, VA WA�104 OF WOPK <br /> b <br /> DESCRI�[WORK <br /> PROF'OSEU USE OF 6UILDING <br /> I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ie�n�oescaiPrioNCFPnover+rvisNowee�owoasrncHFouaweies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> AlL PROVISIONS OF LAWS AND GRDINANC[S GOVERNING THIS <br /> �o* uiocK_oF TYPE OF WCRK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUI�HORITY?'C VIO�TE OR CANC�L THE PRO� <br /> VISIONS OF APlY OTHER STATE OR LOCAL LA4'/ REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE CF CONSTRUCTION. <br /> JODACGRESS SIGNAI PEOFCONiRAQGROR.At1iMORIZEDAGENt DAiE <br /> 1312 26th STREET X � ���;,,� ����,���;�,L; <br /> 11 18 82 <br /> PLUMBING MECHANICA <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> VJATER CLOSET(TOILETI AIR CCND.UNITS—H.2 EA. <br /> BATHTU� AEfFIGERATION UNITS—H.P.EA <br /> LAVATCRY(VlASH P4SIN) BOILERS—HP. EA. <br /> SHO`NEF Gh5 FlRED A.C.UIJITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. PORCEU AIR SYSTEIAS—B T U. M EA. <br /> DISHWASNER WALLHEATERS-6T.U. M <br /> LAI�NCRV TRAV UNR HLATERS—�T.U. M <br /> C�OTHES WNSHER EVAPORATIVE COOLERS <br /> WATER HEATEfi CLOtHES DRY[HS <br /> URINAL VENTILATION FAN <br /> D�iINKING FOUNTAIN �ANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GEM11. <br /> VACUUM BPEAKERS STOVS <br /> ROOF DRAINS—RAMLE�DERS MEIAL FIREPLACE&CHIh1NEY <br /> siNKisEr��ice—ena,erc.� 1 Conversion B rne 4 50 <br /> SUB 70TAL SUB TOTAL S 4 S O <br /> PERMIT S PEHMIT 5 <br /> 70TAL FEE S TOTAL FEE S 14 5 O <br /> SIDE YAHD SETBACK STREET SET�ACK PEAR YARD SETBACK PLAN CHECK NUMBER PLAN CHLCK FEE <br /> FEE RECHPi NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> vES I.iNO FEES VALUATION FEE <br /> TYPE OP CONST. OCCUPPNCV GROUP NO.OF DWEL�RJ6 UNITS <br /> BUILDING S <br /> SI7.E Or BLDG. :10.OF STORIES MAx.OCC.LUA� <br /> PLUMBING <br /> PIRE ZONE LASEMENT fIPE SPRINKLERS -� <br /> RWUIRED MECHA�VICAL 14 SO <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER I <br /> 1. ENVIRONMENTAL CHECK LIST PBJALTY U.B C. J <br /> � SEC.303(a) <br /> 2. BUILDING PLANS � <br /> 3. FIREHYDRAN7 TPiAL 14 50 <br /> 4. FIRC PROTECTIGN SYSTEM PERMiT VALIDAtION <br /> WHEN PN:�PFALY VALIDATEU pN THIS SPACE)1'HIS IS YOU i �R6�T� -- <br /> 5. GRADING 6 1 y 1 jiU ' � <br /> 6. DFAINAGE (,p <br /> 7. ENV15JNMENTAL IMPAGT STATEMENT ' N <br /> 8. HEALIhI DISTNICT YU U P. REC EiPT � <br /> APPLICAI'ION ACQ�Y PLANS CHECKED BY APPR.FG9 ISSUANCE BY � C ��Q,�� Y�O�U <br /> i . <br /> t <br /> 1 9 ►� 8 2 <br /> ADDRFS� FILE • <br /> -- . <br />