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"(',TY`01 FAA* CONSTRUCTION <br />everett PERMIT <br />CITY HALL 2598745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING MECHANICAL <br />OWNER MAIL ADUHtsa <br />Greq S. Prentice 1709 63rd Street <br />ARGHrtEGT OR DESIGNER MAIL ADDRESS <br />Everett <br />PERh11T NO. 15409 <br />L] PLUMBING <br />CITY <br />ZIP <br />PHONE LICENSE F <br />GENERAL CONTRACTOR <br />MAIL AODRETS <br />-- CITY <br />ZIP <br />PHONF LICENSE <br />MECHANICAL CONTRACTOA <br />MAIL ADDRESS <br />Mall Way <br />Everett <br />98204 355-7730 <br />Valley Natural Gas. <br />519 S.E. Everett <br />CITY <br />ZIP <br />PNONF. LICENfiE M <br />PLUMBHIO CONTRACTOA <br />MAIL ADDRESS <br />VALLENG153LI <br />CUSS OF WORA <br />❑ ALTERATION ❑ REPAIR O DEMOLITION O FENCE <br />SIGN <br />O WOOD STOVFIFIREPLACE INSERT <br />_n <br />❑ NEW Q ADDITION <br />S <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <br />LOT__BLOCK__OF <br />JOB AODRESS <br />1709 63rd Street <br />PLUMBING <br />NO. TYPE OF FIXTI <br />RY (WASH BASIN) <br />R <br />V SINK A DISP. <br />SHER <br />IY TRAY <br />:S WASHER <br />HEATER <br />VG FOUNTAIN <br />DRAIN <br />DRAINS - <br />ecavlrF - <br />FIRE ZONE <br />1. ENVIRONMENTAL <br />2, BUILDING PLANS <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION <br />5. GRADING <br />0. DRAINAGE <br />T. ENVIRONMENTAL <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL I .OR <br />LOCAL LAW H EGULAITINGSCONSTR CTH)NOF ANY OTERSTATE OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNVURE OF CONTPAGTUVpA AUTHORIZED A)IENT 9�9�85 DATE <br />n. w <br />OR ITEM FEE No.T TYPE OF EOUIPMEnt <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED AC. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HE -B.T.U. IA <br />-- UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />ETC.) <br />SUB <br />LIST <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACE INSERT <br />SUBTOTAL <br />f <br />TAL <br />{ <br />PERMIT <br />_ <br />: <br />TOTAL <br />FEE <br />t 2 <br />FEE <br />TBACK <br />s <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />YES NO <br />--- <br />:Y GROUP <br />NO. OF DWELLING UNITS <br />- <br />BUILDING <br />$ <br />DRIES <br />MAX. OCC. LOAD <br />P_UMBING <br />_ <br />F <br />FIRE SPRINKLERS <br />MECHANICAL <br />22 50 <br />REOUIRED <br />YES NO <br />OTHER <br />BY GATE <br />U.B.C. <br />PENALTY <br />SEC. 303111I <br />_-- <br />22 50 <br />TOTAL <br />PERMIT VA EZ fi j 6 ,jU� P5U WHEN PROPPERLYRLY VALIDATED (IN THI P I TMI <br />I7 <br />II? <br />YOUR RECEIPT,i <br />THANK YOU <br />— 9 sEP 8 5 <br />z <br />O <br />•-1 <br />rn <br />ADDRESS FILE <br />