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1 ' <br /> the ErO <br /> CITY ofF ^0 N ST R U CTI O N <br /> lrr <br /> everett PERMIT PERMIT N0. 09301 <br /> CITY HALL 2598745 fpYr <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING 11 MECHANICAL PPLUMBING <br /> OWNER MAIL AUUBf 55 (.II♦ IIP I`MUNI <br /> Stephen L. Miller 305 76th Place S .W. Everett 98203 353-4679 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERK CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP RHONE LICENSE/ <br /> CUSS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENL:E ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> E <br /> DESCRIBE WORK <br /> install sprinkler system <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR ODRESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOCK—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 LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> JOE ADDRESS 5/26/81 <br /> 305 76th Place S.W. X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H .EA <br /> BATHTUB REFRIGERATION UNITS—H.EA <br /> LAVATORY ASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK A DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALL HEATERS—8 U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.) <br /> 1 <br /> Sprinkler system ONO 00 <br /> _ SUB TOTAL BUB TOTAL f <br /> PERMIT f PERMIT S <br /> TOTAL FEE t TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> JYE1 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GRLTUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC LOAD <br /> PLUMBING 5 00 <br /> FIRE ZONE SEMENT FIRE SPRI KLERS <br /> BAMECHANICAL <br /> I LYES ONO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LISTPENALTY U B C. <br /> SEC 30310) <br /> 2. BUILDING PLANS <br /> TOTAL 5 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S. GRADING WHEN PROPERLY VALIDATED(IN THIS�SPACE),THIS IS N' UR PERMIT -- <br /> 6. DRAINAGE 1 'T U� U O <br /> 7. ENVIRONMENTAL IMPACT STATEMENT M <br /> S. HEALTH DISTRICT II Q <br /> APPLICATION AOC.BY PLANS CHECKED BY APPR FOR ISSUANCE BY I� <br /> r <br /> ADDRESS FILE <br />