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„ �� � ,��,.`�,� CONSTRUCTIC � <br /> � � e ����� PERIV� IT PERIVIITNO. ! � <br /> CITY HALL[59�F745 <br /> ' eve��e�r evn�,zoi � COMBINATION ❑ BUILDING X%i MECHANICAL ❑ PLUMBING <br /> ev,r:En rnni�nooaEss crtv ziN allor+e <br /> John A. Kemo i306 lOth Street Everett 98201 259-2773 <br /> APGNITECT OR DESIGNER b1AIL POORESS CiTY ZIP PHONE <br /> GENERAL GON'iRAGTOR MAIL ADORE55 GIiY 21P PHONE UCENSE e <br /> MECHANICALCONtRACTOR MAILAD�RESS UTY ZIP PMONE LICERSEu <br /> Sanie <br /> PLUA'61NG COHTRACTOR MRIL ADOPE55 CITY l�P PMONE LICEtJSE p <br /> CLASS OF WOPK <br /> ❑ NEW ❑ P.DDITION ❑ AITERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN H� W(IOD STOVE/FIREPLACE INSERT <br /> �� VALUATION OF WORK <br /> S _ �DESGFIBE V/ORK <br /> Install fireplace i7sert z <br /> — a <br /> PqOPOSED JiE OF BNLOING � <br /> � I H[REBY CERTIFY 1'HAT I HAVE READ AND EXAMINED THIS � I <br /> APPLICATION AND KNOW THE SAfv1E TO BE TRUE AND m <br /> LEGAl�ESLPIPT10NOFPPOPERTY�SHOIYBELOYlORATTAGHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES • <br /> 15/16 214 Evarett GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH <br /> WT___ALOCK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A `” `" I <br /> � T <br /> PERIv11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE � � <br /> _ - OR CANCEL THE PROVISIONS OF ANY OTHER STPTE UR w m <br /> LOCAL LA\N FEGULATING CONSTRUCTION OR THE p <br /> PERFORMANCE OF COf!STRUCTION. m o <br /> JOE�aDCRESS SIGIjrTURE F CONiF�kGLOR OR AUTMORIZE�PC.ENi �A�E (7 <br /> 1306 lOth Street X i� (� �� � � `� 11/18/85 o m <br /> PLU�NBING MEC ANICAL � v m --z j <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. 1'YPE OF EOUIPMENT FEE p Z I <br /> WATER CLOSET(TOILEn A�R COND. 11NIT5 - H.P. EA C <br /> n —� � <br /> bATHTUB REFflIGERATION UNITS- H.P. EA. r = <br /> r. r. , <br /> LAVATOHY(WASH BASIN) 001LER5- H.r'. EA. _ { v' � <br /> SHOWER GAS FIRED A.C. UNITS- TONNAGE EA C A i <br /> KITCHEN SINK 8 DISP. FOF;CED AIR SYSTEMS- B.7.U. M EA. T� Z i <br /> DISHWASHER WALL HEATEPS- B.T.U. M _ � m � <br /> 2 <br /> LAUNDRY'iRA'f UNIT HEATERS- B.T.0 M m '-' <br /> CLOTHESVJASHER EVAPORA7IVE COOLF.RS _ _ � N � <br /> or <br /> CLOTHES ORVERS n m <br /> WATER HEATER _ C � <br /> URINAL VENiILAT10N FAtI_ m N i <br /> RANGE HOOD Z �' ' <br /> DRINKING FJUNTAIN -1 r <br /> FLOOR DRAIN AIR HANDLING UNIT - C.F.M. ' D 1 <br /> VACUUM BREAHERS STOVE -WOOD � � <br /> � RC10F DRAINS- RAINLEADERS — METAL FIFlEFLACE 8 CHIMNEY D.J <br /> � SINK(SERVICE- BAR, ETC.� 1 FIREPLACE INSERT � SO Z � <br /> i HEAT PUMP � ��� <br /> { — � � <br /> � _ _ N <br /> I <br /> � � I <br /> ' Sl1B TOTAL 3 SUB TOTAL 5 � SO � <br /> PERMIT 5 PERMIT 5 lO OO r; ; <br /> � TOTAL FEE $ TOTAL FEE S 1'J SO� <br /> � SIDE YARD SETDACK STREET SETBACK REAR YARD SETBACK PLA!!CHECK NUMBER PLAN GHECK FEE <br /> ( FEE RECEIPT N0. <br /> �' USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE _ � <br /> :-.VES �:.NO <br /> TYPE OF CONS7. OCCUPANCY GROUP NO.OF OWELLING 11NIT5 _ _ <br /> F _ BUILDING 5 _ 1 <br /> � SILE OF BLOG. NO.OF STOFIES MA%. OCC. LOAD - <br /> PLUMBING � <br /> I 1 <br /> I FIR[ ZJNE BASEMENT FIRE�PRINKLLPS MECHANICAL 17 SO i <br /> F�OUIRED <br /> j� VES �. NO - � <br /> I APPROVALS BY IIATE OTHER I <br /> � t. ENVIRONh1ENTAL CHECK LIST PENALTY U.B.Q � <br /> _ SEC.303(a) , <br /> t <br /> 2.BUIL�INGPLANS 1� SO <br /> � 3.FIREHYDRANT TOTAL <br /> � 4.FIREPROTECTIONSYSTEM --- PERMITVALIOATION � � (; 9 � (� 'J [ (� I� <br /> 5.G(7A�ING WHEh; PHOPEFLYVALIUATEO�INTMS�SP�.4CE�THIS�ISfV�URP.ERMl7 '1�, i <br /> } 6.DRAINAGE - { <br /> 7.ENVIRONMENTPLIMPACTSTATEMENT ' "` �� '"` �' ; .� I' l�? <br /> ' ' ' i, i.�._ ._. i: : : <br /> i B.HEALTH DISTRICT T" <br /> APPUCATION ACG. BY PLANS CMGCKED AY APPR. .`OR 185UANCE BV � .� � , , � �� ' <br /> i � <br /> —_ � —_ � � .,_; ,� ) ' <br /> � <br /> ` j.,ni;�. S� YIi.E <br /> I <br /> � <br />