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' r - <br /> „,"�-�--. the Eversreen .-� �-y.�� <br /> CITY OF S � � l V�iF:Ai:� :'.�,.. . . <br /> P�RMIT `"' ,_ <br /> everett PERMIT t�10. O?54-�F <br /> CITY HALL 259�8745 <br /> E�'ERETT.'NA 98207 ❑ COMBINATION C BUILDING ❑ MECHp�NICAL PLUMBING <br /> rAqIL FODHESS CItY ZiP PIIONF. <br /> OWNEP <br /> Cascade Chapter N.E.C.A. 1314 26th Street <br /> ARCHRF.CT OR�ESIGNEfl <br /> MAILAD.1RE55 CITY ZIP PMONE <br /> GENEPALCONTRACTOR MAtLADDRESS QIY ZIP PMONE LICEtISEI <br /> MELNANICAL CANTRACIOR MAILAOORE55 CIiY ZIP PHONE UCEHSE/ <br /> PLUMBWGCONTRACTOR MAI�AODRE55 CRY 21P PHONE LICENSE� <br /> Rucker Avenue Plumbing . <br /> C�ASS OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑F:NCI: ❑SIGN GARNGE <br /> VALUATION OF WOPK <br /> S <br /> DESCRIBE WOPK <br /> PROPOSED USE OF BUII�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGAL�ESCRIPTIONOFPROPERTY�sNowee�owoannncHFouawaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT e�ocK_oF TYPE OF WORK WILL 5E COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOFS NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTI(�J OR T ERF MANCE OF CONSTRUCTION. <br /> SIGNA C�i��ncrog , urNor+ - ncer+r 5/5/80 <br /> doago3q��ssz6th Street X <br /> PLUMBINl3 MECHANICAL , <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSEi ROILET) AIR COND.UNITS—H.P.EA. <br /> REFRIGERATION UNITS—H.P.EA <br /> BATHTUB <br /> 2 LAVATORY(WASH BASIN) �I OO BOILEFS—H.B EA. <br /> 1 SHOWER 2 OO GAS FlRED A.C.UNITS—TONNAGE EA. <br /> ]_ KITCHEN SINK 8 DISP. 2 OO FOfiCED AIR SYSTEMS—8 TL. M EA. <br /> VJALL HEATERS—B.T.U. M <br /> DISHWASHER <br /> UNIT HEFTERS—BT.U. M <br /> LAUNDRVTRAY - <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEAiER CLOTHES ORYERS . <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT— GF.M. <br /> FLOOR DRAIN . <br /> STOVE - <br /> JACUUM BRFAKERS �J,ETAL FIPEPLACE 8 CHIMNEY <br /> ROOF DRAINS—F7AINLEADERS <br /> SINK(SERVICE—BAR.ETC) <br /> SUBTOTAL b 00 SUBTOTAL f <br /> PEPMIT S PENMIT f <br /> TOTALFEE S TOTAL FEE S <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER RECEIPT NO. <br /> FEE <br /> USE ZONE LOT AREA VACANT SI7E FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPANCI'GROUP NO.OF DWELLING UNIiS <br /> BUILDING g <br /> SIZE OF BLOG. N0.OF STOFIES MAX.OCC.LOAD 1], 00 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE$PRINKLEflS �,�ECHANICAL <br /> REOUIREO <br /> ❑Y�5 CNO <br /> pPPROVALS BY OATE <br /> OTHER <br /> 1. ENVIRONMENTAI.CHECK LIuT PENAL7Y U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS TOTAL 11 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION � � I <br /> WHEN PROPERLY VALIDA7ED(.N THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING ' � ' A <br /> 6. DRAINAGE 9 � O ' �• O O `� � ' <br /> 7. ENVIRONMENTAL IMPACT STATE�fENT � � <br /> B. HEALTH DISTPICT YO U R R EC E I PT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY i <br /> , Tl-t�l�lK Y�L � <br /> ADDP.ESS FILE - S � �O � <br />