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�1heEverXreen ,�pNSTRUCTl01`�� �^ <br /> ;�. <br /> , � �iT��F <br /> everett PERMIT PERMIT N0. 14�92 <br /> CITY HALL 259�8745 . �� <br /> �� EVEREII,WAb8201 '� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> I <br /> OWNEFi MAIL AOOHE55 GITY 21P PMONE <br /> SlA1AN SETHI PO BOX 1713 Everett WA 98206 252-9470 � <br /> � <br /> ARCHITECT OR OESIGNER MAIL AD�RESS CITY ZIP PHONE <br /> GENERAL CONiRACTOR MAIL A�DRESS CITY ZIP PHONE LICENSE� <br /> BELL CONSTRI1CfI0N BOX 414 Everett WA 98206 653-5476 BELLC163M7 <br /> MECHANICAL CONTRACTOR MAIL ADOHE55 CITY 21P PHONE LICENSE� <br /> PLUMBING CONTRACTOR MRIL PD�RE55 CITY 21P PHONE LICENSE� <br /> CLA55 OF WOHK <br /> OXNEW ❑ ADDITION ❑ ALTERATION ❑REPAIFi ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFIFIPEPLACE iNSERT <br /> VAf 118�O��URKOO <br /> OESCP���ice Building <br /> vao seo use F eu Wc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Genera� e�'ices <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LCGFL DESCRIPTION OF PROPEPTY ISMOW BELOW Ofl ARACH FOUP COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 1 e�ocK z uF Silver a c GOVERNING THIS TYPE OF YVORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFO MANCE OF CONSTRUCTION. <br /> JOB P��RESS SIGN RE F C THACOR OR UTHO D T DATE <br /> X � as <br /> PLUMBIN6 MECMAN AL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET(TOILEn P.�R GOND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERA710N UNITS— H.P. EA. <br /> 4 LAVATORY(WASH BASIN) DOILEti9— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE[A. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEA7ER5— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER 'EVAPORATIVE COOLERS <br /> j WATER HEATER Z �Q CLOTHES DRYERS <br /> 2 URINAL Q OO VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> Z ROOF DRAINS— RAINLEADERS 4 OO ME7ALFIREPLACE 8 CHIMNEV _ <br /> SINK(SERVICE— BAR,ETC.) 4 OO FIREPLACE INSERT <br /> HEAT PUMP <br /> sue roTn� ; 34 00 sue rorn� s 45 00 <br /> PEPMIT f PERMIT f <br /> TOTAL FEE S 34 OO TOTAL FEE f 4S OO <br /> F SIDEVARDSETBAGK STflEETSETBACK REAR YARD SETBACK PL4N CHE�CJ�K NUMBER FLAN CHECK FEE <br /> j �S/I -I\�� FE�'j 7'^ �CEIP NO. <br /> USE ZONE LOT AREA VACANT SITE �� <br /> ;-� ES CNO FEES �A�UATION FEE <br /> TYPE OF CONST. OCCUP NCY GROUP NO.OF DWELLING UNITS <br /> BUILDiNG �6a�QQ�. ��3 �0 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING J4 OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 45 00 <br /> REOUIFED <br /> ;�.VES . -,NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(a) <br /> 2.BUILDINGPLANS T�TA� GBZ OO <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROlEG710N SYSTEM PERMIT VALIDATION N <br /> WHEN PFOPERLY VALIDATED IIN THIS SPACE)THIS IS YOl1R PERMIT <br /> 5.GRADING � <br /> � 6.DRAINAGE � � . � . ---- � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �' <br /> � �B.HEALTHDISTRIC7 � <br /> � APPLICATION ACC.BY PLANS CHECKED BV APPR. FOR ISSUANCE BY . -- <br /> eb jef lc ' <br /> ADDRESS FILE J <br />