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the Erl'rcrrrN P; O N ST R U CT I O 1 ,I <br />everett PERMIT PERMIT NO. 14425 <br />CITY HALL 2518745 <br />EVERETT, WA 98201 ­_] COMBINATION U BUILDING i_; MECHANICAL XX PLUMBING <br />OWNER <br />MAIL ADDRESS U111 : I, PHONE <br />Lyel Fransen 1611 73rd Street Everett 9820 <br />PH <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP ONE <br />ZIP PHONE LICENSE E <br />GENERAL CONTRACTOR <br />MAII. ADDRESS LITY <br />LICENSE F <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY 21P PHONE <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR 435-4376 <br />R & R Plumbing 9720 1P3rd Place N.E. Arlington <br />luffugiNw- <br />CUSS OF WORM <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />LEGAL DESCRDmnN nr <br />LOT_ BLOCK _OF <br />1611 73rd Street <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 ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT IPRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PE RFO ►AANCE OF CONSTRUCTION. <br />SIONA�OF CONTRAp1DR AUTHORIZED AGENT <br />DATE <br />!!��/��/ „ �� �� 2/4/85 <br />MECHANICAL <br />PLUMBING <br />OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENTSET <br />FEE <br />WTYPEE <br />ITOILETI <br />(WASH BASIN) <br />AIR COND. UNITS - M.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA.OpS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS -B.T.U. M EA.ER <br />INK f DISP. <br />2 <br />00 <br />WLLETERS - S.T.U. M <br />UNIT HEATERS - B.T.U. M <br />RAY <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />AIR HANDLING UNIT - .-F.M, <br />STOVE FI WOOD <br />VACUUM BREAKERS <br />ROOF DRAINS - MINLEADERS <br />METAL FIREPLACE f CHIMNEY <br />_ _ <br />FIREPLACE INSERT <br />SINK (SERVICE - BAR, ETC) <br />HEAT PUMP <br />f 12 00 <br />SUB TOTAL <br />f <br />SUB TOTAL <br />PERMIT <br />f <br />PERMIT <br />f 3 00 <br />TOTAL FEE <br />f <br />TOTAL FEE <br />5 15 O0 <br />REAR YARD SETBACK <br />PUN CNECK NUMBER PLAN CHECK FEE <br />SIDE YARD SETBACK STRE[T SETBACK <br />FEE <br />RECEIPT NO. <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEES VALUATION <br />FEE <br />.YES NO <br />- <br />TYPE OF CONS . <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />_ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC, LOAD <br />PLUMBING <br />15 <br />00 <br />FIRE ZONE BASEMENT <br />FIRE SPRINREOUIRED KLERS <br />MECHANICAL <br />.YES NO <br />OTHER <br />BY DATE <br />U.BC.1. <br />ZAPPROVALS <br />ENVIRONMENTA <br />PENALTY SEC. 303 Is) <br />2. BUILDING PLANS <br />TOTAL <br />3. FIRE HYDRANT <br />PERMIT VALIDATION <br />THIS PERMIT.-- LC <br />�FIRE PROTECTIO <br />WHEN PROPERLY VALIDATED RN THIS SPACE) <br />AS-YOUIj <br />ciiI <br />5. GRADING <br />_ <br />d <br />& DRAINAGE <br />d <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />I; <br />r <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKEn BY <br />APPR. FOR ISSUANCE BY <br />-1 T <br />LA <br />!n rn <br />m <br />�c <br />o� <br />m <br />C Z <br />r 2 <br />H � <br />s <br />T <br />-H <br />mN <br />O <br />O F' <br />C (In <br />-=1 r <br />m <br />m <br />i <br />ADDRE`S I'III <br />