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the EL <br /> CITY OF CI N ST R U CT I O L <br /> CITY OF <br /> everett PERMIT PIERMIT N0. 06918 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 ❑ COMBINATION U BUILDING kIMECHANICAL I. PLUMBING <br /> ONE <br /> OWNER <br /> MAIL ADDRESS CIIY lll' PH <br /> Jesse L. Rader 929 57th Street Everett 98203 355-51 <br /> 08 <br /> ARCHITECT OR DESKI4ER <br /> -- MAIL A(BIRESS CITY ZIP PHONE <br /> OENERAIameNTRACiOR <br /> MAIL ADDRESS CITY ZIP R!ONE LK:ENBE 1 <br /> SS MAIL ADDRESS CITY ZIP PHONE LICENSE e <br /> MEGNANKAI ODNTRACi011 <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN 0GARAGE <br /> VALUATION WORK <br /> t <br /> DESCRIBE WORK <br /> install fireplace insert <br /> PROPOSED USE OF BUILDING <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL <br /> DESCRIPTION OF PROPERTY I.MOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLMK__OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAIN REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNBE OF CONTRACTOR O VT!!OR ED AGENT GATE <br /> ,LOB ADDRESS X 12/17/80 <br /> 929 57th Street <br /> HANICAL <br /> PLUMBING <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE _ <br /> WATER CLOSET(TOILET) AIR COPD.UNITS—N P.EA <br /> REFRIGERATION UNITS—N P EA <br /> BATHTUB <br /> LAVATORY ASH BASIN) &OILERS—H.P,EA. <br /> GAS FIRED A.C.UNITS—TONNAGE EA <br /> SHOWER . <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.0 MEA <br /> WALL HEATERS—8.T.0 M <br /> DISHWASHER <br /> LAUNDRY TRAY UNIT HEATERS—BIT.V. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> _ WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT— C F M <br /> FLOOR DRAIN <br /> STOVE <br /> VACUUM BREAKERS <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINN(SERVICE—BAR.ETC <br /> 1 Install fire la a ince 0 <br /> SUB TOTAL SUB TOTAL S 4 5 O <br /> i PERMIT <br /> PERMIT S <br /> f TOTAL FEE 7 5 <br /> —TOTAL FEE <br /> STREET SETBACK HEAR YARD SETBACK PI,AN CHECK NUMBLII PLnN CHECK FEE <br /> SIDE YARD SETBACK FEE RECEIPF NO <br /> USE ZONE LCT AREA VACANT SITE FEES VALUATION FEE <br /> OYES ONO — <br /> TYPE OF CONST. OUPANCY GROUP N0.OF DWELLING UNITS <br /> CC <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STORIES MA.`f.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE RED KLERS MECHANICAL 7 50 <br /> 11YES ❑NO <br /> APPROVALS BY DATE OTHER _ <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br /> —— E] <br /> SEC.303(e) _ <br /> 2. BUILDING PLANS TOTAL 715 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> . WHEN PROPERLY VALIDATED ON THIS SPACE)THIS 15 YOUR PERMIT 7. <br /> 7 RM <br /> 5GRADING 5 O --� <br /> 8. DRAINAGE J •fD <br /> 7. ENVIRONMENTAL IMPACT STATEMENT i is RE C PT <br /> CD <br /> I Po <br /> B. HEALTH DISTRICT �• L 1 <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR FOR ISSUANCE BY ' rl, V pY C U <br /> I 0 DEC 8 O <br /> ADDRESS FILE <br />