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'"` `"CRYO° �ONS'TRUCTION' <br /> everett PERMIT PERMIT N0. 11200 <br /> CITY HALL 7598745 <br /> EVERETT,WA 98201 ❑ COMBINATION (-J BUILDING Lxk MECHANICAL I_1 PLUMBING <br /> OWNER MAIL AW441- uh ZIP "HONE <br /> James F. Templin Jr. 27 76th Street S .W. Everett 98203 353-0828 <br /> r ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> BE NERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE F <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE F <br /> CLASS OF WORK '— <br /> ❑NEW ❑AUDITION 0ALiEMT10N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORK <br /> Install fireplace insert. <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT RLOCK—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 /> 11111ADDR[55 BIONATEW(OF NTMCTOH Yu, IORIZFD f DATE <br /> 27 76th Street S.W. X F\/� �•.a �y'a <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CONO.UNITS—H P.EA <br /> BATHTUB REFRIGERATION UNITS—HF,EA _ <br /> LAVATORY ASH BASIN BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DIGP, FORCED AIR SYSTEMS- B T U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.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— CFM. <br /> VACUUM BREAKERS STOVE _ <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC. a T n a gr t <br /> LL <br /> SUB TOTAL SUBTOTAL f _ <br /> PERMIT f PERMIT f <br /> TOTAL FEE f 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 /> IJYES LJNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> 517E OF BLDG, NO.OF STORIES MAX OCC.LOAD <br /> PLUMBING <br /> TIRE ZONE BASEMENT FIRE SPRINKLERS <br /> AT OUIRED MECHANICAL 17 SD <br /> GES [)NO _ <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST U R C <br /> PENALTY SEC 3U31a1 <br /> 2, BUILDING PLANE _ <br /> 3. FIRE HYDRANT TOTAL 17 50 <br /> 4, FIRE PROTECTION SYSTEM PERMIT VALIDATION A <br /> S GRADING WHEN PROPERLY VALIDATED BN THIS SPA CEkT IS r0011riui 5 O y <br /> 77xO <br /> e. DRAINAGE <br /> LT. ENVIRONMENTAL IMPACT STATEMENT <br /> S. HEALTH DISTRICT YOU R ReC� <br /> APPLICATION AOC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY THANK Y O t-H <br /> ADDRESS FILE <br />