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1 <br />� `! � <br /> �',�E°e�s�ee° — ^ONSTRUCTION � <br /> ��TYaF ' pERMIT <br /> everett PERM�T No: so395 � <br /> CITY HALL 259�8745 <br /> evERETf.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ AflECHANICAL � PtUMBING <br /> Arthur A Hermanson 2�� 0 Sth Gtreet £verett 98201 ?52-1926 ( <br /> OWNE4i AIAILAD�JRE55 GITY ZIP PHO!IE <br /> RdSH7tY�X5RiSpipxBRX H8@8XH�8}[XSSXi[i[BXSYSY SYA[Xil83F fl8%�8 %88H88S$X <br /> i <br /> AflCMIiECTOPDE5IGNER MAILAODPE55 CITY ZIP PMONE <br /> GENERALCONTRACTOF MAI�ADORESS CI7Y 21P PMONE LICEHSE♦ <br /> MEGMARICAL CONTfiACTOR MAIL ApDRE55 CITY ZIP PMONE LIGENSE/ <br />. / <br /> I PLUldplllGGONTMGTOR MAllA0DRE55 CITY ZIP PMONE LICENSEI <br /> Energy Production Systems Inc. 21705 Highway 99 Lynnwood 98036 771-9030 <br /> G1A55 OF V/ORN F q �7 <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLIiION ❑FENCE ❑SIGITN LGARAGE Z12LD <br /> VALUATION OF WORK <br /> E <br /> OESCRIBE WOPN <br /> I Install Solar Water Heater <br />. PROPoSED USE OF BUIL�ING <br /> I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS AP• <br />� IEWLDESCPIPiIONOFPPOPERTYISNOWBELOWOflATTACHFOURCAPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> AlL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS I <br />• ior eia�oF TYPE OF WORK WILL BE i.OMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> I PRESUME TO GIVF AUTHORITY TO VIOLAT[OR CANCEL THE PRO� ' <br /> t VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />� CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />� SIGNATURE OF CANTfiACTOR OP AUiHOflREO AGENi �ATE <br />� JOB ADDPE55 <br /> 2310 5th Street X Check #2344 4/14/82 <br />� PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> I WATER CLOSET I701LET) AIR COND.UNI7S—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. . I <br /> I KITCHEN SINK 8 DlSP. FORCED AIR S"STEMS—B.T.U. M EA. <br />� DISNWASH[R WALL HEATERS—B.T.U. M 1 <br /> LAUNORY TRAY UNIT HEATERS—B.T.U. M I <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER Z OO CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HGOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS SiOVE i <br /> ROOF DRAINS—RAINLEADERS �.1ETAL PIREPLACE 8 CHIMNEY <br /> iSINK 15ERVICE—BAR,ETC.) � <br />�I <br /> II� SUBTOTAL 2 SUBTOTAL S <br /> PEHMIT S 3 00 PEHMIT S <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. �CCUPANCY GROUP NO.OF DWELLING UNITS <br /> I� BUILDING $ <br /> SIZE OF BLD�. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING S 00 <br /> `!^c ZONE BASEMENT FIRE SPRINKLERS MECHANICFL <br /> REOUIRED <br /> IIYES ❑NO _� <br /> � APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303(e) <br /> 2. BUILDING PUINS <br /> TOTAL 5 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PRO7ECTION SYSTEM PERMIT VALIDIITION <br /> WHEN PROPERLY VALI7ATED(IN TH�S SPACE)THIS IS YOUR PERMIT <br /> I 5. GRAUING I 2 O O � O 0 C.O O __ � � <br /> 3 <br /> 6. URAINAGE . J <br /> 7. ENVIRONMENTAI.IMPACI STATEMENT .. M <br /> e. HEALTHDISTHICT �U�v� '�ECEIPT O <br /> APPLICAT104 ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY . ' � � <br /> i t41��l� Ya�U - <br /> 1 4 �a 8 2 <br /> ADDRESS FILE ....__.__ _ _ _ <br /> . <br /> � � - — - ' <br />