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the L'crrgmrn <br /> t,Tree ;ONSTRUCTIOtf <br /> everett PERMIT PERMIT NO. 159Oy <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 El COMBINATION L BUILDING xx MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS PHONE <br /> Ron Feaster 110 79th Avenue S.E. Everett 98203 355-1.815 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS rlr ZIP PHONE <br /> GF.NERALCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> Same <br /> MECHANICAL.CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL AODRES5 CITY ZIP PHONE LICENSE <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> I <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS o <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) CnRRECT. ALL PROVISIONS OF LAWS AND ORDINANCES 0 <br /> 17 Evergreen Ridge GOVERNING THIS TYPE Or WORK WILL RE COMPLIED WITH m <br /> LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRAN PING Or A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE !ri <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR �� <br /> LO AW REGULATING CONSTRUCTION OR THE (n-4 <br /> P R ANCE OF CRUCTIO m <br /> JOB ADDRESS SI F CONT R A O T qAT <br /> 11079th Avenue S.E. X yam - <br /> -4 c <br /> PLUMBING MECHANICAL CD <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE =--4 <br /> m <br /> WATER CLOSET(TOILET) AIR COND.UNITS- M.P.EA. <br /> BATHTUB REFRIGERATION UNITS- H.P.EA. C <br /> LAVATORY(WASH BASIN) BOILERS-H.P.EA, r x <br /> r•r <br /> SHOWER GAS FIRED A.C. UNITS-TONNAGE EA. -H N <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS- B.T.U. MEA. x <br /> DISHWASHER WALL HEATERS- B.T.U. M T <br /> LAUNDRY TRAY UNIT HEATERS-B.T.U. M -4 <br /> S <br /> CLOTHESWASHER EVAPORATIVE COOLER6 m <br /> N <br /> WATER HEATER CLOTHES DRYERS O r <br /> URINAL VENTILATION FAN C9 m <br /> C LA <br /> DRINKING FOUNTAIN RANGE HOOD A V) <br /> FLOOR DRAIN AIR HANDLING UNIT - C.F.M. Z L'1 <br /> r- <br /> VACUUM BREAKERS STOVE -WOOD • m <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY A <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT -I <br /> S <br /> HEAT PUMP D <br /> Z <br /> X <br /> X <br /> _ I-y <br /> SUBTOTAL f 2 00 SUBTOTAL f 7 50 <br /> PERMIT t PERMIT f 10 -00 <br /> TOTAL FEE f 2 0 TOTAL FEE f 17 <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 /> YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO, OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD --- <br /> PLUMBING Z <br /> FIRE ZONE BASEMENT RROEUIRE IDNKLERS 00 <br /> MECHANICAL 17 50 <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK 41ST PENALTY UBC. <br /> SEC. .303 lel <br /> 2.BUILDING PLANS Ln TOTAL 19 50 <br /> 3,FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> &GRACING WHEN PROPERLY VALIDATED BN THI�%PAF+I THIS�RC@ .P0,0T---43�3 <br /> 'SIDRAINAGE O <br /> ENVIRONMENTAL IMPAC TITATEMENT .,LQ�) <br /> �.NEALTHOISTRI 7 v Y�j I �, REC�:I h l� <br /> v PPLIGA710N A .BY .,PLANS CHECKED BY APPR. FOR ISSUANCE BY i I i 4T IYI YOU <br /> ADDRESS FILE <br /> _ I <br />